Kentucky
General Assembly

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

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