| Last Action | 03/11/25: to Health Services (H) |
|---|---|
| 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 |
| Votes | Vote History |
| 02/04/25 |
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|---|---|
| 02/06/25 |
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| 02/18/25 |
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| 02/26/25 |
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| 02/27/25 |
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| 03/04/25 |
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| 03/05/25 |
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| 03/06/25 |
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| 03/11/25 |
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| 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 |
Last updated: 3/11/2025 9:25 PM (EDT)