House Bill 186

Actions | Amendments
Last Action 04/09/24: signed by Governor
Title AN ACT relating to fiscal impacts of health insurance mandates and declaring an emergency.
Bill Documents Current/Final
Introduced
Bill Request Number 1146
Sponsors M. Meredith, J. Petrie
Summary of Original Version Create a new section of subtitle 17A of KRS Chapter 304 to exempt qualified health plans from insurance laws that result, or would result, in a determination that the state must make payments to defray the cost of the requirements under federal law; require the Department of Insurance to apply for a waiver of any cost defrayal requirements.
Index Headings of Original Version Federal Laws and Regulations - Cost defrayal requirements, qualified health plans, exemption
Insurance, Health - Cost defrayal, qualified health plans, exemption
State Agencies - Department of Insurance, waiver application, cost defrayal requirements
Jump to Proposed Amendments House Committee Substitute 1
House Committee Amendment 1
Senate Committee Substitute 1
Senate Floor Amendment 1
Conference Committee Report 1
Votes Vote History

Actions

Top | Amendments
01/08/24
  • introduced in House
  • to Committee on Committees (H)
02/13/24
  • to Banking & Insurance (H)
02/14/24
  • reported favorably, 1st reading, to Calendar with Committee Substitute (1) and Committee Amendment (1-title)
02/15/24
  • 2nd reading, to Rules
02/16/24
  • posted for passage in the Regular Orders of the Day for Tuesday, February 20, 2024
02/21/24
  • 3rd reading, passed 95-0 with Committee Substitute (1) and Committee Amendment (1-title)
02/22/24
  • received in Senate
  • to Committee on Committees (S)
03/04/24
  • to Banking & Insurance (S)
03/21/24
  • reported favorably, 1st reading, to Consent Calendar with Committee Substitute (1)
03/22/24
  • 2nd reading, to Rules as a consent bill
03/25/24
  • posted for passage in the Consent Orders of the Day for Tuesday, March 26, 2024
03/26/24
  • floor amendment (1) filed to Committee Substitute
  • 3rd reading, passed 38-0 with Committee Substitute (1)
  • received in House
  • to Rules (H)
03/27/24
  • posted for passage for concurrence in Senate Committee Substitute (1)
  • House refused to concur in Senate Committee Substitute (1)
  • received in Senate
  • to Rules (S)
  • posted for passage for receding from Senate Committee Substitute (1)
  • Senate refused to recede from Committee Substitute (1)
  • Conference Committee appointed in House and Senate
  • Conference Committee report filed in House
03/28/24
  • Conference Committee report filed in Senate
  • posted for passage for consideration of Conference Committee Report (1)
  • Conference Committee report adopted in Senate
  • passed 37-0 with Conference Committee Report (1)
  • received in House
  • to Rules (H)
  • taken from Rules
  • posted for passage for consideration of Conference
  • Conference Committee report adopted in House
  • passed 96-2 with Conference Committee Report (1)
  • enrolled, signed by Speaker of the House
  • enrolled, signed by President of the Senate
  • delivered to Governor
04/09/24
  • signed by Governor

Proposed Amendments

Top | Actions
Amendment House Committee Substitute 1
Summary Delete original provisions; repeal and reenact KRS 6.948 to establish a process for health mandate impact statements, federal cost defrayal impact statements, and state employee health plan impact statements to be completed and transmitted; create a new section of Subtitle 17A of KRS Chapter 304 to suspend provisions of the Insurance Code that result, or would result, in the state being required to defray the cost of the provision under federal law; set forth requirements for calculating and making cost defrayal payments; require qualified health plan issuers to use payments received from the state to provide a rebate or reduce premiums to insureds; require the commissioner to promulgate administrative regulations to enforce and effectuate the section; amend KRS 194A.099 to conform; provide that the suspension of certain Insurance Code provisions applies to health insurance plans, certificates, policies, or contracts issued or renewed on or after the effective date of the Act; EMERGENCY.
Index Headings Effective Dates, Emergency - Mandated health benefit, fiscal impact statements
Federal Laws and Regulations - Patient Protection and Affordable Care Act, cost defrayal requirements
General Assembly - Legislation, mandated health benefit, fiscal impact statements
Insurance, Health - Cost defrayal requirements, exemption
Insurance, Health - Legislation, mandated health benefit, fiscal impact statements
Legislative Research Commission - Legislation, mandated health benefit, fiscal impact statements
State Agencies - Department of Employee Insurance, state employee health plan impact statement
State Agencies - Department of Insurance, cost defrayal payments
State Agencies - Department of Insurance, health mandate and federal cost defrayal impact statements
State Employees - Health plan, legislation, fiscal impact statement
Administrative Regulations and Proceedings - Department of Insurance, commissioner, cost defrayal payments

Amendment House Committee Amendment 1
Sponsor M. Meredith
Summary Make title amendment.
Index Headings Title Amendments - HB 186

Amendment Senate Committee Substitute 1
Summary Retain original provisions, except limit suspension of insurance code provisions to provisions that become effective after January 1, 2024; insert construction clause establishing intent of KRS 304.17A-263; require the Department of Insurance to identify within 90 days whether any requirement of KRS 304.17A-263 is in addition to essential health benefits; require the commissioner of insurance and any other state official or state agency to comply with construction clause and identification requirement.
Index Headings Federal Laws and Regulations - Patient Protection and Affordable Care Act, cost defrayal requirements
Federal Laws and Regulations - State-required insurance benefits, biomarker testing coverage, intent
Insurance, Health - Cost defrayal requirements, exemption
State Agencies - Department of Insurance, cost defrayal identification

Amendment Senate Floor Amendment 1
Sponsor J. Carpenter
Summary Delete section containing construction clause establishing intent of KRS 304.17A-263 and requiring the Department of Insurance to identify within 90 days whether any requirement of KRS 304.17A-263 is in addition to essential health benefits.
Index Headings Federal Laws and Regulations - State-required benefits, biomarker testing coverage, intent
State Agencies - Department of Insurance, cost defrayal identification

Amendment Conference Committee Report 1
Summary Retain and adopt original provisions of SCS to HB 186, except delete section containing construction clause for KRS 304.17A-263 and requiring the Department of Insurance to make an identification within 90 days.
Index Headings Federal Laws and Regulations - State-required benefits, biomarker testing coverage, intent
Federal Laws and Regulations - Patient Protection and Affordable Care Act, cost defrayal requirements
Insurance, Health - Cost defrayal requirements, exemption
State Agencies - Department of Insurance, cost defrayal identification

Last updated: 4/16/2024 4:33 PM (EDT)