| Last Action | 03/13/25: 2nd reading, to Rules | 
|---|---|
| Title | AN ACT relating to perinatal palliative care. | 
| Bill Documents | Introduced | 
| Fiscal Impact Statements | 
                        Actuarial Analysis 
                             Health Mandate Local Mandate State Employee Health Plan Impact Additional Fiscal Impact Statements Exist  | 
                
| Bill Request Number | 1496 | 
| Sponsors | N. Tate, J. Hodgson, T. Roberts, W. Thomas | 
| Summary of Original Version | 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 Act of 2025; direct that certain provisions apply to health benefit plans issued, renewed, effective, or delivered on or after January 1, 2026; require the Department of Insurance to obtain federal approval if necessary; require the Cabinet for Health and Family Services or the Department for Medicaid Services to obtain federal approval if necessary, and comply with notice requirements; EFFECTIVE, in part, January 1, 2026. | 
| Index Headings of Original Version | 
                            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 Act of 2025 Actuarial Analysis - Health plan, perinatal palliative care Health Benefit Plan Mandate - Health plan, perinatal palliative care Education, Higher - Self-insured group employer health plan, perinatal palliative care Effective Dates, Delayed - Perinatal palliative care, January 1, 2026 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 Local Mandate - Cabinet for Health and Family Services, pperinatal palliative care, programs and services, list State Employee Health Plan Mandate - Health plan, perinatal palliative care  | 
            
| Jump to Proposed Amendments | 
                                    House Committee Substitute 1 with Fiscal Impact Statements   House Committee Amendment 1 House Floor Amendment 1 House Floor Amendment 2 House Floor Amendment 3 House Floor Amendment 4 House Floor Amendment 5  | 
                
| 02/07/25 | 
                    
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| 02/12/25 | 
                    
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| 03/12/25 | 
                    
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| 03/13/25 | 
                    
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| Amendment | House Committee Substitute 1 | 
|---|---|
| Fiscal Impact Statements | 
                        Corrections Impact to House Committee Substitute 1 
                             Local Mandate to House Committee Substitute 1  | 
            
| Summary | Remove original provisions; create a new section of KRS Chapter 216 to require all hospitals offering obstetric services and freestanding birthing centers to offer to provide or make referrals for perinatal palliative care; amend KRS 311.720 to define terms; amend KRS 311.723 to establish medical procedures not constituting an abortion; amend KRS 311.772 to conform; provide that the Act may be cited as the Love Them Both Act of 2025; EMERGENCY. | 
| Index Headings | 
                            Women - Perinatal palliative care, pregnant woman, requirement  Short Titles and Popular Names - Love Them Both Act of 2025 Corrections Impact - Love Them Both Act of 2025 Local Mandate - Perinatal palliative care, pregnant woman, requirement Effective Dates, Emergency - Required medical care, crisis pregnancy, provision Health and Medical Services - Perinatal palliative care, pregnant women, requirement Hospitals and Nursing Homes - Perinatal palliative care, pregnant woman, requirement Mental Health - Perinatal palliative care, pregnant woman, provision Nurses - Perinatal palliative care, pregnant woman, requirement Physicians and Practitioners - Perinatal palliative care, pregnant woman, requirement Physicians and Practitioners - Pregnant woman, reasonable medical judgment, definition Reproductive Issues - Perinatal palliative care, pregnant woman, requirement Reproductive Issues - Pregnant woman, medical treatment, informed consent, requirement Women - Medical emergency, pregnant woman, treatment, reasonable medical judgment, establishment Women - Medically necessary interventions, pregnant woman, reasonable medical judgment, establishment  | 
            
| Amendment | House Committee Amendment 1 | 
|---|---|
| Sponsor | K. Moser | 
| Summary | Make title amendment. | 
| Index Headings | Title Amendments - HB 414 | 
| Amendment | House Floor Amendment 1 | 
|---|---|
| Sponsor | L. Burke | 
| Summary | Amend to establish that a necessary medical procedure to protect the patient's life or health that is based upon a physician's good faith medical judgment is not an abortion. | 
| Index Headings | 
                            Women - Patient, life or health protection, good faith medical judgment, abortion, exception  Physicians and Practitioners - Patient, life or health protection, good faith medical judgment, abortion, exception Reproductive Issues - Patient, life or health protection, good faith medical judgment, abortion, exception  | 
            
| Amendment | House Floor Amendment 2 | 
|---|---|
| Sponsor | L. Burke | 
| Summary | Amend to add a definition for fatal fetal anomaly; establish that a termination of a pregnancy complicated by a fatal fetal anomaly does not constitute an abortion. | 
| Index Headings | 
                            Reproductive Issues - Fatal fetal anomaly, definition, establishment  Reproductive Issues - Fatal fetal anomaly, abortion, exception, establishment Women - Pregnancy, fatal fetal anomaly, definition, establishment Women - Fatal fetal abnormality, abortion, exception, establishment  | 
            
| Amendment | House Floor Amendment 3 | 
|---|---|
| Sponsor | L. Burke | 
| Summary | Amend to establish that the termination of a pregnancy that is the result of rape or incest does not constitute an unlawful abortion. | 
| Index Headings | 
                            Reproductive Issues - Pregnancy, result of rape or incest, termination, exception  Women - Pregnancy, result of rape or incest, termination, exception  | 
            
| Amendment | House Floor Amendment 4 | 
|---|---|
| Sponsor | A. Camuel | 
| Summary | Amend to remove the reasonable medical judgment standard and establish the good faith clinical judgment standard. | 
| Index Headings | 
                            Physicians and Practitioners - Reasonable medical judgment standard, good faith clinical judgment standard, replacement  Reproductive Issues - Reasonable medical judgment standard, good faith clinical judgment standard, replacement Women - Reasonable medical judgment standard, good faith clinical judgment standard, replacement  | 
            
| Amendment | House Floor Amendment 5 | 
|---|---|
| Sponsor | A. Camuel | 
| Summary | Amend to remove separating the pregnant woman from her unborn child. | 
| Index Headings | 
                            Reproductive Issues - Pregnant woman, separation from unborn child language, removal  Women - Pregnancy, separation from unborn child language, removal  | 
            
Last updated: 7/24/2025 3:26 PM (EDT)