Legislation


SB 236 (see companion bill SB 235) – Kentucky

Status: Inactive / Dead
Year Introduced: 2018
Link: http://www.lrc.ky.gov/record/18RS/SB236.htm

AN ACT RELATING TO SURPRISE BILLING: To require health benefit plans to cover certain nonemergency health care services provided by a nonparticipating health care provider to a covered person at an in-network facility at the in-network rate; prohibit nonparticipating health care providers from attempting to collect payment from a covered person for covered services; provide reimbursement criteria for covered services provided by a nonparticipating provider at an in-network facility; to require insurers to require any provider contracts with in-network health facilities requires the provider to accept the in-network rate as payment in full; to prohibit balance billing the covered person beyond their in-network cost sharing; To require nonparticipating health care providers accept the in-network reimbursement rate for emergency services provided at an in-network facility as payment in full.


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