Kentucky
General Assembly

02/07/23	introduced in Senate to Committee on Committees (S)
02/09/23	to Licensing & Occupations (S)
02/21/23	reported favorably, 1st reading, to Calendar
02/22/23	2nd reading, to Rules
02/28/23	floor amendment (1) filed
03/01/23	floor amendments (2), (3), (4), (5), (6), (7), (8), (9), (10) and (11) filed
03/03/23	recommitted to Licensing & Occupations (S)
03/07/23	reported favorably, to Rules with Committee Substitute (1)

Amendment	Senate Committee Substitute 1
Summary	Retain original provisions; add requirement for medical malpractice insurance for freestanding birthing centers; amend KRS 216B.015 to include freestanding birthing centers in the definition of "health facility"; make conforming amendments.
Index Headings	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 Short Titles and Popular Names - Mary Carol Akers Birth Centers Act Administrative Regulations and Proceedings - Cabinet for Health and Family Services, freestanding birthing centers, licensure

Amendment	Senate Floor Amendment 1
Sponsor	S. Funke Frommeyer
Summary	Retain original provisions, except to limit the exclusion from certificate of need for freestanding birthing centers to no more than four beds.
Index Headings	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 Short Titles and Popular Names - Mary Carol Akers Birth Centers Act Administrative Regulations and Proceedings - Cabinet for Health and Family Services, freestanding birthing centers, licensure

Amendment	Senate Floor Amendment 2
Sponsor	S. Meredith
Summary	Retain original provisions of the bill except to require a birthing center to be located within five miles of a hospital offering obstetric services.
Index Headings	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 Short Titles and Popular Names - Mary Carol Akers Birth Centers Act Administrative Regulations and Proceedings - Cabinet for Health and Family Services, freestanding birthing centers, licensure

Amendment	Senate Floor Amendment 3
Sponsor	S. Meredith
Summary	Retain original provisions of the bill except to require a birthing center to have written agreements with other medical providers.
Index Headings	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 Short Titles and Popular Names - Mary Carol Akers Birth Centers Act Administrative Regulations and Proceedings - Cabinet for Health and Family Services, freestanding birthing centers, licensure

Amendment	Senate Floor Amendment 4
Sponsor	S. Meredith
Summary	Retain original provisions of the bill except to require a birthing center to have written agreements with a licensed obstetrician.
Index Headings	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 Short Titles and Popular Names - Mary Carol Akers Birth Centers Act Administrative Regulations and Proceedings - Cabinet for Health and Family Services, freestanding birthing centers, licensure

Amendment	Senate Floor Amendment 5
Sponsor	S. Meredith
Summary	Retain original provisions of the bill except to require a birthing center and any asoociated health care provider to have medical liability insurance.
Index Headings	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 Short Titles and Popular Names - Mary Carol Akers Birth Centers Act Administrative Regulations and Proceedings - Cabinet for Health and Family Services, freestanding birthing centers, licensure Insurance - Birthing centers, freestanding, liability

Amendment	Senate Floor Amendment 6
Sponsor	S. Meredith
Summary	Retain original provisions of the bill except to remove language relating to at least 40 births per year for providing auditory screenings for infants.
Index Headings	Health and Medical Services - Birthing centers, freestanding, licensing and certificate of need Hospitals and Nursing Homes - Birthing centers, freestanding, licensing and certificate of need Insurance - Birthing centers, freestanding, liability 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 Short Titles and Popular Names - Mary Carol Akers Birth Centers Act Administrative Regulations and Proceedings - Cabinet for Health and Family Services, freestanding birthing centers, licensure

Amendment	Senate Floor Amendment 7
Sponsor	S. Meredith
Summary	Retain original provisions of the bill except to add reporting requirements to be met by birthing centers.
Index Headings	Health and Medical Services - Birthing centers, freestanding, licensing and certificate of need Hospitals and Nursing Homes - Birthing centers, freestanding, licensing and certificate of need Insurance - Birthing centers, freestanding, liability 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 Short Titles and Popular Names - Mary Carol Akers Birth Centers Act Administrative Regulations and Proceedings - Cabinet for Health and Family Services, freestanding birthing centers, licensure

Amendment	Senate Floor Amendment 8
Sponsor	S. Meredith
Summary	Retain original provisions of the bill except to add an amendment to KRS 216B.015 to include freestanding birthing centers in the definition of "health facility."
Index Headings	Health and Medical Services - Birthing centers, freestanding, licensing and certificate of need Hospitals and Nursing Homes - Birthing centers, freestanding, licensing and certificate of need Insurance - Birthing centers, freestanding, liability 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 Short Titles and Popular Names - Mary Carol Akers Birth Centers Act Administrative Regulations and Proceedings - Cabinet for Health and Family Services, freestanding birthing centers, licensure

Amendment	Senate Floor Amendment 9
Sponsor	S. Meredith
Summary	Retain original provisions of the bill except to require a birthing center to be located within five miles of a hospital offering obstetric services; require a birthing center to have written agreements with other medical providers; require a birthing center to have written agreements with a licensed obstetrician; require a birthing center and any asoociated health care provider to have medical liability insurance; remove language relating to at least 40 births per year for providing auditory screenings for infants; add reporting requirements to be met by birthing centers; amend KRS 216B.015 include freestanding birthing centers in the definition of "health facility."
Index Headings	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 Short Titles and Popular Names - Mary Carol Akers Birth Centers Act Administrative Regulations and Proceedings - Cabinet for Health and Family Services, freestanding birthing centers, licensure Insurance - Birthing centers, freestanding, liability

Amendment	Senate Floor Amendment 10
Sponsor	S. Meredith
Summary	Retain original provisions of the bill except to require a birthing center to be located more than a 60 minute ambulance drive from a Kentucky hospital offering obstetric services.
Index Headings	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 Short Titles and Popular Names - Mary Carol Akers Birth Centers Act Administrative Regulations and Proceedings - Cabinet for Health and Family Services, freestanding birthing centers, licensure

Amendment	Senate Floor Amendment 11
Sponsor	S. Meredith
Summary	Retain original provisions of the bill except to require to require a birthing center to be located more than a 60 minute ambulance drive from a Kentucky hospital offering obstetric; require a birthing center to have written agreements with other medical providers; require a birthing center to have written agreements with a licensed obstetrician; require a birthing center and any asoociated health care provider to have medical liability insurance; remove language relating to at least 40 births per year for providing auditory screenings for infants; add reporting requirements to be met by birthing centers; amend KRS 216B.015 include freestanding birthing centers in the definition of "health facility."
Index Headings	Health and Medical Services - Birthing centers, freestanding, licensing and certificate of need Hospitals and Nursing Homes - Birthing centers, freestanding, licensing and certificate of need Insurance - Birthing centers, freestanding, liability 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 Short Titles and Popular Names - Mary Carol Akers Birth Centers Act Administrative Regulations and Proceedings - Cabinet for Health and Family Services, freestanding birthing centers, licensure