AN ACT relating to health insurer contracts with participating providers.

Introduced on 3/2/26

Version 1 Text

Summary

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From the Legislature

Create a new section of Subtitle 17A of KRS Chapter 304 to prohibit insurers offering or providing health benefit plans from changing a participating provider's reimbursement, payment methodology, fee schedule, or claim adjudication terms through any provider manual, policy update, or other document incorporated by reference in the agreement; provide that a change to a material term affecting reimbursement shall be effective only by written amendment executed by both parties; provide that the requirements are in addition to any requirement under other laws; provide that any modification, reduction, or other change adopted in violation of the section is void and unenforceable; amend KRS 304.17A-235 to conform; direct that the Act applies to contracts issued or renewed on or after the effective date of the Act.

Sponsors

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Democratic CaucusRepublican Caucus