KY HB179 | 2020 | Regular Session


Spectrum: Partisan Bill (Democrat 35-0)
Status: Introduced on January 7 2020 - 25% progression
Action: 2020-01-07 - to Banking & Insurance (H)
Pending: House Banking and Insurance Committee
Text: Latest bill text (Introduced) [PDF]


Amend KRS 304.17A-005 to define "balance billing," "cost sharing," and other terms; create new sections of Subtitle 17A of KRS Chapter 304 to require the insurance commissioner or a designated nonprofit organization to establish and maintain a database of billed health care services charges collected from insurers; define "unanticipated out-of-network care," "covered person" and "usual and customary rate"; require an insurer to reimburse for unanticipated out-of-network care at the lower of the billed amount or the usual and customary rate less any cost sharing owed by the covered person; prohibit balance billing from a provider who has been reimbursed as required; allow a provider to bill for any applicable cost-sharing requirements owed by the covered person; amend KRS18A.225, 304.17A-0954, 304.17A-096, 304.17A-500, 304.17A-580, 304.17A-649, 304.17B-001, 304.17B-015, 304.17B-033, 304.17C-010, 304.18-114, 304.38A-010, and 304.39-241 to conform; repeal KRS 304.17A-640; EFFECTIVE January 1, 2021.

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AN ACT relating to surprise billing.



2020-01-07Houseto Banking & Insurance (H)
2020-01-07Houseintroduced in House
2019-12-13HousePrefiled by the sponsor(s).


Kentucky State Sources

Bill Comments