Health Benefit Plan Mandate


Breast examinations, coverage requirement

Cabinet for Health and Family Services, parental and guardian screenings, federal approval

Emergency ground ambulance services, coverage and payment requirements, January 1, 2027

Feeding or eating disorders, coverage requirements

Formulas, coverage requirement

Health insurance, internal and external appeals, requirements

Health plan, counseling interventions, perinatal depression, coverage requirement

Health plan, epinephrine devices, coverage requirement

Health plan, mental health and substance use disorder parity, insurance, requirements

Health plan, prescription drug coverage, cost-sharing and rebate requirements

Health plan, prescription drug coverage, cost-sharing requirements

Health plan, prior authorization, exemption program

Health plan, reproductive health care, assisted reproductive technology, coverage requirement

Health plan, scalp cooling device in connection with breast cancer treatment, coverage requirement

Hearing aids and related services, coverage requirements

Prescription drug coverage, cost-sharing and rebate requirements

Prostheses and orthoses, coverage requirement, network adequacy

Psychiatric collaborative care model, reimbursement requirement


Last updated: 1/29/2026 5:15 PM (EST)