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House Bill 90

Actions | Amendments

Last Action	03/28/25: delivered to Secretary of State
Title	AN ACT relating to maternal health and declaring an emergency.
Bill Documents	Current/Final Introduced
Fiscal Impact Statements	Additional Fiscal Impact Statements Exist
Bill Request Number	30
Sponsors	J. Nemes, K. Holloway, K. Banta, B. Chester-Burton, K. Fleming, M. Hart, M. Lockett, C. Massaroni, M. Proctor, N. Tate
Summary of Original Version	Create a new section of KRS Chapter 216B to define "freestanding birthing center"; require the Cabinet for Health and Family Services to promulgate administrative regulations to establish licensure standards for freestanding birthing centers; establish criteria for a medical director; establish requirements for obtaining written informed consent; require a written patient transfer agreement with a hospital that provides obstetric services; require a written patient transfer agreement with an emergency medical transportation service; exempt a center with no more than four beds from certificate-of-need requirements for establishing and licensing a freestanding birthing center; state intent not to limit or expand liability of a center or health care provider or facility; require medical malpractice insurance for freestanding birthing centers; prohibit abortions in freestanding birthing centers; amend KRS 216B.015 to include freestanding birthing centers in the definition of "health facility"; amend KRS 216B.020, 196.173, 211.122, 211.647, 211.660, 213.046, 214.155, 214.565, 214.567, 214.569, 216.2920, 216.2921, 216.2923, 216.2925, 216.2927, and 216.2970 to conform; require the cabinet to promulgate updated administrative regulations by December 1, 2025; provide that the Act may be cited as the Mary Carol Akers Birth Centers Act.
Index Headings of Original Version	Health and Medical Services - Birthing centers, freestanding, licensing and certificate of need Hospitals and Nursing Homes - Birthing centers, freestanding, licensing and certificate of need Licensing - Birthing centers, freestanding, licensing and certificate of need Nurses - Birthing centers, freestanding, licensing and certificate of need Physicians and Practitioners - Birthing centers, freestanding, licensing and certificate of need Reproductive Issues - Birthing centers, freestanding, licensing and certificate of need Administrative Regulations and Proceedings - Cabinet for Health and Family Services, freestanding birthing centers, licensure Short Titles and Popular Names - Mary Carol Akers Birth Centers Act
Jump to Proposed Amendments	Senate Committee Substitute 1 with Fiscal Impact Statements Senate Committee Amendment 1
Votes	Vote History
Governor's Veto Message	Veto

Actions

Top | Amendments

01/07/25	introduced in House to Committee on Committees (H)
02/04/25	to Licensing, Occupations, & Administrative Regulations (H)
02/28/25	taken from Licensing, Occupations, & Administrative Regulations (H) 1st reading returned to Licensing, Occupations, & Administrative Regulations (H)
03/04/25	taken from Licensing, Occupations, & Administrative Regulations (H) 2nd reading returned to Licensing, Occupations, & Administrative Regulations (H)
03/05/25	reported favorably, to Rules
03/06/25	taken from Rules placed in the Orders of the Day 3rd reading, passed 82-9 received in Senate to Committee on Committees (S) taken from Committee on Committees (S) 1st reading returned to Committee on Committees (S)
03/07/25	to Licensing & Occupations (S) taken from Licensing & Occupations (S) 2nd reading returned to Licensing & Occupations (S)
03/13/25	reported favorably, to Rules with Committee Substitute (1) and Committee Amendment (1-title) posted for passage in the Regular Orders of the Day for Thursday, March 13, 2025 3rd reading, passed 29-0-5 with Committee Substitute (1) and Committee Amendment (1-title) received in House to Rules (H) taken from Rules (H) posted for passage for concurrence in Senate Committee Substitute (1) and Committee Amendment (1-title) House concurred in Senate Committee Substitute (1) and Committee Amendment (1-title) passed 74-17 enrolled, signed by Speaker of the House enrolled, signed by President of the Senate delivered to Governor
03/25/25	Vetoed
03/27/25	received in House to Rules (H) taken from Rules posted for consideration of Governor's veto veto overridden passed 77-20 received in Senate to Rules (S) posted for passage for consideration of Governor's veto veto overridden passed 31-7
03/28/25	received in House enrolled, signed by Speaker of the House enrolled, signed by President of the Senate delivered to Secretary of State

Proposed Amendments

Top | Actions

Amendment	Senate Committee Substitute 1
Fiscal Impact Statements	Corrections Impact 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 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 Sections 20, 21, and 22 of the Act may be cited as the LoveThem Both Act of 2025; EMERGENCY, in part.
Index Headings	Effective Dates, Emergency - Required medical care, crisis pregnancy, provision Health and Medical Services - Perinatal palliative care, pregnant women, requirement Women - Perinatal palliative care, pregnant woman, requirement Short Titles and Popular Names - Love Them Both Act of 2025 Corrections Impact - Perinatal palliative care, pregnant woman, requirement Local Mandate - Perinatal palliative care, pregnant woman, 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	Senate Committee Amendment 1
Sponsor	J. Adams
Summary	Make title amendment.
Index Headings	Title Amendments - HB 90/GA

Last updated: 4/1/2025 2:25 PM (EDT)