Fabio
9.9 KiB
type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags
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| Bill | AN ACT relating to health care trade practices. | 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. | us/states/ky | Kentucky General Assembly | 2022RS | HB 370 | Kentucky HB 370 (2022RS) |
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enacted |
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3 | 21 | 2 | 2022-01-25T05:00:00+00:00 | 2022-03-29T04:00:00+00:00 | openstates | ocd-bill/d2922273-43f1-4bbd-8e55-fab1354f8bdb | https://apps.legislature.ky.gov/record/22RS/hb370.html | 0b4a16c63e4b3d24851c83032269f1321620b85fab225ef878a8aaed95feb381 | 2026-07-01 | https://data.openstates.org/daily/2026-07-01/public.pgdump | 2026-07-06 | reported |
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Kentucky HB 370 (2022RS) — AN ACT relating to health care trade practices.
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.
Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
- Introduced (filed) — source
- Acts Chapter 48 (committee substitute) — source
- Current/Final (committee substitute) — source
Votes
- PASS HB 370 — pass (pass) · lower
- Pass — pass (pass) · lower
Sponsors
- A. Bowling — primary (person)
- B. Reed — primary (person)
- C. Massey — primary (person)
- D. Lewis — primary (person)
- K. Bratcher — primary (person)
- M. Lockett — primary (person)
- M. Pollock — primary (person)
- N. Kirk-McCormick — primary (person)
- P. Flannery — primary (person)
- R. Webber — primary (person)
- S. McPherson — primary (person)
- S. Riley — primary (person)
- S. Santoro — primary (person)
- S. Sheldon — primary (person)
- S. Westrom — primary (person)
- T. Smith — primary (person)
Timeline
The legislative action history — every referral, reading, and vote.
- 2022-01-25T05:00:00+00:00 introduced in House
introduction - 2022-01-25T05:00:00+00:00 to Committee on Committees (H)
referral-committee - 2022-02-22T05:00:00+00:00 to Banking & Insurance (H)
referral-committee - 2022-02-23T05:00:00+00:00 reported favorably, 1st reading, to Calendar with Committee Substitute (1)
committee-passage - 2022-02-24T05:00:00+00:00 2nd reading, to Rules
reading-2 - 2022-02-24T05:00:00+00:00 floor amendment (1) filed to Committee Substitute
amendment-introduction - 2022-02-24T05:00:00+00:00 posted for passage in the Regular Orders of the Day for Friday, February 25, 2022
- 2022-02-25T05:00:00+00:00 3rd reading, passed 90-0 with Committee Substitute (1) and Floor Amendment (1)
passage, reading-3 - 2022-02-25T05:00:00+00:00 received in Senate
- 2022-02-25T05:00:00+00:00 to Committee on Committees (S)
referral-committee - 2022-03-07T05:00:00+00:00 to Banking & Insurance (S)
referral-committee - 2022-03-15T04:00:00+00:00 reported favorably, 1st reading, to Consent Calendar
committee-passage - 2022-03-16T04:00:00+00:00 2nd reading, to Rules as a consent bill
reading-2 - 2022-03-17T04:00:00+00:00 posted for passage in the Consent Orders of the Day for Tuesday, March 22, 2022
- 2022-03-22T04:00:00+00:00 passed over and retained in the Consent Orders of the Day
passage - 2022-03-23T04:00:00+00:00 3rd reading, passed 36-0-1
passage, reading-3 - 2022-03-24T04:00:00+00:00 received in House
- 2022-03-24T04:00:00+00:00 enrolled, signed by Speaker of the House
passage - 2022-03-24T04:00:00+00:00 enrolled, signed by President of the Senate
passage - 2022-03-24T04:00:00+00:00 delivered to Governor
- 2022-03-29T04:00:00+00:00 signed by Governor (Acts Ch. 48)
executive-signature
Source
OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/d2922273-43f1-4bbd-8e55-fab1354f8bdb. Confidence: reported (aggregated from official Kentucky legislature records).