HB 318 – Kentucky

Status: In Process
Year Introduced: 2024
Link: https://apps.legislature.ky.gov/record/24RS/hb318.html

This bill mandates that all health benefit plan insurers in Kentucky must provide a program to minimize or eliminate prior authorization requirements for participating providers. Prior authorization is a requirement that a physician obtain approval from a health insurance plan before prescribing a specific medication or treatment. Participating providers are healthcare providers who have agreed with an insurer to provide health care services under a health benefit plan. The insurer is required to notify providers of the requirements to participate in this program, and if they qualify, send a statement confirming their qualification, along with a list of healthcare services subject to the elimination or reduction of prior authorization. Providers who qualify and choose to participate must enter into a value-based healthcare reimbursement agreement and an electronic medical records access agreement with the insurer. This bill applies to health benefit plans issued or renewed on or after January 1, 2026.

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