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House Bill 90

Actions | Amendments

Last Action	03/13/25: delivered to Governor
Title	AN ACT relating to maternal health and declaring an emergency.
Bill Documents	Current Introduced
Fiscal Impact Statements	Additional Fiscal Impact Statements Exist
Bill Request Number	30
Sponsors	J. Nemes, K. Holloway, K. Banta, B. Chester-Burton, D. Grossberg, M. Hart, M. Lockett, C. Massaroni, M. Proctor
Summary of Original Version	Create a new section of KRS Chapter 216B to define "freestanding birthing center"; require the Cabinet for Health and Family Services to promulgate administrative regulations to establish licensure standards for freestanding birthing centers; establish criteria for a medical director; establish requirements for obtaining written informed consent; require a written patient transfer agreement with a hospital that provides obstetric services; require a written patient transfer agreement with an emergency medical transportation service; exempt a center with no more than four beds from certificate-of-need requirements for establishing and licensing a freestanding birthing center; state intent not to limit or expand liability of a center or health care provider or facility; require medical malpractice insurance for freestanding birthing centers; prohibit abortions in freestanding birthing centers; amend KRS 216B.015 to include freestanding birthing centers in the definition of "health facility"; amend KRS 216B.020, 196.173, 211.122, 211.647, 211.660, 213.046, 214.155, 214.565, 214.567, 214.569, 216.2920, 216.2921, 216.2923, 216.2925, 216.2927, and 216.2970 to conform; require the cabinet to promulgate updated administrative regulations by December 1, 2025; provide that the Act may be cited as the Mary Carol Akers Birth Centers Act.
Index Headings of Original Version	Health and Medical Services - Birthing centers, freestanding, licensing and certificate of need Hospitals and Nursing Homes - Birthing centers, freestanding, licensing and certificate of need Licensing - Birthing centers, freestanding, licensing and certificate of need Nurses - Birthing centers, freestanding, licensing and certificate of need Physicians and Practitioners - Birthing centers, freestanding, licensing and certificate of need Reproductive Issues - Birthing centers, freestanding, licensing and certificate of need Administrative Regulations and Proceedings - Cabinet for Health and Family Services, freestanding birthing centers, licensure Short Titles and Popular Names - Mary Carol Akers Birth Centers Act
Jump to Proposed Amendments	Senate Committee Substitute 1 with Fiscal Impact Statements Senate Committee Amendment 1
Votes	Vote History

Actions

Top | Amendments

01/07/25	introduced in House to Committee on Committees (H)
02/04/25	to Licensing, Occupations, & Administrative Regulations (H)
02/28/25	taken from Licensing, Occupations, & Administrative Regulations (H) 1st reading returned to Licensing, Occupations, & Administrative Regulations (H)
03/04/25	taken from Licensing, Occupations, & Administrative Regulations (H) 2nd reading returned to Licensing, Occupations, & Administrative Regulations (H)
03/05/25	reported favorably, to Rules
03/06/25	taken from Rules placed in the Orders of the Day 3rd reading, passed 82-9 received in Senate to Committee on Committees (S) taken from Committee on Committees (S) 1st reading returned to Committee on Committees (S)
03/07/25	to Licensing & Occupations (S) taken from Licensing & Occupations (S) 2nd reading returned to Licensing & Occupations (S)
03/13/25	reported favorably, to Rules with Committee Substitute (1) and Committee Amendment (1-title) posted for passage in the Regular Orders of the Day for Thursday, March 13, 2025 3rd reading, passed 29-0-5 with Committee Substitute (1) and Committee Amendment (1-title) received in House to Rules (H) taken from Rules (H) posted for passage for concurrence in Senate Committee Substitute (1) and Committee Amendment (1-title) House concurred in Senate Committee Substitute (1) and Committee Amendment (1-title) passed 74-17 enrolled, signed by Speaker of the House enrolled, signed by President of the Senate delivered to Governor

Proposed Amendments

Top | Actions

Amendment	Senate Committee Substitute 1
Fiscal Impact Statements	Corrections Impact to Senate Committee Substitute 1 Local Mandate to Senate Committee Substitute 1
Summary	Retain 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 Sections 20, 21, and 22 of the Act may be cited as the LoveThem Both Act of 2025; EMERGENCY, in part.
Index Headings	Effective Dates, Emergency - Required medical care, crisis pregnancy, provision Health and Medical Services - Perinatal palliative care, pregnant women, requirement Women - Perinatal palliative care, pregnant woman, requirement Short Titles and Popular Names - Love Them Both Act of 2025 Corrections Impact - Perinatal palliative care, pregnant woman, requirement Local Mandate - Perinatal palliative care, pregnant woman, 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	Senate Committee Amendment 1
Sponsor	J. Adams
Summary	Make title amendment.
Index Headings	Title Amendments - HB 90/GA

Last updated: 3/13/2025 11:37 PM (EDT)