Create new sections of Subtitle 17A of KRS Chapter 304 to define terms; require health plans to provide coverage for the diagnosis and treatment of feeding or eating disorders; prohibit insurers from using certain standards, including body mass index, to deny, limit, or restrict coverage; authorize insurers to consider certain factors when determining medical necessity or the appropriate level of care for an individual diagnosed with a feeding or eating disorder; amend KRS 304.17C-125, 304.38A-115, 205.522, 205.6485, 164.2871, and 18A.225 to require limited health services benefit plans, limited health service organizations, Medicaid, KCHIP, self-insured employer group plans provided by the governing board of a state postsecondary education institution, and the state employee health plan to comply with the coverage requirements for feeding or eating disorders; provide that various sections apply to health plans issued or renewed on or after January 1, 2027; require the Cabinet for Health and Family Services or the Department for Medicaid Services to seek federal approval if it is determined that such approval is necessary; provide authorization from the General Assembly to make changes in the Medicaid program as required under KRS 205.5372(1); EFFECTIVE, in part, January 1, 2027.
Amend KRS 205.522 and 205.6485 to require Medicaid and KCHIP to comply with pharmacy reimbursement requirements established in KRS 304.12-237; require the Cabinet for Health and Family Services or the Department for Medicaid to seek federal approval if it is determined that such approval is necessary; provide authorization from the General Assembly to make changes to the Medicaid program as required under KRS 205.5372(1).
Amend KRS 311.840 to define terms; amend KRS 311.842, 311.848, 311.850, 202A.011, 202C.010, 216B.175, and 600.020 to change references to "supervising physician" to "collaborating physician" to conform; amend KRS 311.844 to include Schedule II controlled substances in the list of controlled substances authorized license holders may prescribe; amend KRS 311.858 to list the services a physician assistant may provide; require a physician assistant to consult and collaborate with or refer a patient to an appropriate licensed physician as indicated by the patient's condition and the standard of care; create a new section of KRS 311.840 to 311.862 to establish requirements for a collaboration agreement between a collaborating physician and a physician assistant; amend KRS 186.577 to allow physician assistants to administer driver vision tests; amend KRS 218A.202 to conform; repeal KRS 311.854, 311.856, and 311.860, relating to supervising physicians.
Amend KRS 335.010 to exempt student interns or trainees from social work licensure requirements; direct the Kentucky Board of Social Work to promulgate administrative regulations to define standards for student involvement in clinical social work; amend KRS 335.020 to define terms; amend KRS 335.030, 335.070, 335.080, 335.090, 335.100, 335.150, and 335.158 to establish licensure standards, including use of a multistate license, criminal background checks, and telehealth; amend KRS 335.050 to require that at least 1 licensee member of the board is a teacher actively engaged in social work education; amend KRS 387.610 and 457.090 to conform.
Create a new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to provide coverage for prostheses and orthoses; establish minimum requirements for the required coverage; require utilizations review decisions to be made in a nondiscriminatory manner; require an insurer or its private review agent to provide notice of certain rights of the insured; establish notice requirements for denials; establish network adequacy requirements for the provision of a prosthesis or orthosis that is required to be covered; establish reporting requirements for insurers and the commissioner of the Department of Insurance relating to the required coverage; amend KRS 164.2871 and 18A.225 to require self-insured group health plans offering by the governing board of state postsecondary education institutions and the state employee health plan to comply with the requirements relating to coverage for prostheses and orthoses; provide that the Act applies to health benefit plans issued or renewed on or after January 1, 2027; EFFECTIVE January 1, 2027.
Amend KRS 205.529, 218A.172, 218A.205, and 304.17A.165 to remove references to a Schedule III controlled substance containing hydrocodone; amend KRS 218A.010 to add optometrist and physician assistant to the definition of "practitioner" licensed in other states; amend KRS 218A.182 to exempt charitable health care practitioners from electronic prescription requirement; amend KRS 218A.202 to require an active account with the electronic monitoring system be maintained by practitioners or pharmacists prescribing or dispensing Schedule II, III, IV, or V controlled substances; amend KRS 218A.245 to permit the Cabinet for Health and Family Services to enter reciprocal agreements or contracts with any federal agency of the United States or its territories.
Amend KRS 194A.601 to require the dementia services coordinator to prepare an annual report on the operations of the Office of Dementia Services and the Alzheimer's Disease and Related Disorders Advisory Council and a progress report on the Kentucky Alzheimer's and Related Dementias State Plan to submit to the Legislative Research Commission; amend KRS 194A.603 to increase the membership of the Alzheimer's Disease and Related Disorders Advisory Council from 15 to 16 by increasing the individual unpaid caregiver members by 1; change the council's annual reporting date to December 1 from July 1; require the council to develop and implement annual year-long initiative advancing a key area of the state plan; direct the council to create a provider toolkit on early detection and diagnosis as its first year-long initiative beginning December 1, 2026 to be distributed to stakeholders.
Amend KRS 164.0401 to add a speech-language pathology or audiology license to the definition of "eligible healthcare credential" for the purpose of the Kentucky healthcare workforce investment fund.
Create a new section of Subtitle 1 of KRS Chapter 304 to limit the application of cost-sharing requirements that would result in a health insurance policy, certificate, plan, or contract losing its health savings account-qualified status under federal law; create a new section of KRS Chapter 18A to subject cost-sharing requirements in that chapter to applicability limitation; provide that applicability limitation applies to policies, certificates, plans, and contracts issued or renewed on or after the effective date of the Act; provide purpose of Section 1 of the Act; state the that Section 1 of the Act may be cited as the Health Savings Account State-Federal Regulatory Coordination Model Act.
Amend KRS 304.17A-132 to modify the definition of "hearing aid"; increase the coverage amount for hearing aids from $1,400 to $2,500; establish network adequacy requirements relating to the provision of hearing aids and related services that are required to be covered; amend KRS 18A.225 to increase the cap on hearing aids and hearing aid-related services under the state employee health plan from $1,400 to $2,500; direct that the Act applies to health benefit plans issued or renewed on or after January 1, 2027; EFFECTIVE January 1, 2027.
