House Bill 414

Actions | Amendments
Last Action 03/12/25: floor amendments (1), (2), (3), (4) and (5) filed to Committee Substitute
Title AN ACT relating to perinatal palliative care.
Bill Documents Introduced
Fiscal Impact Statements Actuarial Analysis
Health Mandate
Local Mandate
State Employee Health Plan Impact
Additional Fiscal Impact Statements Exist
Bill Request Number 1496
Sponsors N. Tate, J. Hodgson, T. Roberts, W. Thomas
Summary of Original Version Create a new section of KRS Chapter 216 to require all hospitals offering obstetric services and alternative birthing centers to provide or make referrals for perinatal palliative care; create a new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to provide coverage for perinatal palliative care; amend KRS 164.2871, 205.522, 205.6485, and 18A.225 to require self-insured employer group health plans provided by the governing board of a state postsecondary institution to its employees, Medicaid, the Kentucky Children's Health Insurance Program, and the state employee health plan to comply with the new section on perinatal palliative care; make technical corrections; provide that the Act may be cited as the Love Them Both Act of 2025; direct that certain provisions apply to health benefit plans issued, renewed, effective, or delivered on or after January 1, 2026; require the Department of Insurance to obtain federal approval if necessary; require the Cabinet for Health and Family Services or the Department for Medicaid Services to obtain federal approval if necessary, and comply with notice requirements; EFFECTIVE, in part, January 1, 2026.
Index Headings of Original Version Nurses - Perinatal palliative care, pregnant women
Physicians and Practitioners - Perinatal palliative care, pregnant women
Reproductive Issues - Perinatal palliative care, pregnant women
State Agencies - Cabinet for Health and Family Services, perinatal palliative care, programs and services, list
State Employees - Health plan, perinatal palliative care
Women - Perinatal palliative care, pregnancy
Short Titles and Popular Names - Love Them Both Act of 2025
Actuarial Analysis - Health plan, perinatal palliative care
Health Benefit Plan Mandate - Health plan, perinatal palliative care
Education, Higher - Self-insured group employer health plan, perinatal palliative care
Effective Dates, Delayed - Perinatal palliative care, January 1, 2026
Health and Medical Services - Perinatal palliative care, pregnant women
Hospitals and Nursing Homes - Perinatal palliative care, pregnant women
Insurance, Health - Perinatal palliative care
Mental Health - Perinatal palliative care, pregnant women
Local Mandate - Cabinet for Health and Family Services, pperinatal palliative care, programs and services, list
State Employee Health Plan Mandate - Health plan, perinatal palliative care
Jump to Proposed Amendments House Committee Substitute 1 with Fiscal Impact Statements
House Committee Amendment 1
House Floor Amendment 1
House Floor Amendment 2
House Floor Amendment 3
House Floor Amendment 4
House Floor Amendment 5

Actions

Top | Amendments
02/07/25
  • introduced in House
  • to Committee on Committees (H)
02/12/25
  • to Health Services (H)
03/12/25
  • reported favorably, 1st reading, to Calendar with Committee Substitute (1) and Committee Amendment (1-title)
  • floor amendments (1), (2), (3), (4) and (5) filed to Committee Substitute

Proposed Amendments

Top | Actions
Amendment House Committee Substitute 1
Fiscal Impact Statements Corrections Impact to House Committee Substitute 1
Local Mandate to House Committee Substitute 1
Summary Remove 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 the Act may be cited as the Love Them Both Act of 2025; EMERGENCY.
Index Headings Women - Perinatal palliative care, pregnant woman, requirement
Short Titles and Popular Names - Love Them Both Act of 2025
Corrections Impact - Love Them Both Act of 2025
Local Mandate - Perinatal palliative care, pregnant woman, requirement
Effective Dates, Emergency - Required medical care, crisis pregnancy, provision
Health and Medical Services - Perinatal palliative care, pregnant women, 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 House Committee Amendment 1
Sponsor K. Moser
Summary Make title amendment.
Index Headings Title Amendments - HB 414

Amendment House Floor Amendment 1
Sponsor L. Burke
Summary Amend to establish that a necessary medical procedure to protect the patient's life or health that is based upon a physician's good faith medical judgment is not an abortion.
Index Headings Women - Patient, life or health protection, good faith medical judgment, abortion, exception
Physicians and Practitioners - Patient, life or health protection, good faith medical judgment, abortion, exception
Reproductive Issues - Patient, life or health protection, good faith medical judgment, abortion, exception

Amendment House Floor Amendment 2
Sponsor L. Burke
Summary Amend to add a definition for fatal fetal anomaly; establish that a termination of a pregnancy complicated by a fatal fetal anomaly does not constitute an abortion.
Index Headings Reproductive Issues - Fatal fetal anomaly, definition, establishment
Reproductive Issues - Fatal fetal anomaly, abortion, exception, establishment
Women - Pregnancy, fatal fetal anomaly, definition, establishment
Women - Fatal fetal abnormality, abortion, exception, establishment

Amendment House Floor Amendment 3
Sponsor L. Burke
Summary Amend to establish that the termination of a pregnancy that is the result of rape or incest does not constitute an unlawful abortion.
Index Headings Reproductive Issues - Pregnancy, result of rape or incest, termination, exception
Women - Pregnancy, result of rape or incest, termination, exception

Amendment House Floor Amendment 4
Sponsor A. Camuel
Summary Amend to remove the reasonable medical judgment standard and establish the good faith clinical judgment standard.
Index Headings Physicians and Practitioners - Reasonable medical judgment standard, good faith clinical judgment standard, replacement
Reproductive Issues - Reasonable medical judgment standard, good faith clinical judgment standard, replacement
Women - Reasonable medical judgment standard, good faith clinical judgment standard, replacement

Amendment House Floor Amendment 5
Sponsor A. Camuel
Summary Amend to remove separating the pregnant woman from her unborn child.
Index Headings Reproductive Issues - Pregnant woman, separation from unborn child language, removal
Women - Pregnancy, separation from unborn child language, removal

Last updated: 3/13/2025 1:08 AM (EDT)