Kentucky Senate Bill 54 (Prior Session Legislation)

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Completed Legislative Action
Spectrum: Partisan Bill (Republican 3-0)
Status: Passed on March 26 2019 - 100% progression
Action: 2019-03-26 - signed by Governor (KY Acts ch. 190)
Text: Latest bill text (Enrolled) [PDF]

Create a new section of subtitle 17A of KRS Chapter 304 to require an insurer develop processes for electronic prior authorizations; to establish an extended length of authorization under certain circumstances; amend KRS 205.522 to require the Department for Medicaid Services or a Medicaid managed care organization to comply with Sections 1, 6, 7, 8, and 9 of this Act; amend KRS 217.211 to require governmental units of the Commonwealth to promulgate administrative regulations for electronic prescribing that include electronic prior authorization standards meeting certain requirements; amend KRS 218A.171 to require governmental units of the Commonwealth to promulgate administrative regulations for electronic prescribing that include electronic prior authorization standards meeting certain requirements; amend KRS 304.17A-005 to define "health care services," "health facility" or "facility," and "medically necessary health care services"; amend KRS 304.17A-580 to prohibit a requirement of a utilization review for the provision of emergency health care services; to establish a presumption of medical necessity; amend KRS 304.17A-600 to amend the definition of "prospective review" to include prior authorization, step therapy, preadmission review, pretreatment review, and utilization and case management; amend KRS 304.17A-603 to require certain written procedures of insurers be accessible on its Web site; amend KRS 304.17A-607 to require that decisions relating to utilization reviews are conducted by physicians of the same specialty as the ordering provider; to establish a time frame for providing utilization decisions; to allow for electronic format of certain required notices; to establish that an insurer's failure to respond within set time frames shall be deemed a prior authorization; amend 304.17A-430, to conform; EFFECTIVE January 1, 2020.

AN ACT relating to prior authorization.

Sen. Ralph Alvarado [R]

Sen. Danny Carroll [R]

Sen. Stephen Meredith [R]

2019-03-13 - Senate - Senate: Third Reading RSN# 978 (Y: 37 N: 0 NV: 0 Abs: 0) [PASS]
2019-03-12 - House - House: Third Reading RCS# 277 (Y: 97 N: 1 NV: 0 Abs: 2) [PASS]
2019-02-21 - Senate - Senate: Third Reading W/scs 1, sfa 1 RSN# 827 (Y: 33 N: 1 NV: 0 Abs: 3) [PASS]

Date	Chamber	Action
2019-03-26	Senate	signed by Governor (KY Acts ch. 190)
2019-03-14	Senate	delivered to Governor
2019-03-14	Senate	enrolled, signed by Speaker of the House
2019-03-14	Senate	enrolled, signed by President of the Senate
2019-03-13	Senate	Bill passed 37-0
2019-03-13	Senate	Senate concurred in House Committee Substitute (1) and floor amendment (1)
2019-03-13	Senate	posted for passage for concurrence in House Committee Substitute (1) and floor amendment (1) on Wednesday, March 13, 2019
2019-03-13	Senate	received in Senate
2019-03-12	House	3rd reading, passed 97-1 with Committee Substitute (1) and floor amendment (1)
2019-03-06	House	posted for passage in the Regular Orders of the Day for Thursday, March 7, 2019
2019-02-28	House	floor amendment (1) filed to Committee Substitute
2019-02-28	House	2nd reading, to Rules
2019-02-27	House	reported favorably, 1st reading, to Calendar with Committee Substitute (1)
2019-02-25	House	posted in committee
2019-02-25	House	to Banking & Insurance (H)
2019-02-22	House	received in House
2019-02-21	Senate	3rd reading, passed 33-1 with Committee Substitute (1) and floor amendment (1)
2019-02-21	Senate	posted for passage in the Regular Orders of the Day for Thursday, February 21, 2019
2019-02-20	Senate	2nd reading, to Rules
2019-02-19	Senate	floor amendment (1) filed to Committee Substitute
2019-02-19	Senate	reported favorably, 1st reading, to Calendar with Committee Substitute (1)
2019-01-09	Senate	to Banking & Insurance (S)
2019-01-08	Senate	introduced in Senate
2018-12-14	Senate	Prefiled by the sponsor(s).

Type	Source
Summary	https://apps.legislature.ky.gov/record/19RS/sb54.html
Text	https://apps.legislature.ky.gov/recorddocuments/bill/19RS/sb54/orig_bill.pdf
Text	https://apps.legislature.ky.gov/recorddocuments/bill/19RS/sb54/bill.pdf
Amendment	https://apps.legislature.ky.gov/recorddocuments/bill/19RS/SB54/SCS1.pdf
Amendment	https://apps.legislature.ky.gov/recorddocuments/note/19RS/sb54/SCS1HM.pdf
Amendment	https://apps.legislature.ky.gov/recorddocuments/bill/19RS/SB54/SFA1.pdf
Amendment	https://apps.legislature.ky.gov/recorddocuments/bill/19RS/SB54/HCS1.pdf
Amendment	https://apps.legislature.ky.gov/recorddocuments/bill/19RS/SB54/HFA1.pdf
Amendment	https://apps.legislature.ky.gov/recorddocuments/note/19RS/sb54/HCS1HM.pdf
Roll Call	https://apps.legislature.ky.gov/record/19RS/sb54/vote_history.pdf