KY HB370 | 2022 | Regular Session
Status
Completed Legislative Action
Spectrum: Strong Partisan Bill (Republican 15-1)
Status: Passed on March 29 2022 - 100% progression
Action: 2022-03-29 - signed by Governor (Acts Ch. 48)
Text: Latest bill text (Chaptered) [PDF]
Spectrum: Strong Partisan Bill (Republican 15-1)
Status: Passed on March 29 2022 - 100% progression
Action: 2022-03-29 - signed by Governor (Acts Ch. 48)
Text: Latest bill text (Chaptered) [PDF]
Summary
Create new sections of Subtitle 17C of KRS Chapter 304 to define terms; permit third-party access to provider network contracts if certain conditions are met; prohibit a dental carrier from canceling or otherwise ending a contractual relationship with a provider that opts out of third-party access; require a dental carrier to accept a qualified provider regardless of whether the provider opts out of third-party access; provide that a provider shall not be bound by third-party access granted in violation of the relevant provisions; establish exceptions to the third-party access provisions; allow a dental benefit plan to deny a claim for procedures included in a prior authorization when certain conditions are met; establish requirements for payments from the dental benefit plan to the dentist; require an insurer of a dental benefit plan to honor an assignment of benefits and make payments directly to the dentist or professional dental service corporation when certain conditions are met; permit a dentist or professional dental service corporation with a valid assignment of benefits to bill the insurer and notify the insurer of the assignment; require the dentist or professional dental service organization to provide the assignment of benefits to the insurer upon request; allow an assignment of benefits to be revoked when certain conditions are met; require the insurer of a dental benefit plan to send a revocation to the dentist or professional dental service corporation; establish the effective date of a revocation; require a dentist or professional dental service corporation to reimburse an insured under certain circumstances; prohibit provisions relating to third-party access, prior authorization, and assignment of benefits from being waived by contract; create a new section of Subtitle 17A of KRS Chapter 304 to require an insurer and its health insurance plans to comply with the provisions relating to third-party access, prior authorization, and assignment of benefits; amend KRS 304.17C-085 to define terms; prohibit a provider from charging more than the provider's rate for noncovered services under a limited health service benefit plan; prohibit the amount of a contractual discount for covered services from resulting in a fee less than the limited health service benefit plan would pay but for certain contractual limitations; require reimbursement by a limited health service benefit plan to be reasonable and prohibit nominal reimbursement in order to claim services are covered; amend KRS 304.17A-611 to require retrospective denials of dental services to comply with the new section on prior authorization; amend KRS 222.422 to conform; permit the commissioner of insurance to promulgate regulations.
Title
AN ACT relating to health care trade practices.
Sponsors
Roll Calls
2022-03-23 - Senate - Senate: Third Reading RSN# 2201 (Y: 36 N: 0 NV: 1 Abs: 1) [PASS]
2022-02-25 - House - House: Third Reading RCS# 180 (Y: 90 N: 0 NV: 0 Abs: 9) [PASS]
2022-02-25 - House - House: Third Reading RCS# 180 (Y: 90 N: 0 NV: 0 Abs: 9) [PASS]
History
| Date | Chamber | Action |
|---|---|---|
| 2022-03-29 | House | signed by Governor (Acts Ch. 48) |
| 2022-03-24 | House | delivered to Governor |
| 2022-03-24 | House | enrolled, signed by President of the Senate |
| 2022-03-24 | House | enrolled, signed by Speaker of the House |
| 2022-03-24 | House | received in House |
| 2022-03-23 | Senate | 3rd reading, passed 36-0-1 |
| 2022-03-22 | Senate | passed over and retained in the Consent Orders of the Day |
| 2022-03-17 | Senate | posted for passage in the Consent Orders of the Day for Tuesday, March 22, 2022 |
| 2022-03-16 | Senate | 2nd reading, to Rules as a consent bill |
| 2022-03-15 | Senate | reported favorably, 1st reading, to Consent Calendar |
| 2022-03-07 | Senate | to Banking & Insurance (S) |
| 2022-02-25 | Senate | to Committee on Committees (S) |
| 2022-02-25 | Senate | received in Senate |
| 2022-02-25 | House | 3rd reading, passed 90-0 with Committee Substitute (1) and Floor Amendment (1) |
| 2022-02-24 | House | posted for passage in the Regular Orders of the Day for Friday, February 25, 2022 |
| 2022-02-24 | House | floor amendment (1) filed to Committee Substitute |
| 2022-02-24 | House | 2nd reading, to Rules |
| 2022-02-23 | House | reported favorably, 1st reading, to Calendar with Committee Substitute (1) |
| 2022-02-22 | House | to Banking & Insurance (H) |
| 2022-01-25 | House | to Committee on Committees (H) |
| 2022-01-25 | House | introduced in House |
Subjects
Administrative Regulations and Proceedings
Health and Medical Services
Health Benefit Mandate
Insurance, Health
Physicians and Practitioners
Health and Medical Services
Health Benefit Mandate
Insurance, Health
Physicians and Practitioners
