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SB 157/FN/HM (BR 1658) - T. Buford, W. Blevins Jr., D. Boswell, J. Carroll, P. Clark, D. Harper Angel, A. Kerr, J. Pendleton, M. Reynolds, J. Rhoads, D. Ridley, J. Schickel, K. Stein, E. Tori, J. Turner, R. Webb, K. Winters, E. Worley

     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 which is within the lawful scope of practice of a licensed doctor of chiropractic; define "doctor of chiropractic," "insurer," "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 for more than one coinsurance or copayment for each routine or nonroutine office visit to a doctor of chiropractic; require reimbursement at not less than 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.


     SCS/HM - Retain original provisions, except delete "agent" from the definition of "insurer" in Sections 1, 2 and 3.

     SFA (1, T. Buford) - Delete definition of "insurer" from new sections added to Subtitles 17A, 17B, and 17C of KRS Chapter 304.

     SFA (2, D. Thayer) - Amend the sections created in Subtitle 17A, 17B, and 17C of KRS Chapter 304 to delete the definition of "insurer"; provide that the insurer shall separately adjudicate each claim billed by a doctor of chiropractic rather than separately reimburse a doctor of chiropractic when billed for treatment of an established patient during a routine office visit and for treatment of a new or established patient during a nonroutine office visit; clarify that a doctor of chiropractic shall be reimbursed for chiropractic services performed; delete the provision that insurers and health benefit plans are required to report fee methodology to the contracted provider within 30 days of receipt of a written request from the provider; provide that these changes shall apply to health benefit plans which include chiropractic benefits issued or renewed on or after January 1, 2011.

     Feb 16-introduced in Senate
     Feb 18-to Banking & Insurance (S)
     Mar 2-reported favorably, 1st reading, to Calendar with Committee Substitute
     Mar 3-2nd reading, to Rules; floor amendment (1) filed to Committee Substitute
     Mar 10-posted for passage in the Regular Orders of the Day for Monday, March 15, 2010
     Mar 11-floor amendment (2) filed to Committee Substitute
     Mar 16-3rd reading; floor amendments (1) and (2) withdrawn ; passed 32-2 with Committee Substitute
     Mar 17-received in House
     Mar 19-to Health & Welfare (H); posted in committee
     Mar 24-taken from committee; 1st reading; returned to Health & Welfare (H)

Vote History
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