Healthcare (Insurance)

died · Kansas · Senate Apr 10, 2026

SB 423: Requiring certain cost-sharing assistance be applied toward a covered individual's deductible or annual out-of-pocket limit under the individual's health benefit plan.

SB 423 requires health insurers to count certain prescription drug payments toward a patient's deductible or out-of-pocket limit under their health insurance plan. It applies specifically to brand-name drugs without generic equivalents (or biosimilar options) or when a patient has met prior authorization, step therapy, or appeal requirements. This means patients’ payments for these drugs reduce the amount they must pay before full insurance coverage applies. The bill directly affects individuals enrolled in health benefit plans who use such prescription drugs.

Topics ✓ HealthcareSupports HealthcareBill reduces patient out-of-pocket costs by counting drug payments toward deductibles, improving access to expensive brand-name medications without generics.95% confidence

Sub-Topics Insurance Prescription Drugs

Track

died · Kansas · House Apr 10, 2026

HB 2556: Prohibiting certain terms in a contract between a health insurer and a dentist and requiring that reviews, audits or investigations of healthcare providers concerning healthcare provider claims be completed within six months.

HB 2556 prohibits health insurers from including certain terms in contracts with dentists, such as requiring dentists to accept insurer-set fees for covered services or blocking dentists from billing patients for services deemed "dental necessity." It requires insurers to complete claim reviews, audits, or investigations within six months of payment - except for fraud cases, pattern billing issues, or claims tied to federal law. The bill also restricts insurers from denying claims for procedures already approved via prior authorization, unless specific conditions like changed patient conditions or new procedures apply. This directly affects dentists and health insurers in Kansas by clarifying contract terms and speeding up claim resolution.

Topics ✓ HealthcareSupports HealthcareProhibits insurers from restricting dentist billing rights and mandates timely claim reviews, protecting provider access and patient care in dental services.95% confidence

Sub-Topics Insurance

Track

died · Kansas · House Apr 10, 2026

HB 2549: Mandating insurance coverage of pediatric acute-onset neuropsychiatric syndrome (PANS) and pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS).

HB 2549 requires all health insurance plans in Kansas (including individual, group, and state employee plans) to cover diagnosis and treatment for pediatric acute-onset neuropsychiatric syndrome (PANS) and pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS). This mandate applies to policies issued, renewed, or amended on or after January 1, 2027, directly affecting children diagnosed with these conditions and their families. The bill defines PANS as sudden-onset neuropsychiatric symptoms in children and PANDAS as a strep-triggered variant of the condition. It also requires the state employees' health plan to cover these conditions starting in 2027 and report on coverage impact by 2027.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for PANS/PANDAS treatments, expanding patient access to essential health services for children with these conditions.95% confidence

Sub-Topics Children's Health Insurance

Track

died · Kansas · Senate Apr 10, 2026

SB 219: Imposing certain health insurance coverage requirements for screening and diagnostic examinations for breast cancer.

SB 219 requires most health insurance plans in Kansas to cover diagnostic and supplemental breast examinations (including mammograms, MRIs, and ultrasounds) with no out-of-pocket costs for enrollees. It applies to individual and group health insurance policies delivered, renewed, or amended on or after January 1, 2026, directly affecting Kansas residents with such coverage. Diagnostic exams cover evaluating abnormalities found during screening or detected otherwise, while supplemental exams screen high-risk individuals without current abnormalities. The bill repeals prior insurance coverage restrictions and mandates full coverage without deductibles, copays, or coinsurance for these specific services.

Topics ✓ HealthcareSupports HealthcareMandates no-cost coverage for breast cancer screenings (mammograms, MRIs) in insurance plans, expanding patient access to preventive care.95% confidence

Sub-Topics Insurance

Track

died · Kansas · Senate Apr 10, 2026

SB 150: Prohibiting the denial of coverage for the refilling of prescription topical eye medication.

SB 150 requires most health insurance plans in Kansas to cover refills of prescription topical eye medication for chronic eye conditions. It applies to insured individuals who need refills before the end of their prescribed dosage period (after at least 75% of the medication has been used) and only if their prescriber authorized refills. Insurance plans cannot deny this coverage if these specific conditions are met. The law takes effect January 1, 2026, for policies issued or renewed after that date.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for essential eye medication refills, improving access to chronic condition treatment without coverage denials.95% confidence

Sub-Topics Insurance

Track

died · Kansas · House Apr 10, 2026

HB 2310: Enacting the career advancement, resources, employment and supports for the disability workforce act, providing for career education programs for students and career enhancement programs for professionals, requiring performance-based contracting for disability services providers, facilitating choice in services by individuals with disabilities, mandating rate parity across all state waiver programs, providing for an online data portal system for waitlist management and services-related communications, requiring the secretary of labor to publish information regarding the disability service provider workforce and providing that direct support workers may be covered by the state health plan.

HB 2310, the "Kansas CARES Act," creates career pathways for direct support workers serving individuals with developmental or intellectual disabilities. It requires new career education programs for students and professional development for current workers, mandates performance-based contracts for disability service providers, and ensures equal payment rates across all state disability waiver programs. The bill also establishes an online portal to manage waitlists and service communications, and requires the state to publish workforce data while expanding health coverage for direct support workers. These changes directly affect individuals with disabilities (by improving service choice), direct support workers (through career and health benefits), and disability service providers (through new contracting rules).

Topics ✓ HealthcareSupports HealthcareDirect support workers covered by state health plan expands healthcare access for disability workforce, aligning with coverage expansion indicators.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentMandates rate parity for fair wages and requires career development programs for direct support workers, enhancing employment standards and workforce protections.92% confidence

Sub-Topics Insurance

Track

died · Kansas · House Apr 10, 2026

HB 2199: Authorizing the Kansas state employees health care commission to provide insurance coverage for certain allergen introduction dietary supplements for infants under the state health care benefits program and requiring the commission to submit an impact report to the legislature if such coverage is provided.

HB 2199 allows Kansas' state employees health care commission to cover prescription-based early egg and peanut allergen introduction supplements for infants under one year in the 2026 health plan. These supplements, prescribed by healthcare providers to reduce food allergy risk, would be included in the state health benefits program if the commission chooses to provide coverage. The bill requires the commission to submit a detailed impact report by March 2027, including utilization data, costs, and recommendations on whether to continue the coverage. This policy directly affects state employees enrolled in the health plan who have infants eligible for these supplements.

Topics ✓ HealthcareSupports HealthcareExpands state health coverage to include prescription allergen supplements for infant allergy prevention, advancing preventive care access under state benefits program.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentExpands health benefits for state employees' families, enhancing employment-related benefits through coverage of prescribed infant supplements.85% confidence

Sub-Topics Insurance

Track

died · Kansas · House Apr 10, 2026

HB 2247: Prohibiting certain terms in a contract between a health insurer and a dentist and requiring that reviews, audits or investigations of healthcare providers be completed within six months.

HB 2247 requires health insurers to complete reviews, audits, or investigations of dental claims within six months of payment, preventing prolonged delays in settling disputes. It prohibits insurers from denying claims for dental procedures already approved through prior authorization, unless specific conditions apply (like changed patient conditions, new procedures, or documentation failures). The bill also bans contract terms that restrict dentists' ability to bill patients for services deemed "dental necessity" under professional standards, directly affecting dentists and insurers in Kansas. Key exceptions include fraud investigations, inappropriate billing patterns, and federal requirements, ensuring the six-month timeline doesn't apply to these cases.

Topics ✓ HealthcareSupports HealthcareBill mandates timely insurer claim reviews (6 months), prohibits unjust dental claim denials, and protects dentist/patient rights - directly improving healthcare access and provider protections.92% confidence

Sub-Topics Insurance

Track

passed both · Kansas · Senate Apr 10, 2025

SB 250: Enacting the right to try for individualized treatments act to permit a manufacturer to make an individualized investigative treatment available to a requesting patient.

SB 250 allows manufacturers to provide personalized experimental treatments based on a patient's genetic profile to individuals with life-threatening or severely debilitating illnesses who have exhausted all FDA-approved options. It requires patients to receive detailed written consent from their physician outlining treatment options, risks, and financial responsibilities, and mandates that patients cover costs unless the manufacturer agrees otherwise. The bill explicitly states manufacturers aren't required to provide treatments, insurers aren't obligated to cover them, and patients bear all costs - including potential liability for unpaid expenses. It also requires patient consent for any commercial use of their biological samples and clarifies that this law doesn't alter existing insurance coverage requirements.

Topics ✓ HealthcareSupports HealthcareEnables access to experimental treatments for terminally ill patients after FDA options exhausted, improving patient access to care through manufacturer provisions and informed consent requirements.95% confidence

Sub-Topics Insurance

Track