KY SB54 | 2019 | Regular Session

Status

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]

Summary

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.

Tracking Information

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Title

AN ACT relating to prior authorization.

Sponsors


Roll Calls

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]

History

DateChamberAction
2019-03-26Senatesigned by Governor (KY Acts ch. 190)
2019-03-14Senatedelivered to Governor
2019-03-14Senateenrolled, signed by Speaker of the House
2019-03-14Senateenrolled, signed by President of the Senate
2019-03-13SenateBill passed 37-0
2019-03-13SenateSenate concurred in House Committee Substitute (1) and floor amendment (1)
2019-03-13Senateposted for passage for concurrence in House Committee Substitute (1) and floor amendment (1) on Wednesday, March 13, 2019
2019-03-13Senatereceived in Senate
2019-03-12House3rd reading, passed 97-1 with Committee Substitute (1) and floor amendment (1)
2019-03-06Houseposted for passage in the Regular Orders of the Day for Thursday, March 7, 2019
2019-02-28Housefloor amendment (1) filed to Committee Substitute
2019-02-28House2nd reading, to Rules
2019-02-27Housereported favorably, 1st reading, to Calendar with Committee Substitute (1)
2019-02-25Houseposted in committee
2019-02-25Houseto Banking & Insurance (H)
2019-02-22Housereceived in House
2019-02-21Senate3rd reading, passed 33-1 with Committee Substitute (1) and floor amendment (1)
2019-02-21Senateposted for passage in the Regular Orders of the Day for Thursday, February 21, 2019
2019-02-20Senate2nd reading, to Rules
2019-02-19Senatefloor amendment (1) filed to Committee Substitute
2019-02-19Senatereported favorably, 1st reading, to Calendar with Committee Substitute (1)
2019-01-09Senateto Banking & Insurance (S)
2019-01-08Senateintroduced in Senate
2018-12-14SenatePrefiled by the sponsor(s).

Subjects


Kentucky State Sources


Bill Comments

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