Summary of Original Version

Amend KRS 304.17A-005 to define terms; create new sections of Subtitle 17A of KRS Chapter 304 to require the commissioner of insurance to establish a database of billed health care service charges; require an insurer to reimburse for unanticipated out-of-network care; prohibit balance billing from a provider who has been reimbursed as required; provide for an independent dispute resolution program to review reimbursements provided for unanticipated out-of-network care; allow unregulated health plans to opt-in to requirements; require insurers to provide certain notices in an explanation of benefits; amend KRS 304.17A-254 and 304.17A-505 to require certain disclosures; create a new section of KRS Chapter 365 to allow the Attorney General to enjoin persons violating Section 3; amend KRS 18A.225 to require the state employee health plan to comply with Sections 3 and 4 of the Act; amend KRS 304.17A-0954, 304.17A-096, 304.17A-500, 304.17A-550, 304.17A-580, 304.17A-649, 304.17B-001, 304.17B-015, 304.17B-033, 304.17C-010, 304.38A-010, and 304.39-241 to conform; repeal KRS 304.17A-640; EFFECTIVE January 1, 2022.