HB 370 KY

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Became Law

Create new sections of Subtitle 17C of KRS Chapter 304 to define terms; permit third-party access to provider network contracts if certain conditions are met; prohibit a dental carrier from canceling or otherwise ending a contractual relationship with a provider that opts out of third-party access; require a dental carrier to accept a qualified provider regardless of whether the provider opts out of third-party access; provide that a provider shall not be bound by third-party access granted in violation of the relevant provisions; establish exceptions to the third-party access provisions; allow a dental benefit plan to deny a claim for procedures included in a prior authorization when certain conditions are met; establish requirements for payments from the dental benefit plan to the dentist; require an insurer of a dental benefit plan to honor an assignment of benefits and make payments directly to the dentist or professional dental service corporation when certain conditions are met; permit a dentist or professional dental service corporation with a valid assignment of benefits to bill the insurer and notify the insurer of the assignment; require the dentist or professional dental service organization to provide the assignment of benefits to the insurer upon request; allow an assignment of benefits to be revoked when certain conditions are met; require the insurer of a dental benefit plan to send a revocation to the dentist or professional dental service corporation; establish the effective date of a revocation; require a dentist or professional dental service corporation to reimburse an insured under certain circumstances; prohibit provisions relating to third-party access, prior authorization, and assignment of benefits from being waived by contract; create a new section of Subtitle 17A of KRS Chapter 304 to require an insurer and its health insurance plans to comply with the provisions relating to third-party access, prior authorization, and assignment of benefits; amend KRS 304.17C-085 to define terms; prohibit a provider from charging more than the provider's rate for noncovered services under a limited health service benefit plan; prohibit the amount of a contractual discount for covered services from resulting in a fee less than the limited health service benefit plan would pay but for certain contractual limitations; require reimbursement by a limited health service benefit plan to be reasonable and prohibit nominal reimbursement in order to claim services are covered; amend KRS 304.17A-611 to require retrospective denials of dental services to comply with the new section on prior authorization; amend KRS 222.422 to conform; permit the commissioner of insurance to promulgate regulations.

• D. Lewis Republican · primary
• B. Reed · primary
• A. Bowling Republican · primary
• K. Bratcher · primary
• P. Flannery Republican · primary
• N. Kirk-McCormick · primary
• M. Lockett Republican · primary
• C. Massey · primary
• S. McPherson Republican · primary
• M. Pollock · primary
• S. Riley Republican · primary
• S. Santoro · primary
• S. Sheldon · primary
• T. Smith Republican · primary
• R. Webber · primary
• S. Westrom · primary

1. Jan 25, 2022 introduced in House · lower
2. Jan 25, 2022 to Committee on Committees (H) · lower
3. Feb 22, 2022 to Banking & Insurance (H) · lower
4. Feb 23, 2022 reported favorably, 1st reading, to Calendar with Committee Substitute (1) · lower
5. Feb 24, 2022 2nd reading, to Rules · lower
6. Feb 24, 2022 floor amendment (1) filed to Committee Substitute · lower
7. Feb 24, 2022 posted for passage in the Regular Orders of the Day for Friday, February 25, 2022 · lower
8. Feb 25, 2022 3rd reading, passed 90-0 with Committee Substitute (1) and Floor Amendment (1) · lower
9. Feb 25, 2022 received in Senate · upper
10. Feb 25, 2022 to Committee on Committees (S) · upper
11. Mar 7, 2022 to Banking & Insurance (S) · upper
12. Mar 15, 2022 reported favorably, 1st reading, to Consent Calendar · lower
13. Mar 16, 2022 2nd reading, to Rules as a consent bill · lower
14. Mar 17, 2022 posted for passage in the Consent Orders of the Day for Tuesday, March 22, 2022 · lower
15. Mar 22, 2022 passed over and retained in the Consent Orders of the Day · lower
16. Mar 23, 2022 3rd reading, passed 36-0-1 · lower
17. Mar 24, 2022 received in House · lower
18. Mar 24, 2022 enrolled, signed by Speaker of the House · lower
19. Mar 24, 2022 enrolled, signed by President of the Senate · upper
20. Mar 24, 2022 delivered to Governor · lower
21. Mar 29, 2022 signed by Governor (Acts Ch. 48) · lower

The published texts of this bill as it moves through the legislature. Each links to the official document on the state legislature site. Data from OpenStates.

• Acts Chapter 48 · PDF
• Current/Final · PDF
• Introduced · PDF