11RS SB75
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SB75

11RS

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SB 75/HM (BR 482) - T. Buford, P. Clark, A. Kerr, J. Rhoads

     AN ACT relating to chiropractic.
    Create new sections of Subtitles 17A, 17B, and 17C of KRS Chapter 304 to require that specified health benefit plans and health insurance provide reimbursement for any service that is within the lawful scope of practice of a licensed doctor of chiropractic; define "doctor of chiropractic," "nonroutine office visit," and "routine office visit"; require that individual procedures performed by a doctor of chiropractic be treated as separate and distinct treatments and not be combined into payment for an office visit or other outpatient visit for specified treatment; provide that only one evaluation and management procedure performed on the same date by the same provider shall be reimbursed; prohibit imposition upon the insured of more than one coinsurance or copayment for each routine or nonroutine office visit to a doctor of chiropractic; require reimbursement at no less than the reimbursement rates in effect on October 15, 2008; require insurers to report fee methodology to providers; require that a contract between an insurer and a doctor of chiropractic comply with the new sections.

SB 75 - AMENDMENTS


     SCS/HM - Retain original povisions, except insert the words "as defined in this section" following the words "doctor of chiropractic" on lines 5-6 on Page 3 of printed copy of bill.
     SFA (1, J. Denton) - Make provisions applicable to all licensed health care providers, rather than only to chiropractors.
     SFA (2/Title, J. Denton) - Make title amendment.
     SFA (3, J. Denton) - Amend KRS 216B.020 to require a certificate of need for ophthalmic laser surgery unless services are currently in place or are performed by an ophthalmologist.
     SFA (4/Title, J. Denton) - Make title amendment.
     SFA (5, J. Denton) - Create a new section of KRS Chapter 202A to permit qualified mental health professionals to conduct an evaluation or examination using telehealth services and require that telehealth services only be provided through the use of interactive video media and forbid the provision of telehealth services through the use of audio-only telephone, facsimile machine, or electronic media.
     SFA (6/Title, J. Denton) - Make title amendment.
     SFA (7, J. Denton) - Make provisions applicable to all licensed health care providers, rather than only to chiropractors.
     HCS/HM - Delete the provisions of the bill; create a new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to impose no more than one coinsurance or copayment for each office visit with a chiropractor on the same date of service with the same provider and for the same covered person, and require that the plan clearly state the included chiropractic coverage, including but not limited to copyaments, coinsurance, limitations, conditions, and exclusions.
     HFA (1, J. Greer) - Delete original provisions of bill; create a new section of Subtitle 17A of KRS Chapter 304 to prohibit a health benefit plan that includes chiropractic benefits from imposing a copayment that exceeds 50% of the total reimbursable amount allowed by the health plan for any single covered service and prohibit more than one coinsurance charge or one copayment for the same date of service for the same patient; require the plan to clearly state the chiropractic benefits, limitations, conditions and exclusions; amend KRS 304.17A-150 to provide that it shall be an unfair trade practice to impose requirements in a provider contract or agreement with provider that alter or negate the benefits covered under the plan or to refuse to pay benefits directly to a chiropractor following receipt of an assignment of benefits and provide that nothing in this subsection shall prevent the performance of a utilization review by an insurer in accordance with KRS 304.17A-600 to 304.17A-615.
     HFA (2, J. Gooch Jr.) - Delete original provisions; create a new section of Subtitle 17A of KRS Chapter 304 to prohibit a health benefit plan that includes chiropractic benefits from imposing a copayment that exceeds 50% of the total reimbursable amount allowed by the health plan for any single covered visit; prohibit more than one coinsurance charge or one copayment for the same date of service for the same patient; require the plan to clearly state the chiropractic benefits, limitations, conditions and exclusions; amend KRS 304.17A-150 to provide that it shall be an unfair trade practice to impose requirements in a provider contract or agreement with a chiropractor that alter or negate the benefits covered under the plan or to refuse to pay benefits directly to a chiropractor following receipt of an assignment of benefits; provide that nothing in this subsection shall prevent the performance of a utilization review by an insurer in accordance with KRS 304.17A-600 to 304.17A-615.

     Jan 7-introduced in Senate
     Feb 1-to Banking & Insurance (S)
     Feb 8-reported favorably, 1st reading, to Calendar
     Feb 9-2nd reading, to Rules
     Feb 11-floor amendments (1) and (2-title) filed
     Feb 18-recommitted to Banking & Insurance (S)
     Feb 23-floor amendments (3) (4-title) (5) and (6-title) filed
     Feb 24-reported favorably, to Rules with Committee Substitute ; floor amendment (7) filed to Committee Substitute
     Feb 28-posted for passage in the Regular Orders of the Day for Monday, February 28, 2011; 3rd reading; floor amendments (1) (2-title) (3) (4-title) (5) (6-title) and (7) ruled out of order ; passed 34-4 with Committee Substitute
     Mar 1-received in House; to Banking & Insurance (H); taken from Banking & Insurance (H); 1st reading; returned to Banking & Insurance (H); posting waived
     Mar 2-reported favorably, 2nd reading, to Rules with Committee Substitute as a Consent Bill; posted for passage in the Consent Orders of the Day for Thursday, March 3, 2011; floor amendment (1) filed
     Mar 3-taken from the Consent Orders of the Day, placed in the Regular Orders of the Day; floor amendment (2) filed

Vote History
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