KY HB179 | 2020 | Regular Session
Status
Spectrum: Partisan Bill (Democrat 35-0)
Status: Introduced on January 7 2020 - 25% progression, died in committee
Action: 2020-01-07 - to Banking & Insurance (H)
Pending: House Banking and Insurance Committee
Text: Latest bill text (Introduced) [PDF]
Status: Introduced on January 7 2020 - 25% progression, died in committee
Action: 2020-01-07 - to Banking & Insurance (H)
Pending: House Banking and Insurance Committee
Text: Latest bill text (Introduced) [PDF]
Summary
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.
Title
AN ACT relating to surprise billing.
Sponsors
History
Date | Chamber | Action |
---|---|---|
2020-01-07 | House | to Banking & Insurance (H) |
2020-01-07 | House | introduced in House |
2019-12-13 | House | Prefiled by the sponsor(s). |
Subjects
Administrative Regulations and Proceedings
Effective Dates, Delayed
Health Benefit Mandate
Insurance, Health
Physicians and Practitioners
State Agencies
State Employees
Effective Dates, Delayed
Health Benefit Mandate
Insurance, Health
Physicians and Practitioners
State Agencies
State Employees
Kentucky State Sources
Type | Source |
---|---|
Summary | https://apps.legislature.ky.gov/record/20RS/hb179.html |
Text | https://apps.legislature.ky.gov/recorddocuments/bill/20RS/hb179/orig_bill.pdf |