Last Action | 03/12/25: floor amendments (1), (2), (3), (4) and (5) filed to Committee Substitute |
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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 |
02/07/25 |
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02/12/25 |
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03/12/25 |
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Amendment | House Committee Substitute 1 |
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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 |
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Sponsor | K. Moser |
Summary | Make title amendment. |
Index Headings | Title Amendments - HB 414 |
Amendment | House Floor Amendment 1 |
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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 |
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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 |
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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 |
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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 |
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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)