SB78
Log in to followAN ACT relating to health care provider credentialing.
Create a new section of Subtitle 12 of KRS Chapter 304 to define terms; consolidate and modify existing credentialing requirements; require insurers and providers to use the Council for Affordable Quality Healthcare (CAQH) credentialing form; prohibit insurers from requiring or otherwise requesting a provider to disclose any information that is not requested on the CAQH form or that relates to a provider's former or current health condition under certain circumstances; prohibit insurers from requiring a…
Introduced: January 13, 2026
Last action: January 15, 2026
Plain-language summary
This bill changes the rules for how health insurers and health care facilities verify and approve health care providers to work in their networks, a process called credentialing. It requires insurers and providers to use a single standardized form, limits what personal health information insurers can ask providers to disclose, and removes the ability of insurers to require providers to be board certified. The changes would also apply to the state employee health plan. Who it may affect: health care providers seeking to join insurance networks, health insurers operating in Kentucky, and state employees covered under the state health plan.
