HB 317 – Kentucky

Status: In Process
Year Introduced: 2024
Link: https://apps.legislature.ky.gov/record/24RS/hb317.html

This bill updates the Kentucky Revised Statutes (KRS) by defining “health care provider” and setting eligibility and requirements about prior authorization exemptions. It sets forth requirements for revoking preauthorization exemptions and mandates external reviews of preauthorization exemption denials and rescissions. It requires health insurers or their private review agents to notify health care providers in cases of exemption approval/denial or denial rescission, and sets up an appeals process. The bill additionally necessitates the commissioner of the Department of Insurance to establish necessary forms. The bill is comprised of a series of new sections and amendments to existing KRS, detailing processes, terms, and conditions surrounding these prior authorizations. Key technical terms include “prior authorization,” which refers to the process insurance companies use to determine if they will cover a prescribed procedure, service, or medication; and “rescission,” which means the revocation or repeal of a law, order, or agreement.

Return to Database Search

© 2018- The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

Associated Litigation:

No items found