Rep. Sarah Stalker

Amend KRS 157.3175 to require school districts provide a full-day preschool program for eligible three and four year olds; define "eligible"; require that preschool for three year old children continue to be funded through a grant process and preschool programs for four year old children be funded under KRS 157.310 to 157.440; require preschool programs to operate on the school district calendar; require transportation be provided; amend KRS 158.031 to include preschool programs for four year old children in the primary school program; amend KRS 157.320 to remove the definition of "kindergarten full-time equivalent pupil in average daily attendance"; amend KRS 157.360 to remove a reference to the kindergarten full-time equivalent; amend KRS 158.030 to include a preschool program for four year old children in the definition of "common school"; remove language allowing kindergarten to operate for less than six hours on a school day.

Create new sections of KRS 304.17A-600 to 304.17A-633 to establish eligibility criteria and requirements for prior authorization exemptions; establish requirements for rescinding prior authorization exemptions; set forth requirements for external reviews of prior authorization exemption denials and rescissions; establish requirements for sending forms and notices to health care providers; prohibit the retrospective denial, reduction in payment, and review of health care services for which a health care provider has a prior authorization exemption and establish exceptions; provide that nothing shall be construed to authorize a health care provider to act outside the provider's scope of practice or require an insurer or private review agent to pay for a health care service performed in violation of law; amend KRS 304.17A-600 to conform; amend KRS 304.17A-605 to establish applicability of provisions relating to prior authorization exemptions to certain insurers and private review agents; amend KRS 304.17A-607 to establish requirements for prior authorizations; provide that a lack of prior authorization shall not alone be a basis for a retrospective review; amend KRS 304.17A-621 to conform; amend KRS 304.17A-627 to prohibit conflicts of interest with independent review entities and reviewers of prior authorization exemption denials and rescissions; require independent review entities and reviewers of prior authorization exemption denials and rescissions to submit an annual report to the Department of Insurance; amend KRS 304.17A-633 to require the commissioner of the Department of Insurance to report on external reviews of prior authorization exemptions denials and rescissions; amend KRS 304.17A-706 to prohibit contesting a clean claim by conducting a retrospective review based on a lack of prior authorization; amend KRS 205.536 to require the Department for Medicaid Services, or managed care organizations contracted to provide Medicaid benefits, to comply with the sections on prior authorization exemptions; apply the provisions to contracts delivered, entered, renewed, extended, or amended on or after the effective date of the Act; require the Cabinet for Health and Family Services to seek approval if it is determined that such approval is necessary; EFFECTIVE, in part, January 1, 2024.

Create a new section of KRS Chapter 218A to make possession of a personal use quantity of cannabis exempt from civil or criminal penalty; amend KRS 218A.010 to define "cannabis," "personal use quantity of cannabis," and "cannabis accessory"; amend KRS 218A.1422 regarding cannabis possession to conform; amend KRS 218A.1423 regarding cannabis cultivation to conform; amend KRS 218A.500 regarding drug paraphernalia to exempt personal use cannabis accessories; amend KRS 218A.1421 on cannabis trafficking to exempt personal use quantities; amend KRS 138.872 to exclude personal use quantities from cannabis stamp tax; amend KRS 218A.410 and 533.030 to conform; create a new section of KRS Chapter 431 to allow expungement of certain convictions relating to cannabis; apply Section 10 retroactively.

Amend KRS 138.470 to exempt active members of the Armed Forces assigned to Kentucky who are on temporary duty in other locations and members of the Kentucky National Guard from motor vehicle usage tax on vehicles purchased from Kentucky motor vehicle dealers; EFFECTIVE July 1, 2023.

Amend KRS 141.020, to change the individal income tax rates for taxable years beginning on or after January 1, 2024.

Create a new section of KRS Chapter 210 to define "sexual orientation and gender identity change efforts," "mental health professional," and "public funds"; prohibit mental health professionals from engaging in sexual orientation and gender identity change efforts with a person under 18 years of age, a person who is 18 years or older who is an adult as defined in KRS 209.020, or a ward as defined in KRS 387.510; require violations to be subject to board discipline; prohibit public funds from being used for sexual orientation and gender identity change efforts; create a new section of KRS Chapter 211 to require the Department for Public Health and the Department for Behavioral Health, Developmental and Intellectual Disabilities to develop, produce, and disseminate educational materials regarding sexual orientation and gender identity change efforts; permit the cabinet to contract for the educational materials; cite as the Youth Mental Health Protection Act; EMERGENCY.

Amend KRS 158.305 to require superintendents and public charter school boards to adopt a common comprehensive reading program that is determined by the department to be reliable, valid, and aligned to required reading and writing standards.

Create new sections of KRS Chapter 311 to establish reproductive rights and define terms; amend KRS 18A.225 to remove the prohibition of insurance coverage for abortion; amend KRS 39A.180 to allow the Governor to suspend statutes related to abortion during a declared emergency; amend KRS 156.496 to allow a school district to operate a family resource center that provides abortion counseling; amend KRS 205.010 to permit financial aid for an abortion; amend KRS 205.510 to include abortions or induced miscarriages as medical care; amend KRS 205.560 to allow medical aid payments for abortion; amend KRS 211.603 to allow money in the rape crisis trust fund to be used for abortion services or education; amend KRS 212.275 to allow health departments to dispense medication for an abortion; amend KRS 213.101 to remove various reporting requirements; amend various sections to remove penalties associated with performing abortions; amend various sections to conform; repeal, reenact, and amend or repeal and reenact KRS 311.783, 311.7710, 311.820, 311.990, 311.780, 311.810, 311.572, 311.591, 311.686, and 311.852 to conform; repeal KRS 15.241, 213.098, 213.172, 213.174, 213.176, 216B.0435, 216B.200, 216B.202, 216B.204, 216B.206, 216B.208, 216B.210, 304.5-160, 311.710, 311.715, 311.720, 311.723, 311.724, 311.725, 311.727, 311.728, 311.731, 311.732, 311.733, 311.735, 311.750, 311.760, 311.765, 311.770, 311.7701, 311.7702, 311.7703, 311.7704, 311.7705, 311.7706, 311.7707, 311.7708, 311.7709,, 311.7711, 311.772, 311.7731, 311.7733, 311.7734, 311.7735, 311.7737, 311.7739, 311.774, 311.7741, 311.7743, 311.781, 311.7811, 311.782, 311.784, 311.7841, 311.785, 311.786, 311.787, 311.790, 311.800, 311.821, 311.822, 311.823, 311.824, 311.825, 311.826, 311.827, 311.830, 311.992, 315.315.

Amend KRS 304.17-316 to define terms; make technical corrections; prohibit cost-sharing requirements for any covered diagnostic breast examination or supplemental breast examination; provide for additional coverage if required under federal law; provide exemption to Health Savings Account-qualified High Deductible Health Plans under certain circumstances; amend KRS 304.17A-096, 304.17A-133, 304.18-098, 304.32-1591, and 304.38-1935 to conform; amend KRS 18A.225 and 164.2871 to require the state employee health plan and self-insured employer group health plans provided by the governing board of a state postsecondary education institution to comply with breast examination coverage requirements; EFFECTIVE January 1, 2024.

Amend KRS 186.531 to eliminate fees for personal identification cards; amend KRS 186.400, 186.403, and 186.4101 to conform.