HB 551 (BR 1797) - R. Rand, R. Adams, S. Baugh, T. Burch, D. Butler, J. Greer, J. Higdon, D. Horlander, D. Keene, T. Thompson, J. Vincent, B. Yonts
AN ACT relating to claims payments to administrators of pharmacy benefits.
Create a new section of KRS 304.17A-700 to 304.17A-730 to define the term carrier; require that a contract between a carrier and its pharmacy benefits administrator requiring electronic submission of claims also require electronic payments to the participating provider or designee for clean claims submitted electronically; require that a contract between a carrier and a participating pharmacy or its contracting agency requiring electronic submission of claims also require electronic payments to the participating provider or designee for clean claims submitted electronically; provide that an electronic claim is to be submitted in the form required by the carrier if the participating provider or designee agrees to accept claims details for the payments electronically and provides accurate electronic funds transfer information to the carrier; require that all electronic claims are to be in compliance with HIPAA regulations on privacy of electronic submissions; require that the provisions for electronic claims are to apply to all contracts entered into, amended, extended, or renewed on or after January 1, 2009.
HB 551 - AMENDMENTS
HCS - Retain original provisions; change "carrier" to "insurer"; delete "or if electronic payment is requested by the provider" in subsection (2).
HFA (1, R. Rand) - Retain original provisions; make technical corrections.
Feb 14-introduced in House
Feb 15-to Banking & Insurance (H)
Feb 21-posted in committee
Feb 27-reported favorably, 1st reading, to Calendar with Committee Substitute
Feb 28-2nd reading, to Rules; floor amendment (1) filed to Committee Substitute
Mar 4-posted for passage in the Regular Orders of the Day for Wednesday, March 5, 2008
Mar 5-3rd reading, passed 97-0 with Committee Substitute, floor amendment (1)
Mar 6-received in Senate
Mar 10-to Banking & Insurance (S)
Mar 13-reported favorably, 1st reading, to Consent Calendar
Mar 14-2nd reading, to Rules
Mar 26-posted for passage in the Consent Orders of the Day for Wednesday, March 26, 2008; 3rd reading, passed 36-0
Mar 27-received in House; enrolled, signed by Speaker of the House
Apr 1-enrolled, signed by President of the Senate; delivered to Governor
Apr 9-signed by Governor (Acts Ch. 40)