UNOFFICIAL COPY 24 RS BR 1932
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AN ACT relating to network participation by medical laboratories. 1
Be it enacted by the General Assembly of the Commonwealth of Kentucky: 2
Section 1. KRS 304.17A-270 is amended to read as follows: 3
(1) As used in this section, "provider" has the same meaning as in KRS 304.17A-4
005, except for purposes of this section, "provider" includes a medical laboratory 5
that is: 6
(a) Licensed under KRS Chapter 333; or 7
(b) Exempt from licensure under KRS Chapter 333 in accordance with KRS 8
333.040. 9
(2) A health insurer shall not discriminate against any provider who is: 10
(a) Located within the geographic coverage area of the health benefit plan; and 11
[who is ] 12
(b) Willing to meet the terms and conditions for participation established by the 13
health insurer[, including the Kentucky state Medicaid program and Medicaid 14
partnerships]. 15
Section 2. KRS 205.522 is amended to read as follows: 16
(1) With respect to the administration and provision of Medicaid benefits pursuant to 17
this chapter, the Department for Medicaid Services,[ and] any managed care 18
organization contracted to provide Medicaid benefits pursuant to this chapter, and 19
the state's medical assistance program shall be subject to, and comply with, the 20
following, as applicable:[provisions of ] 21
(a) KRS 304.17A-163;[, ] 22
(b) KRS 304.17A-1631;[, ] 23
(c) KRS 304.17A-167;[, ] 24
(d) KRS 304.17A-235;[, ] 25
(e) KRS 304.17A-257;[, ] 26
(f) KRS 304.17A-259;[, ] 27 UNOFFICIAL COPY 24 RS BR 1932
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(g) KRS 304.17A-263;[, ] 1
(h) KRS 304.17A-515;[, ] 2
(i) KRS 304.17A-580;[, ] 3
(j) KRS 304.17A-600, 304.17A-603, and 304.17A-607;[, and ] 4
(k) KRS 304.17A-740 to 304.17A-743; and[, as applicable] 5
(l) Section 1 of this Act. 6
(2) A managed care organization contracted to provide Medicaid benefits pursuant to 7
this chapter shall comply with the reporting requirements of KRS 304.17A-732. 8
Section 3. If the Cabinet for Health and Family Services determines that a 9
waiver or other authorization from a federal agency is necessary to implement Section 2 10
of this Act for any reason, including the loss of federal funds, the cabinet shall, within 90 11
days of the effective date of this section, request the waiver or authorization, and may 12
only delay implementation of those provisions for which a waiver or authorization was 13
deemed necessary until the waiver or authorization is granted. 14