Kentucky
General Assembly

01/17/24	introduced in House to Committee on Committees (H)
01/24/24	to Health Services (H)
02/08/24	reported favorably, 1st reading, to Calendar with Committee Substitute (1)
02/09/24	2nd reading, to Rules floor amendment (1) filed to Committee Substitute
02/28/24	posted for passage in the Regular Orders of the Day for Thursday, February 29, 2024
03/05/24	3rd reading, passed 90-0 with Committee Substitute (1) and Floor Amendment (1)
03/06/24	received in Senate to Committee on Committees (S)
03/11/24	to Health Services (S)
03/22/24	reported favorably, 1st reading, to Consent Calendar with Committee Substitute (1) floor amendment (1) filed to Committee Substitute
03/25/24	2nd reading, to Rules as a consent bill
03/26/24	Floor Amendments (2) and (3) filed to Committee Substitute
03/27/24	floor amendment (4) filed floor amendment (5) filed

Amendment	House Committee Substitute 1
Fiscal Impact Statements	Actuarial Analysis to House Committee Substitute 1 Health Mandate to House Committee Substitute 1 Local Mandate to House Committee Substitute 1
Summary	Retain original provisions; amend KRS 211.122 to add two additional members to the newly established Kentucky maternal and infant health collaborative; amend KRS 304.17A-145 to define "in-home program" and "telehealth"; establish health insurance coverage for an in-home program and telehealth services; amend new section of KRS Chapter 205 to define "in-home program" and "telehealth"; establish health insurance coverage for an in-home program and telehealth services; make technical corrections; effective January 1, 2025.
Index Headings	Actuarial Analysis - State postsecondary institution self-insured employer plans, maternity care, coverage requirement Health Benefit Mandate - Health plan, maternity care, coverage requirement Local Mandate - Health plan, maternity care, coverage requirement Education, Higher - State postsecondary institution self-insured employer plans, maternity care, coverage requirement Education, Higher - State postsecondary institution self-insured employer plans, special enrollment period, pregnancy Effective Dates, Delayed - Health care coverage, women and children, January 1, 2025 Insurance, Health - Maternity care, coverage requirement Insurance, Health - Special enrollment period, pregnancy Reproductive Issues - Pregnancy, health insurance, special enrollment period State Employees - Health plan, maternity care, coverage requirement State Employees - Health plan, special enrollment period, pregnancy Studies Directed - Doula certification programs, Cabinet for Health and Family Services Women - Maternity care, health insurance coverage Women - Pregnancy, health insurance, special enrollment period Medicaid - Income limit, women and children

Amendment	House Floor Amendment 1
Sponsor	K. Moser
Summary	Amend pregnancy special enrollment period requirement to apply to individual health plans except short term duration plans; amend maternity coverage requirement to remove application to short term duration plans and to exclude grandfathered group health benefit plans; provide that the state employee health plan and self-insured employer group health plans provided by state postsecondary education institutions to their employees shall provide a pregnancy special enrollment period.
Index Headings	Education, Higher - State postsecondary institution self-insured employer plans, special enrollment period, pregnancy Insurance, Health - Maternity care, coverage requirement Insurance, Health - Special enrollment period, pregnancy Reproductive Issues - Pregnancy, health insurance, special enrollment period Reproductive Issues - Maternity care, coverage requirement State Employees - Health plan, special enrollment period, pregnancy Women - Maternity care, coverage requirement Women - Pregnancy, health insurance, special enrollment period

Amendment	Senate Committee Substitute 1
Fiscal Impact Statements	Actuarial Analysis to Senate Committee Substitute 1 Health Mandate to Senate Committee Substitute 1 Local Mandate to Senate Committee Substitute 1
Summary	Retain original provisions; 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; amend KRS 405.075 to change the definition of "newborn safety device" related to the continuous staffing requirement; amend KRS 156.095 to require information on the Safe Haven Baby Boxes Crisis Line to be posted in public schools; provide that part of the Act may be cited as the Love Them Both Part II Act; EFFECTIVE, in part, January 1, 2025.
Index Headings	Education, Elementary and Secondary - Safe Haven Baby Boxes Crisis line, public display in schools, requirement Education, Higher - Self-insured group employer health plan, perinatal palliative care Effective Dates, Delayed - Perinatal palliative care, January 1, 2025 Health and Medical Services - Perinatal palliative care, pregnant women Health and Medical Services - Safe Haven Baby Boxes Crisis line, public display in schools, requirement Hospitals and Nursing Homes - Perinatal palliative care, pregnant women Insurance, Health - Perinatal palliative care Mental Health - Perinatal palliative care, pregnant women Nurses - Perinatal palliative care, pregnant women Parental Rights - Safe Haven Baby Boxes Crisis line, public display in schools, requirement Physicians and Practitioners - Perinatal palliative care, pregnant women Public Buildings and Grounds - Safe Haven Baby Boxes Crisis line, public display in schools, requirement Reproductive Issues - Perinatal palliative care, pregnant women State Agencies - Cabinet for Health and Family Services, perinatal palliative care, programs and services, list State Employees - Health plan, perinatal palliative care Women - Perinatal palliative care, pregnancy Public Safety - Safe Haven Baby Boxes Crisis line, public display in schools, requirement Children and Minors - Safe Haven Baby Boxes Crisis line, public display in schools, requirement Short Titles and Popular Names - Love Them Both Part II Act Actuarial Analysis - Perinatal palliative care Health Benefit Mandate - Perinatal palliative care Local Mandate - Safe Haven Baby Boxes Crisis line, public display in schools, requirement

Amendment	Senate Floor Amendment 1
Sponsor	D. Yates
Summary	Create a new section of KRS Chapter 311 to define "fatal fetal anomaly"; permit a physician to terminate a pregnancy if the pregnancy is complicated by a fatal fetal anomaly.
Index Headings	Health and Medical Services - Pregnancy termination, fatal fetal anomaly Hospitals and Nursing Homes - Pregnancy termination, fatal fetal anomaly Physicians and Practitioners - Pregnancy termination, fatal fetal anomaly Reproductive Issues - Pregnancy termination, fatal fetal anomaly Women - Pregnancy termination, fatal fetal anomaly

Amendment	Senate Floor Amendment 2
Sponsor	D. Harper Angel
Summary	Delete definition of "baby" and replace with definition of "fetus".
Index Headings	Education, Higher - Self-insured group employer health plan, perinatal palliative care Effective Dates, Delayed - Perinatal palliative care, January 1, 2025 Health and Medical Services - Perinatal palliative care, pregnant women Hospitals and Nursing Homes - Perinatal palliative care, pregnant women Insurance, Health - Perinatal palliative care Mental Health - Perinatal palliative care, pregnant women Nurses - Perinatal palliative care, pregnant women Physicians and Practitioners - Perinatal palliative care, pregnant women Reproductive Issues - Perinatal palliative care, pregnant women State Agencies - Cabinet for Health and Family Services, perinatal palliative care, programs and services, list State Employees - Health plan, perinatal palliative care Women - Perinatal palliative care, pregnancy Short Titles and Popular Names - Love Them Both Part II Act

Amendment	Senate Floor Amendment 3
Sponsor	D. Harper Angel
Summary	Retain original provisions; create a new section of KRS Chapter 311 to provide for the termination of a pregnancy if it is the good faith belief of the physician that the pregnancy is the result of rape or incest.
Index Headings	Crime Victims - Rape or incest, pregnancy, termination, authorization Physicians and Practitioners - Pregnancy, result of rape or incest, termination, authorization Reproductive Issues - Pregnancy, rape or incest, termination, authorization Women - Pregnancy, rape of incest, termination, authorization

Amendment	Senate Floor Amendment 4
Sponsor	D. Harper Angel
Summary	Retain original provisions; create a new section of KRS Chapter 311 to provide for the termination of a pregnancy if it is the good faith belief of the physician that the pregnancy is the result of rape or incest.
Index Headings	Crime Victims - Rape or incest, pregnancy, termination, authorization Physicians and Practitioners - Pregnancy, result of rape or incest, termination, authorization Reproductive Issues - Pregnancy, rape or incest, termination, authorization Women - Pregnancy, rape of incest, termination, authorization

Amendment	Senate Floor Amendment 5
Sponsor	D. Yates
Summary	Create a new section of KRS Chapter 311 to define "fatal fetal anomaly"; permit a physician to terminate a pregnancy if the pregnancy is complicated by a fatal fetal anomaly.
Index Headings	Health and Medical Services - Pregnancy termination, fatal fetal anomaly Hospitals and Nursing Homes - Pregnancy termination, fatal fetal anomaly Physicians and Practitioners - Pregnancy termination, fatal fetal anomaly Reproductive Issues - Pregnancy termination, fatal fetal anomaly Women - Pregnancy termination, fatal fetal anomaly