Senate Bill 93

Actions | Amendments
Last Action 03/12/25: reported favorably, 1st reading, to Calendar with Committee Substitute (1) and Committee Amendment (1-title)
Title AN ACT relating to coverage for hearing loss.
Bill Documents Current
Introduced
Fiscal Impact Statements Actuarial Analysis
Fiscal Note
Health Mandate
Local Mandate
State Employee Health Plan Impact
Additional Fiscal Impact Statements Exist
Bill Request Number 82
Sponsors K. Berg, D. Carroll, D. Douglas, S. Meredith, G. Neal, D. Yates
Summary of Original Version Amend KRS 304.17A-132 to modify coverage requirements for hearing aids and related services; amend KRS 304.17A-131 to modify coverage requirements for cochlear implants; amend KRS 205.522, 205.6485, 164.2871, and 18A.225 to require Medicaid, KCHIP, self-insured employer group plans provided by the governing board of a state postsecondary education institution, and the state employee health plan to comply with the coverage requirements for hearing aids and related services and cochlear implants; provide that various sections apply to health benefit plans issued or renewed on or after January 1, 2026; establish construction of certain provisions for purposes of federal law and require state officials to comply; require the Department of Insurance to determine whether the coverage requirements for hearing aids and related services or cochlear implants would be in addition to essential health benefits required under federal law; require the Department of Insurance and the Cabinet for Health and Family Services to obtain federal waivers or approval, if necessary; EFFECTIVE, January 1, 2026.
Index Headings of Original Version Actuarial Analysis - Hearing loss, coverage requirements
Education, Higher - Self-insured group health plan, hearing loss, coverage requirements
State Agencies - Cabinet for Health and Family Services, Medicaid and KCHIP, waiver
State Agencies - Department of Insurance, hearing loss coverage, waiver
State Employees - Health plan, hearing loss, coverage requirements
Medicaid - Hearing loss, coverage requirements
Administrative Regulations and Proceedings - Department of Insurance, hearing aids and cochlear implants, minimum coverage amount
Children and Minors - KCHIP, hearing loss, coverage requirements
Health Benefit Plan Mandate - Health plan, hearing loss, coverage requirements
State Employee Health Plan Mandate - Health plan, hearing loss, coverage requirements
Local Mandate - Hearing loss, coverage requirements
Fiscal Note - Hearing loss, coverage requirements
Effective Dates, Delayed - Hearing loss, coverage requirements, January 1, 2026
Insurance, Health - Hearing loss, coverage requirements
Jump to Proposed Amendments Senate Committee Substitute 1 with Fiscal Impact Statements
House Committee Substitute 1 with Fiscal Impact Statements
House Committee Amendment 1
Votes Vote History

Actions

Top | Amendments
02/04/25
  • introduced in Senate
  • to Committee on Committees (S)
02/06/25
  • to Appropriations & Revenue (S)
02/18/25
  • taken from Appropriations & Revenue (S)
  • reassigned to Health Services (S)
02/26/25
  • reported favorably, 1st reading, to Calendar with Committee Substitute (1)
02/27/25
  • 2nd reading, to Rules
03/04/25
  • posted for passage in the Regular Orders of the Day for Wednesday, March 05, 2025
03/05/25
  • 3rd reading, passed 38-0 with Committee Substitute (1)
03/06/25
  • received in House
  • to Committee on Committees (H)
03/11/25
  • to Health Services (H)
03/12/25
  • reported favorably, 1st reading, to Calendar with Committee Substitute (1) and Committee Amendment (1-title)

Proposed Amendments

Top | Actions
Amendment Senate Committee Substitute 1
Fiscal Impact Statements Actuarial Analysis to Senate Committee Substitute 1
Health Mandate to Senate Committee Substitute 1
Local Mandate to Senate Committee Substitute 1
State Employee Health Plan Impact to Senate Committee Substitute 1
Summary Retain original provisions, except delete coverage requirement for hearing aids and related services for adults; require the minimum coverage amount per hearing aid to be at least $2,500; require the commissioner to consult with the Kentucky Commission on the Deaf and Hard of Hearing when establishing a minimum coverage amount per hearing aid; modify the amount that an insured may pay for a higher priced hearing aid; establish network adequacy requirements relating to pediatric audiologists.
Index Headings Actuarial Analysis - Hearing aids, coverage requirements
Health Benefit Plan Mandate - Health plan, network adequacy, pediatric audiologists, requirements
Local Mandate - Hearing aids, coverage requirements
State Employee Health Plan Mandate - Health plan, network adequacy, pediatric audiologists, requirements
Education, Higher - Self-insured group health plan, network adequacy, pediatric audiologists, requirements
Health and Medical Services - Hearing aids, coverage requirements
Insurance, Health - Hearing aids, coverage requirements
Insurance, Health - Network adequacy, pediatric audiologists, requirements
State Agencies - Department of Insurance, commissioner, hearing aids, coverage, administrative regulation
State Employees - Health plan, hearing aids, coverage requirements
State Employees - Health plan, network adequacy, pediatric audiologists, requirements
Medicaid - Hearing aids, coverage requirements
Medicaid - Network adequacy, pediatric audiologists, requirements
Administrative Regulations and Proceedings - Commissioner, Department of Insurance, coverage for hearing aids, consultation
Children and Minors - Hearing aids, coverage requirements
Boards and Commissions - Kentucky Commission on the Deaf and Hard of Hearing, consultation, hearing aid coverage minimum

Amendment House Committee Substitute 1
Fiscal Impact Statements Actuarial Analysis to House Committee Substitute 1
Health Mandate to House Committee Substitute 1
Local Mandate to House Committee Substitute 1
State Employee Health Plan Impact to House Committee Substitute 1
Summary Retain original provisions, except limit the definition of "hearing aid" to prescription hearing aids; define "pediatric audiologist"; make technical corrections; create a new section of Subtitle 17A of KRS Chapter 304 to define terms; require health plans to provide coverage for eating or feeding disorder treatment; prohibit health plans from using certain standards, including body mass index, when determining medical necessity or the appropriate level of care for an individual diagnosed with a feeding or eating disorder; amend KRS 304.17C-125, 205.522, 205.6485, 164.2871, and 18A.225 to require limited health services benefit plans, Medicaid, KCHIP, self-insured employer group plans provided by the governing board of a state postsecondary education institution, and the state employee health plan to comply with the prohibition from using certain standards when determining medical necessity and the coverage requirement for eating or feeding disorder treatment; provide that various sections apply to health plans issued or renewed on or after January 1, 2026; require the Department for Medicaid Services or the Cabinet for Health and Family Services to obtain federal approval, if necessary, and comply with notice requirements; EFFECTIVE, in part, January 1, 2026.
Index Headings Actuarial Analysis - Health plan, hearing loss and feeding or eating disorders, coverage requirements
Local Mandate - Health plan, hearing loss and feeding or eating disorders, coverage requirements
Health Benefit Plan Mandate - Health plan, hearing loss and feeding or eating disorders, coverage requirements
State Employee Health Plan Mandate - Health plan, hearing loss and feeding or eating disorders, coverage requirements
Education, Higher - Self-insured group health plan, feeding or eating disorders, coverage requirements
Education, Higher - Self-insured group health plan, hearing loss, coverage requirement
Effective Dates, Delayed - Feeding or eating disorders, coverage requirements, effective January 1, 2026
Insurance, Health - Feeding or eating disorders, coverage requirements
Insurance, Health - Hearing loss, coverage requirements
Mental Health - Feeding or eating disorders, coverage requirements
State Agencies - Cabinet for Health and Family Services, Medicaid and KCHIP, federal approval and notice requirements
State Agencies - Department for Medicaid Services, Medicaid and KCHIP, federal approval and notice requirements
State Agencies - Department of Insurance, hearing loss coverage, waiver
State Employees - Health plan, feeding or eating disorders, coverage requirements
State Employees - Health plan, hearing loss, coverage requirements
Medicaid - Feeding or eating disorders, coverage requirements
Medicaid - Hearing loss, coverage requirements

Amendment House Committee Amendment 1
Sponsor K. Moser
Summary Make title amendment.
Index Headings Title Amendments - SB 93/GA

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