The hyperlink to a bill draft that precedes a summary contains the most recent version (Introduced/GA/Enacted) of the bill. If the session has ended, the hyperlink contains the latest version of the bill at the time of sine die adjournment. Note that the summary pertains to the bill as introduced, which is often different from the most recent version.


SB 112/HM (BR 464) - R. Alvarado

     AN ACT relating to telehealth.
     Create a new section of KRS Chapter 205 to require the cabinet to regulate telehealth; set requirements for the delivery of telehealth services to Medicaid recipients; require equivalent reimbursement for telehealth services; require provision of coverage and reimbursement for telehealth; prohibit the cabinet from requiring providers to be physically present with a recipient; prohibit prior authorization, medical review, or administrative clearance if not required for the in-person service; prohibit demonstration of necessity; prohibit requiring providers to be part of a telehealth network; specify that Medicaid shall not be required to provide coverage for services that are not medically necessary or pay for transmission costs; amend KRS 205.510 to define terms; amend KRS 205.559 to add telehealth; amend 304.17A-005 to redefine "telehealth"; amend KRS 304.17A-138 to require health benefit plan coverage of telehealth to the same extent as though provided in person; prohibit health benefit plans from requiring providers to be physically present with a patient; prohibit prior authorization, medical review, or administrative clearance if not required for the in-person service; prohibit demonstration of necessity; prohibit requiring providers to be part of the telehealth network or subject to Telehealth Board oversight; specify that health benefit plans shall not be required to provide coverage for services that are not medically necessary or pay for transmission costs; amend KRS 342.315 to conform; amend KRS 18A.225 to require any fully insured health benefit plans or self-insured plans issued or renewed after July 1, 2019, to public employees to comply with KRS 304.17A-138; repeal KRS 194A.125; EFFECTIVE July 1, 2019.


AMENDMENTS

     SCS1 - Retain provisions of the bill; direct the cabinet to require specialty care to be provided by a Medicaid provider and require coordination with a patient's primary care provider; change "health benefit plan" to "Medicaid managed care organization"; require a telehealth provider to be licensed in Kentucky to receive reimbursement; add provision to allow providers to negotiate a contract for a lower rate for telehealth services compared to the same service provided in person; add provision to allow the Medicaid program to establish a different rate compared to the same service provided in person; add to definition of telehealth to clarify that telehealth includes store and forward services; EFFECTIVE JULY 1, 2019.
     SFA1( R. Alvarado ) - Amend definition of telehealth to clarify that the face-to-face encounter requirement is met with the use of store and forward technology in which the health care provider has access to the patient's or client's medical history prior to the telehealth encounter; EFFECTIVE July 1, 2019.
     SFA2( R. Alvarado ) - Amend definition of telehealth to clarify that the face-to-face encounter requirement is satisfied with the use of asynchronous telecommunications technologies in which the health care provider has access to the patient's or client's medical history prior to the telehealth encounter; EFFECTIVE July 1, 2019.

     Jan 26, 2018 - introduced in Senate
     Jan 29, 2018 - to Health & Welfare (S)
     Feb 14, 2018 - reported favorably, 1st reading, to Calendar with Committee Substitute (1)
     Feb 15, 2018 - 2nd reading, to Rules; floor amendment (1) filed to Committee Substitute
     Feb 20, 2018 - floor amendment (2) filed to Committee Substitute