25RS HB 691

House Bill 691

Actions

Last Action	02/19/25: to Committee on Committees (H)
Title	AN ACT relating to coverage for the care of children.
Bill Documents	Introduced
Fiscal Impact Statements	Actuarial Analysis Health Mandate Local Mandate State Employee Health Plan Impact
Bill Request Number	849
Sponsor	P. Stevenson
Summary of Original Version	Amend KRS 304.17A-258 to require health benefit plans to provide coverage for certain formulas; to suspend the the coverage requirement for certain formulas as applied to qualified health plans if cost defrayment required by the state; amend KRS 304.17A-145 to require coverage for breastfeeding and lactation services without a prescription and in conjunction with the birth of each child; amend KRS 205.522 to require Medicaid to comply with the coverage requirements for formulas and breastfeeding support and equipment; 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 and breastfeeding support and equipment; provide that certain provisions apply to health benefit plans issued or renewed on or after January 1, 2026; 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; EFFECTIVE, in part, January 1, 2026.
Index Headings of Original Version	State Employee Health Plan Mandate - Health plan, breastfeeding support and equipment, coverage requirement Education, Higher - Self-insured employer group health plan, breastfeeding support and equipment, coverage requirement Education, Higher - Self-insured employer group health plan, formula, coverage requirement Effective Dates, Delayed - Coverage for breastfeeding support and equipment, January 1, 2026 Effective Dates, Delayed - Coverage for formulas, January 1, 2026 Insurance, Health - Breastfeeding support and equipment, coverage requirement Insurance, Health - Formulas, coverage requirement State Agencies - Department for Medicaid Services, federal approval, notice requirement State Employees - Cabinet for Health and Family Services, federal approval, notice requirement State Employees - Health plan, breastfeeding support and equipment, coverage requirement State Employees - Health plan, formulas, coverage requirement Women - Breastfeeding support and equipment, coverage requirement Medicaid - Breastfeeding support and equipment, coverage requirement Medicaid - Formulas, coverage requirement Children and Minors - KCHIP, formulas, coverage requirement Actuarial Analysis - Health plan, breastfeeding support and equipment, coverage requirement Health Benefit Plan Mandate - Health plan, breastfeeding support and equipment, coverage requirement Local Mandate - Health plan, breastfeeding support and equipment, coverage requirement