(1) For purposes of this section, “mandated health benefit” means any requirement that any health benefit plan, as defined in KRS § 304.17A-005:
(a) Provide a specified benefit; (b) Include a specified coverage;

Terms Used In Kentucky Statutes 6.948

  • Action: includes all proceedings in any court of this state. See Kentucky Statutes 446.010
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Floor amendment: An amendment offered by an individual legisator from the floor during consideration of a bill or other measure, in contrast to a committee amendment.

(c) Pay, indemnify, or reimburse for a specified medical service; or
(d) Pay, indemnify, or reimburse specified health care providers for specific health care services.
(2) (a) On and after June 24, 2003, in the General Assembly, a sponsor of a bill or an amendment that contains a mandated health benefit shall cause a financial impact statement to be prepared and attached to the measure before final consideration by the standing committee to which the measure has been referred.
(b) A bill in the orders of the day in the House or the Senate which does not have attached a financial impact statement as required by this section shall be retained in the orders of the day but passed over in the orders of the day until the financial impact statement is attached. Members may require, by a majority vote, that a financial impact statement be prepared on any bill and on any amendment in the orders of the day. Any member proposing an amendment from the floor which contains a mandated health benefit shall cause a financial impact statement to be prepared and attached to the amendment. Until the time a financial impact statement is prepared and attached to an amendment that contains a mandated health benefit, action on the proposed amendment shall not be in order.
(3) The financial impact statement shall be prepared by the Department of Insurance as provided in subsection (6) of this section.
(4) The sponsor of a bill or amendment that contains a mandated health benefit shall request the Department of Insurance, as soon as practicable, to prepare a financial impact statement. If the sponsor submits a request prior to filing the measure with the clerk of the House or Senate, the department shall keep the measure confidential until the sponsor authorizes public distribution. The department shall keep all financial impact statements and all requests for statements confidential until the person requesting the financial impact statement authorizes public distribution.
(5) A majority of the members present at a meeting of any standing committee of the General Assembly, acting through the committee chair, may request the commissioner of the Department of Insurance to prepare a financial impact statement for any measure before the committee and submit the statement in accordance with subsection (6) of this section.
(6) (a) The financial impact statement shall be in writing and signed by the commissioner of the Department of Insurance or the commissioner’s designee, and shall determine the extent to which:
1. The mandated health benefit will increase or decrease the administrative expenses of insurers;
2. The mandated health benefit will increase or decrease premiums; and
3. The mandated health benefit will impact the total cost of health care in the Commonwealth, including any potential cost savings that may be realized.
(b) 1. If the sponsor of a bill that contains a mandated health benefit submits the request for a financial impact statement prior to filing the bill, the financial impact statement shall be completed as soon as possible, but no later than thirty (30) days after the request by the sponsor, unless the sponsor and the commissioner of the Department of Insurance agree otherwise.
2. The financial impact statement shall be completed as soon as possible, but no later than thirty (30) days after the request by the sponsor of a measure before a standing committee under subsection (2) of this section or by the committee chair under subsection (5) of this section.
3. The financial impact statement shall be completed as soon as possible after the request by a majority vote of the House or Senate or by the sponsor of a floor amendment pursuant to subsection (2)(b) of this section.
Effective: July 15, 2010
History: Amended 2010 Ky. Acts ch. 24, sec. 3, effective July 15, 2010. — Amended
2003 Ky. Acts ch. 193, sec. 1, effective June 24, 2003. — Created 1998 Ky. Acts ch.
496, sec. 42, effective April 10, 1998.