KRS 304.17A-530: Prohibition against contract limiting disclosure to patient of patient
Where this section sits in the code
medical condition or treatment options.
(1) A managed care plan may not contract with a health care provider to limit the
provider's disclosure to an enrollee, or to another person on behalf of an enrollee, of
any information relating to the enrollee's medical condition or treatment options.
(2) A health care provider shall not be penalized, or a health care provider's contract
with a managed care plan terminated, because the pr ovider discusses medically
necessary or appropriate care with an enrollee or another person on behalf of an
enrollee.
(a) The health care provider may not be prohibited by the plan from discussing all
treatment options with the enrollee.
(b) Other informat ion determined by the health care provider to be in the best
interests of the enrollee may be disclosed by the provider to the enrollee or to
another person on behalf of an enrollee.
(3) (a) A health care provider shall not be penalized for discussing fina ncial
incentives and financial arrangements between the provider and the insurer
with an enrollee.
(b) Upon request, a managed care plan shall inform its enrollees in writing of the
type of financial arrangements between the plan and participating provider s if
those arrangements include an incentive or bonus.
Collected 2026-09-05T20:57:47Z. Source file · JSON