11RS SB112
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SB112

11RS

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SB 112/HM (BR 1464) - T. Buford

     AN ACT relating to occupational and physical therapy.
     Create a new section of KRS Chapter 304.17A to limit a copayment or coinsurance amount for the services of a physical therapist or occupational therapist to no more than 20% of the charge for the service provided; require insurers to clearly state the availability of therapies under their plans.

SB 112 - AMENDMENTS


     SCS - Retain provisions of the original bill, except require copayments or coinsurance amounts for the services of a physical therapist or occupational therapist to be limited to no more than 20% of the usual and customary reimbursement, rather than 20% of the charge, for the service provided.
     SCA (1, J. Denton) - Delete subsection (1) of Section 1 and in lieu thereof provide that an insurer shall not require a copayment or coinsurance for services rendered for each date of service by an occupational or physical therapist that is greater than a copayment or coinsurance required for the services of a physician or an osteopath for an office visit.
     SFA (1, J. Denton) - Delete the requirement for a maximum copayment for services rendered by an occupational therapist and a physical therapist and in lieu thereof require that each policy or contract clearly specify the coverage for occupational and physical therapy included in the plan, including all related limitations, conditions, exclusions, and copayments; add a subsection to apply the requirements of this section to the health benefit plan provided for employees under the state employee health plan.
     SFA (2, J. Denton) - Require an insurer offering a health benefit plan in Kentucky to offer at least one plan that has a maximum twenty percent copy for occupational and physical therapy charges for services rendered; add "copayments" to the coverage that shall be clearly stated by the insurer.
     SFA (3, J. Denton) - Delete the requirement for a maximum copayment for services rendered by an occupational therapist and a physical therapist and in lieu thereof require that each policy or contract clearly specify the coverage for occupational and physical therapy included in the plan, including all related limitations, conditions, exclusions, and copayments; add a subsection to provide that the requirements of this section shall not apply to the state employee health benefit plan.
     SFA (4/Title, J. Denton) - Make title amendment.
     SFA (5, J. Denton) - Provide that the copayment maximum shall apply to all health care providers; provide that this requirement shall not apply to the state employee health benefit plan.
     SFA (6, J. Denton) - Provide that insurers offering health benefit plans must offer a plan that provides coverage for office visits to physical therapists, occupational therapists, and chiropractors for which copayments or coinsurance amounts are no greater than that of an office visit to a primary care physician; state that plans shall provide coverage for at least 50% of the total allowable charge; state that plans shall not impose more than one copayment for each date of service for the same patient utilizing the same provider; require insurers to clearly disclose the availability of physical therapy, occupational therapy, and chiropractic coverages; state the effective date for the Act to be January 1, 2012.
     SFA (7/Title, J. Denton) - Make title amendment.
     SFA (8, J. Denton) - Create a new section of KRS Chapter 202A to permit qualified mental health professionals to conduct an evaluation or examination using telehealth services and require that telehealth services only be provided through the use of interactive video media and forbid the provision of telehealth services through the use of audio-only telephone, facsimile machine, or electronic media.
     SFA (9/Title, J. Denton) - Make title amendment.
     HFA (1/P, K. Hall) - Retain original provisions and amend KRS 314.042 to delete the requirement for an advanced practice registered nurse to enter into a collaborative agreement with a physician before engaging in the prescribing or dispensing of nonscheduled legend drugs.
     HFA (2/Title, K. Hall) - Make title amendment.

     Feb 7-introduced in Senate
     Feb 9-to Banking & Insurance (S)
     Feb 15-reported favorably, 1st reading, to Calendar
     Feb 16-2nd reading, to Rules; floor amendments (1) (2) (3) (4-title) and (5) filed
     Feb 18-recommitted to Banking & Insurance (S); floor amendments (6) and (7-title) filed
     Feb 23-reported favorably, to Rules with Committee Substitute, committee amendment (1) ; posted for passage in the Regular Orders of the Day for Wednesday, February 23, 2011; floor amendments (8) and (9-title) filed ; 3rd reading; floor amendments (1) (2) (3) (4-title) (5) (6) and (7-title) withdrawn ; passed 30-6 with Committee Substitute, committee amendment (1)
     Feb 24-received in House
     Feb 25-to Health & Welfare (H); posting waived; posted in committee
     Feb 28-reported favorably, 1st reading, to Calendar
     Mar 1-2nd reading, to Rules; posted for passage in the Regular Orders of the Day for Wednesday, March 2, 2011
     Mar 2-floor amendments (1) and (2-title) filed
     Mar 3-3rd reading, passed 98-0-1; received in Senate; enrolled, signed by President of the Senate
     Mar 4-enrolled, signed by Speaker of the House; delivered to Governor
     Mar 16-signed by Governor

Vote History
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