Amend KRS 304.17A-258 to require health benefit plans to provide coverage for certain formulas; suspend the coverage requirement's application to qualified health plans if the state would be required to make cost defrayal payments; amend KRS 304.17A-145 to require coverage for breastfeeding and lactation services in conjunction with the birth and without a prescription; amend KRS 304.17A-099 to conform; amend KRS 205.522 to require Medicaid to comply with the coverage requirements for formulas; amend KRS 205.560 to conform; amend KRS 205.6485, 164.2871, and 18A.225 to require KCHIP, self-insured employer group health 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 formulas; provide that certain provisions apply to health benefit 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 necessary, and to comply with notice requirements; 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.
Create a new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to provide coverage for in vitro fertilization, intrauterine insemination, and any other assisted reproductive technology; establish minimum requirements for the coverage; suspend the coverage requirement's application to qualified health plans if the state would be required to make cost defrayal payments; amend KRS 304.17A-099 to conform; amend KRS 164.2871 and 18A.225 to require self-insured employer plans provided by the governing board of a state postsecondary education institution and the state employee health plan to comply with the assisted reproductive technology coverage requirement; direct that certain provisions apply to health benefit plans issued or renewed on or after January 1, 2027; EFFECTIVE January 1, 2027.
Propose to create a new section of the Constitution of Kentucky to enshrine Medicaid expansion coverage; direct the Secretary of State to advertise the proposed constitutional amendment prior to a general election vote; provide ballot language; submit to voters for ratification or rejection.
HB 369 adds post-traumatic stress disorder (PTSD) as a qualifying condition for veterans to access hyperbaric oxygen therapy (HBOT) in Kentucky. It amends state law to allow veterans diagnosed with PTSD - confirmed by a treating health care provider - to receive HBOT, expanding eligibility beyond traumatic brain injury. The bill requires written informed consent from veterans or their legal guardians, detailing treatment options, potential outcomes, and financial responsibility for the therapy. This policy change directly affects Kentucky veterans with PTSD seeking this specific medical treatment option.
Create new sections of KRS Chapter 216B to define terms; require hospitals to disclose prices for certain items and services provided by hospitals; require hospitals to make public a digital list of all standard charges and a consumer-friendly list of charges for a set of shoppable services; require hospitals to provide descriptions of different services and standard charges of those services; require the Cabinet for Health and Family Services to promulgate administrative regulations to establish a template for each hospital; require the cabinet to monitor each facility's compliance; provide for administrative penalties; require health care providers to provide patients with written pricing sheets for health care services provided except in an emergency; require the cabinet to promulgate administrative regulations to establish a template for the written pricing sheets; require the cabinet or the Department for Medicaid Services to seek federal approval if they determine that such approval is necessary to comply with KRS 205.5372(1).
Create a new section of KRS Chapter 205 to prohibit the Department for Medicaid Services, any Medicaid managed care organization contracted by the department, and the Medicaid state pharmacy benefit manager from denying coverage for a nonopioid analgesic in favor of opioid analgesic or establishing more restrictive or more extensive utilization controls for nonopioid analgesics than the least restrictive or extensive utilization controls for any opioid or narcotic analgesic; 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).
Create a new section of KRS 304.17A-660 to 304.17A-669 to define "psychiatric collaborative care model"; require the commissioner of insurance to promulgate and maintain an administrative regulation to list alterations and additions to relevant billing codes; require health benefit plans that provide coverage for treatment of a mental health condition to provide reimbursement for those benefits that are delivered through the psychiatric collaborative care model; authorize insurers to deny any benefit billed under a covered billing code on grounds of medical necessity if certain conditions are met; apply requirement to health benefit plans issued, delivered, or renewed on or after January 1, 2027; require the Department of Insurance to seek a federal waiver if cost defrayal is determined.
Amend KRS 304.17-316 to define "breast examination"; provide for annual mammogram coverage for persons ages 40 to 49 years; eliminate cost sharing for any covered breast examination; provide for construction of section; create a new section of Subtitle 17A of KRS Chapter 304 to define terms; require health benefit plans to provide coverage of preventive screenings for the detection of breast cancer for certain individuals; establish requirements for coverage; provide for construction of section; amend KRS 164.2871 and 18A.225 to require self-insured state postsecondary education institution group health plans and the state employee health plan to comply with breast examination coverage requirements; apply sections to health insurance policies, plans, certificates, and contracts issued, renewed, or delivered on or after January 1, 2027; EFFECTIVE January 1, 2027.
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 217.186 to require each public postsecondary educational institution to provide access to opioid antagonists on campus; permit access to be provided by emergency opioid antagonist cabinets; permit application for funds from the opioid abatement trust fund and other available sources to coordinate, maintain, and supply the opioid antagonists; amend KRS 15.291 to add providing access to opioid antagonists on the campuses of public postsecondary educational institutions to the list of projects that may be provided with funding from the opioid abatement trust fund.
