Rep. Nancy Tate

Amend KRS 36.474 to remove the post-deployment provision relating to eligibility for the military family assistance trust fund; make technical correction; amend KRS 36.477 to expand the Kentucky National Guard Adoption Assistance Program to include former members of the Kentucky National Guard and allow adoption of stepchildren to qualify; EMERGENCY.

Amend KRS 446.350 to define "government" and "substantially burden"; outline relief that may be sought if statute is violated; apply to laws adopted before or after enaction of this statute; include severability clause; waive sovereign, governmental, and qualified immunity.

Create a new section of KRS Chapter 216 to prohibit a health care provider from performing a pelvic, rectal, or prostate examination without the informed consent of the patient or the person authorized to make health care decisions for the patient; provide for certain exceptions including a court order; require violators to be subject to discipline by the appropriate professional licensing board or accrediting agency.

Create a new section of KRS Chapter 216 to require all hospitals offering obstetric services and alternative birthing centers to provide or make referrals for perinatal palliative care; create a new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to provide coverage for perinatal palliative care; amend KRS 164.2871, 205.522, 205.6485, and 18A.225 to require self-insured employer group health plans provided by the governing board of a state postsecondary institution to its employees, Medicaid, the Kentucky Children's Health Insurance Program, and the state employee health plan to comply with the new section on perinatal palliative care; make technical corrections; provide that the Act may be cited as the Love Them Both Part II Act; direct that provisions apply to health benefit plans issued, renewed, effective, or delivered on or after January 1, 2025; EFFECTIVE, in part, January 1, 2025.

Amend KRS 158.1415 to require a school district to adopt health curricula that includes human growth and development instruction that meets specific criteria; set restrictions for the instruction that grants parents an opportunity to review materials and opt their child out of instruction; authorize the Attorney General to bring an action for a writ of mandamus to compel a school district to comply; create a cause of action to permit parents and students over the age of 18 to file a civil action a school district for injunctive relief for a violation of this section; waive sovereign and governmental immunity; provide that the Act may be cited as the Baby Olivia Act.

Create a new section of KRS Chapter 211 to establish the Kentucky maternal psychiatry access program, also known as the Kentucky Lifeline for Moms; establish duties and responsibilities of the program; direct that the program shall be operated by the Department for Public Health, Division of Maternal and Child Health; amend KRS 211.122 to establish that the collaborative panel related to maternal and infant health shall be renamed the Kentucky maternal and infant health collaborative; establish formal membership of the collaborative; require that the collaborative annually review the operations of the new Kentucky maternal psychiatry access program; amend KRS 211.690, related to the Health Access Nurturing Development Services program to require the HANDS program provide information related to lactation consultation, breastfeeding, and safe sleep for babies; establish that the program participants shall participate in the home visitation program through in-person face-to-face methods or through tele-service delivery methods; create a new section of Subtitle 17A of KRS Chapter 304 to require insurers and any exchange to provide a special enrollment period for pregnant individuals; specify requirements for the coverage; require group plan insurers to provide notice of special enrollment rights; amend KRS 304.17A-145 to require health benefit plans that provide coverage for dependents to provide coverage for maternity care; amend KRS 304.17A-220 and 194A.099 to conform with the special enrollment requirement; amend KRS 18A.225 and 164.2871 to require the state employee health plan and self-insured state postsecondary education institution group health plans to comply with the special enrollment and maternity coverage requirements; amend KRS 205.522 to require Medicaid coverage of maternity services; amend KRS 205.592 to allow Medicaid income limit for certain women and children to be increased under certain circumstances; amend KRS 205.6485 to require Kentucky Children’s Health Insurance Program to provide maternity coverage; create a new section of KRS Chapter 205 to require the Department for Medicaid Services and any managed care organization with whom the department contracts for the delivery of Medicaid services to provide coverage for lactation consultation and breastfeeding equipment; require the Cabinet for Health and Family Services to apply for a Medicaid waiver if potential cost defrayment or loss of federal funds is identified; require the Cabinet for Health and Family Services to study doula certification programs nationally; EFFECTIVE, in part, January 1, 2025.

Amend KRS 315.010 and 315.205 to permit pharmacists to administer vaccines to children three years of age or older pursuant to prescriber-approved protocols with the consent of a parent or guardian.

Amend KRS 158.191 to ensure parental rights and involvement by requiring notification within two business days of specific events; require a district to adopt procedures that both encourage students to speak with parents and require facilitation of the discussion with parents; forbid a district or school from adopting policies that keep any student information confidential from parents or refuse information requested by a parent with specific exceptions; forbid a district from requiring school personnel or students to use nonconforming pronouns for any individual instead of just students, establish the type of mental health services that the section does not prohibit a district from seeking for students; amend KRS 158.1415 to prohibit a child in any grade level from receiving instruction on a specific topic a parent has provided written notice to the school asserting an objection due to religious or moral beliefs; create a new section of KRS Chapter 158 to establish a cause of action for violations; create a new section of KRS Chapter 158 to prohibit a disciplinary action or adverse employment action for an employee informing a parent of specific information about a student or declining to use a pronoun or title inconsistent with the individual's biological sex; amend KRS 158.193 to establish that a school employee may participate in voluntary, student-initiated, student-led prayer when invited to do so; EMERGENCY.

Amend KRS 216B.020 to add various health facilities and services to the list of health facilities and services that are exempt from certificate of need requirements; amend KRS 216B.065 to exempt various health facilities and services from acquisition of facilities or major medical equipment notification and certificate of need requirements; amend KRS 216.380 to conform.

Create a new section of Subtitle17A of KRS Chapter 304 to require insurers and any exchange to provide a special enrollment period for pregnant individuals; specify requirements for coverage; require group plan insurers to provide notice of special enrollment rights; amend KRS 304.17A-145 to require health benefit plans that provide coverage for dependents to provide coverage for maternity care; amend KRS 304.17A-220 and 194A.099 to conform with the special enrollment requirement; amend KRS 18A.225 and 164.2871 to require the state employee health plan and self-insured state postsecondary education institution group health plans to comply with the special enrollment and maternity coverage requirements; create a new section of KRS Chapter 194A to define terms and provide for the payment of coverage premiums to eligible individuals; amend KRS 205.522 to require Medicaid coverage for maternity services; amend KRS 205.592 to allow the Medicaid income limit for certain women and children to be increased under certain circumstances; amend KRS 205.6485 to require Kentucky Children's Health Insurance Program to provide maternity coverage; amend KRS 164.2847 to provide for a waiver of tuition and mandatory fees for a child conceived and born as a result of sexual assault; amend KRS 164.2849 to declare the interests of the Commonwealth in protecting the unborn and supporting a child conceived and born as a result of sexual assault within established parameters; amend KRS 199.011 to define a child conceived and delivered as a result of sexual assault; amend KRS 199.473 to waive certain fees related to adoption proceedings; amend KRS 199.502 to include a conviction for specified criminal acts for an adoption without consent of the biological living parents; create a new section of KRS Chapter 199 to establish entitlement to nonrecurring adoption expenses under specified circumstances; amend KRS 199.894 to define terms; create a new section of KRS 199.892 to 199.8996 to establish the Child Care Assistance Program and establish eligibility requirements; create a new section of KRS Chapter 211 to direct the Cabinet to provide informational material on benefits available to a victim of sexual assault and a child conceived as a result of the sexual assault; amend KRS 216B.400 to establish requirements for receipt of specified benefits related to sexual assault that results in pregnancy; create a new section of KRS Chapter 49 to establish benefits available to a child born as a result of sexual assault; amend KRS 49.310 to conform; amend KRS 625.090 to add a conviction or guilty plea to any degree of rape, sexual abuse, or sexual misconduct as a basis to terminate parental rights; require the Cabinet for Health and Family Services to apply for a Medicaid waiver if potential cost defrayment or loss of federal funds is identified; provide that the Act may be cited as the Love Them Both Act; EFFECTIVE, in part, January 1, 2025.