13RS HB376
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HB376

13RS

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HB 376/HM (BR 1510) - C. Rollins II, D. Graham, T. Burch, J. Greer

     AN ACT relating to insurance coverage of prosthetics.
     Create new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to cover the most technologically advanced prosthetic leg or arm available, including repairing and replacing, as determined by the insured's physician and provided by a person accredited or qualified under Medicare Part B; require health benefit plan coverage equal to Medicare Part B; create new sections of Subtitle 18 of KRS Chapter 304 to require group or blanket insurance to cover the most technologically advanced prosthetic leg or arm available, including repairing and replacing, as determined by the insured's physician and provided by a person accredited or qualified under Medicare Part B, and require coverage equal to Medicare Part B; create new sections of KRS Subtitle 32 of KRS Chapter 304 to require any nonprofit hospital, medical-surgical and health services corporations subject to subtitle 32 to cover the most technologically advanced prosthetic leg or arm available, including repairing and replacing, as determined by the insured's physician and provided by a person accredited or qualified under Medicare Part B, and require coverage equal to Medicare Part B; create new sections of Subtitle 38 of KRS Chapter 304 to require any health maintenance organization to cover the most technologically advanced prosthetic leg or arm available, including repairing and replacing, as determined by the insured's physician and provided by a person accredited or qualified under Medicare Part B, and require coverage equal to Medicare Part B.

HB 376 - AMENDMENTS


     HCS/HM - Amend the definition of "prosthetic" to mean an artificial arm or leg; delete sections created in Subtitles 18 and 32 of KRS Chapter 304; require that coverage for prosthetics be subject to utilization review and internal appeals established by KRS 304.17A-600 to KRS 304.17A-633 for health benefit plans and HMOs, and require HMOs to also comply with KRS 304.38-225 with respect to utilization review; EFFECTIVE January 1, 2014.

     Feb 13-introduced in House
     Feb 14-to Banking & Insurance (H)
     Feb 19-posting waived
     Feb 27-reported favorably, 1st reading, to Calendar with Committee Substitute
     Feb 28-2nd reading, to Rules; posted for passage in the Regular Orders of the Day for Friday, March 1, 2013
     Mar 1-3rd reading, passed 82-7 with Committee Substitute
     Mar 4-received in Senate
     Mar 5-to Licensing, Occupations, & Administrative Regulations (S); taken from Licensing, Occupations, & Administrative Regulations (S); 1st reading; returned to Licensing, Occupations, & Administrative Regulations (S)
     Mar 6-taken from Licensing, Occupations, & Administrative Regulations (S); 2nd reading; returned to Licensing, Occupations, & Administrative Regulations (S)

Vote History
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