POLISCOPE
Back to bills

The civic record

Read. Follow. Verify.
Did Not Advance

Kansas bill requires managed care organizations to provide benefit explanations and training to healthcare providers

Original title: AN ACT concerning insurance; relating to medical assistance; requiring managed care organizations to provide an explanation of benefits to KanCare and CHIP enrollees; amending K.S.A. 39-709h and repealing the existing section.

Last action · April 10, 2026: Died in Committee

Introduced
Committee
Floor Vote
Passed
Law

Track this bill to get notified when it advances a stage. One tap to stop, anytime.

Public stanceCommunity reactions are separate from the official record and reporting.

What This Bill Proposed

Beginning January 1, 2028, managed care organizations in Kansas must provide digital or mailed explanations of benefits to and enrollees. The measure requires insurers to furnish detailed claim denial reasons, conduct quarterly provider training, and adhere to uniform standards for , prior authorizations, and provider appeals.

Why it matters

and enrollees gain direct visibility into healthcare billing and payments, while participating providers receive standardized denial documentation, mandatory claim audits, and protection against pharmacy discrimination.

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

KanCare and CHIP enrollees

Directly affected

Participating healthcare providers

Providers receive patient encounter data, detailed claim denial explanations, quarterly training, and standardized credentialing and appeal processes.

Directly affected

Managed care organizations

Insurers must issue explanations of benefits, provide denial documentation, host quarterly training, comply with uniform standards, and pay for annual independent audits.

Directly affected

Nursing facilities

Nursing facilities receive 100% of the state-established per diem rate for current medicaid residents during re-credentialing caused by ownership changes.

Directly affected

Licensed pharmacies and pharmacists

Pharmacies and pharmacists are protected from discrimination by managed care organizations if they meet program conditions and accept reasonable contract terms.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What information must be included in the explanation of benefits sent to enrollees?
It must include the enrollee's name and member ID, the provider or facility name, date of service, billed amount, allowed amount, and the amount paid by the Kansas medical assistance program.
How long do managed care organizations have to resolve provider appeals?
Managed care organizations must provide notice and resolve 100% of provider appeals within 60 calendar days of receiving an appeal request.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died in committee.

Procedural history

3 actions
  1. Apr 10, 2026House
    Died in Committee
  2. Feb 5, 2026HouseIntroduced
    Introduced
  3. Feb 5, 2026HouseCommittee
    Referred to House Committee on Health and Human Services

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Connected Entities

Kansas Department of Health and Environment, 709, Kansas and 2 more
OrganizationKansas Department of Health and Environment“Supplies patient encounter data, sets uniform standards, and implements rules un”Map →
other709“Statute section number.”Map →
locationKansas“State jurisdiction for the medical assistance program and legislation.”Map →
other60“Calendar day timeframe for furnishing patient encounter data and resolving provi”Map →
other39“Statute chapter number.”Map →

Sources

Open source document

www.kslegislature.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 65)
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

Publisher tools

Share or embed this record

POLISCOPE publisher tools

Share or embed this record