98RS SB427


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SB 427/FN (BR 5) - J. Rose

     AN ACT relating to health insurance.
     Create new sections of Subtitle 17A of KRS Chapter 304 to create patient protection provisions; require insurers to disclose to enrollees, among other things, covered services, prior authorization requirements, right to appeal, a current participating provider directory, financial incentives between providers under contract with the insurer and other providers to which participating providers refer patients and the plan's standard for waiting times for appointments; require managed care plans to show they offer an adequate number of accessible hospital services and primary care providers; require insurers to establish standards for selection of providers; require provision of continuity of care upon removal or withdrawal of provider; prohibit a provider from being penalized for discussing with enrollee medically necessary or appropriate care; require managed care plans to have drug utilization programs; require disclosure of limits on coverage for any treatment, procedure, drug, or device; require managed care plan to appoint a medical director; provide for offer of out-of-network benefits; and provide for patient's right of privacy.

     Mar 5-introduced in Senate
     Mar 6-to Appropriations and Revenue (S)

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