98RS HB255


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HB 255/FN (BR 1524) - K. Stein, M. Marzian, P. Mason, S. Nunn

     AN ACT relating to children's health insurance and declaring an emergency.
     Create various new sections of KRS Chapter 205 to create within the Cabinet for Human Resources the Kentucky Children's Health Insurance Program for the purposes of providing health care coverage and other coordinated services to children through the age of 18 years at or below 200 percent of the federal poverty level and who are not otherwise eligible for health insurance coverage and for expanding Medicaid coverage for children between the ages of 14 to 18 years up to 100 percent of the federal poverty level; require the cabinet by administrative regulation to establish CHIP program eligibility criteria, a benefit schedule, premium contribution per family or per child, copayments for services, content and contribution for riders to existing employer-sponsored health insurance policies, and content of an incentive program for employer-sponsored health insurance programs; create a "Children's Health Insurance Program Trust Fund"; EMERGENCY.


     HCS/FN - Allow the cabinet to either use Medicaid program expansions, provide a separate health insurance program, or any combination of both to provide health care coverage and other coordinated services to children at or below 200% of the federal poverty level; require that the schedule of benefits for the Children's Health Insurance Program be at least as comprehensive and no less than the benefit package provided under a standard high plan currently offered under the state health benefit plans; require that the schedule of benefits also include preventive dental and dental services and be written as a separate plan in those instances where a contractor may not be able to provide those services; eliminate a copayment on any dental service provided through any contractual arrangement under the Children's Health Insurance Program; require that the cabinet include a public health department in any contracting process, and disallow any disqualification from bidding by a public health department simply because they cannot provide all of the services required under the contract; require a system of outreach and education to attempt to reach all children who would be eligible for benefits under the program; require the Department for Medicaid Services to coordinate such efforts with the Department for Social Insurance, the Department for Social Services, schools, pediatricians, hospitals and public health departments; require a system of data collection on the number of children enrolled in the program, services received, and the effect of health outcomes of children; require that recipients have direct access, without a referral from a gatekeeper primary care provider, to dentists, optometrists and opthalmologists; mandate that administrative costs under the program be limited to just 10% of applicable costs; require that any savings from the implementation of the cabinet's managed care programs be used to provide matching state dollars to draw down enhanced federal funds available under Title XXI of the Social Security Act; require that any plan submitted for federal Title XXI funds for the Children's Health Insurance Program include provisions for a preventive health insurance program for children with no copayment, deductible, coinsurance or premium.
     HFA (1, P. Mason) - Require the schedule of benefits to be covered by the Children's Health Insurance Program to be at least equivalent to one of three described health benefit plans.
     HCA (1, P. Mason) - Require that the schedule of benefits to be covered under the Children's Health Insurance Program be equivalent to at least either the standard Blue Cross/Blue Shield preferred provider option under the Federal Employees Health Benefit Plan, a mid-range health benefit plan that is offered and generally available to state employees, or health insurance offered by a health maintenance organization that has the largest insured commercial, non-Medicaid enrollment of covered lives in the state.
     HCA (2, J. Barrows) - Require that data collection on the Children's Health Insurance Program be in compliance with data required under KRS 216.2929; require reports to be developed and submitted to the Governor and the Legislative Research Commission twelve (12) months after the implementation of the program; require report to include a description of the scope of the program, including the insurer who underwrites the plan, the number of children served and in what geographic areas, the range of benefits provided and delivered under this plan, complaints received and their remedy, recommendations for program improvement and all costs associated with the implementation and maintenance of the plan.
     HFA (2, P. Mason) - Retain provisions of committee substitute except require any plan submitted for federal Title XXI approval of a children's health insurance program to include preventive dental services, tooth extraction, and emergency dental services.
     HFA (3, P. Mason) - Make technical correction.

     Jan 13-introduced in House
     Jan 14-to Health and Welfare (H)
     Jan 21-posted in committee
     Mar 3-reported favorably, 1st reading, to Calendar with Committee Substitute
     Mar 4-2nd reading, to Rules; recommitted to Appropriations and Revenue (H)
     Mar 6-floor amendment (1) filed to Committee Substitute
     Mar 10-posting waived
     Mar 12-floor amendments (2) and (3) filed to Committee Substitute; reported favorably, to Rules with committee amendments (1) and (2); posted for passage in the Regular Orders of the Day for March 13, 1998
     Mar 16-3rd reading, passed 91-1 with Committee Substitute, committee amendments (1) and (2) and floor amendments (2) and (3)
     Mar 17-received in Senate
     Mar 18-to Health and Welfare (S)

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