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KY SB78
Bill
Status
1/13/2026
Primary Sponsor
Donald Douglas
Click for details
AI Summary
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Requires insurers offering managed care plans to use the Council for Affordable Quality Healthcare (CAQH) uniform credentialing application and provide credentialing decisions within 45 days of receiving a completed application
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Prohibits insurers from requiring health care providers to disclose past health conditions or current health conditions that don't affect their ability to provide competent, safe care during the credentialing process
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Bars insurers from excluding providers based solely on license type, board certification status, geographic location serving high-risk populations, or specialization in treating populations with higher-than-average health service utilization
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Mandates that insurers pay providers for services rendered during the credentialing process once credentialing is approved and a contract is signed, with payment following participating provider reimbursement procedures
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Repeals existing KRS sections 304.17A-525 and 304.17A-576 and requires administrative agencies to amend conflicting regulations within 90 days of the Act's effective date
Legislative Description
AN ACT relating to health care provider credentialing.
Local Mandate
Last Action
to Health Services (S)
1/15/2026