13RS SB70
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SB70

13RS

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SB 70 (BR 876) - D. Seum

     AN ACT relating to participating provider agreements for limited health service benefit plans.
     Amend KRS 304.17C-085 to define "covered services" for purposes of the section.

SB 70 - AMENDMENTS


     SFA (1, J. Denton) - Amend existing language to include in the definition of "covered services" services and materials for which a reimbusement would be available but for waiting periods, annual maximums, or frequency limitations.
     SFA (2, D. Seum) - Delete original provisions, amend KRS 304.17C-085 to state that discounts shall not be more than fees reimbursed by the plan for covered services and materials, and that fees paid by a limited health benefit plan for covered services and materials shall be reasonable and not provide nominal reimbursement; require that a provider not charge more for services and materials that are not covered services than his or her usual and customary rate for those services and materials.
     SFA (3, D. Seum) - Retain original provisions, except create new subsection of KRS 304.17C-085 to clarify that a provider shall not charge more for services that are not covered services than his or her usual and customary rate, and to clarify that contractual discounts shall be limited to the usual and customary fee minus the plan reimbursement for those services not covered by the original language of the bill.
     SFA (4, D. Seum) - Amend original provisions to define contractual discount and covered services; prohibit providers from charging more for noncovered services than his or her usually rate; limit contractual discount under a limited health service benefit plan; set reimbursement under certain contractual limitations for covered services under a limited health benefit plan.
     SFA (5, J. Denton) - Delete the text of the bill and amend KRS 304.17C-085 to define contractual discount and covered services; prohibit providers from charging more for noncovered services than his or her usual rate; limit contractual discount under a limited health service benefit plan; set reimbursement under certain contractual limitations for covered services under a limited health benefit plan.
     SFA (6, J. Denton) - Delete the text of the bill and amend KRS 304.17C-085 to define contractual discount and covered services; prohibit providers from charging more for noncovered services than his or her usual rate; limit contractual discount under a limited health service benefit plan; set reimbursement under certain contractual limitations for covered services under a limited health benefit plan.

     Feb 5-introduced in Senate
     Feb 7-to Health & Welfare (S)
     Feb 11-reassigned to Banking & Insurance (S)
     Feb 20-reported favorably, 1st reading, to Calendar; floor amendment (1) filed
     Feb 21-2nd reading, to Rules; floor amendment (2) filed
     Feb 22-floor amendment (3) filed
     Feb 25-floor amendment (4) filed
     Feb 26-posted for passage in the Regular Orders of the Day for Tuesday, February 26, 2013; passed over and retained in the Orders of the Day; floor amendments (5) and (6) filed
     Feb 27-3rd reading; floor amendments (1) (2) and (3) withdrawn ; floor amendments (5) and (6) defeated ; passed 30-7 with floor amendment (4)
     Feb 28-received in House
     Mar 4-to Banking & Insurance (H)

Vote History
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