| Last Action | 02/25/26: to Committee on Committees (H) |
|---|---|
| Title | AN ACT relating to coverage for prosthetic and orthotic devices. |
| Bill Documents | Introduced |
| Fiscal Impact Statements |
Actuarial Analysis
Health Mandate Local Mandate State Employee Health Plan Impact |
| Bill Request Number | 1862 |
| Sponsor | A. Gentry |
| Summary of Original Version | Create a new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to provide coverage for prosthetic devices and orthotic devices when medically necessary for certain purposes; establish minimum requirements for the required coverage; prohibit any limitation or requirements with respect to out-of-network coverage unless the limitation or requirement is not more restrictive than the restrictions or requirements applicable to out-of-network coverage for medical or surgical benefits; require the commissioner of insurance to submit a report to the Legislative Research Commission regarding implementation of the required coverage; require insurers to provide data requested by the commissioner for purposes of completing the report; require the commissioner to promulgate any necessary administrative regulations; amend KRS 164.2871 and 18A.225 to require self-insured group health plans offered by the governing board of state postsecondary education institutions and the state employee health plan to comply with prosthetic and orthotic device coverage requirements; provide that the Act applies to health benefit plans issued or renewed on or after January 1, 2027; EFFECTIVE, January 1, 2027. |
| Index Headings of Original Version |
Effective Dates, Delayed - Prosthetic and orthotic devices, coverage requirement, January 1, 2027 Health And Medical Services - Prosthetic and orthotic devices, coverage requirement Insurance, Health - Prosthetic and orthotic devices, coverage requirement Reports Mandated - Department of Insurance, prosthetic and orthotic device, coverage requirement State Employees - Health plan, prosthetic and orthotic devices, coverage requirement Actuarial Analysis - Department of Insurance, prosthetic and orthotic device, coverage requirement Health Benefit Plan Mandate - Prosthetic and orthotic devices, coverage requirement Local Mandate - Prosthetic and orthotic devices, coverage requirement State Employee Health Plan Mandate - Health plan, prosthetic and orthotic devices, coverage requirement Administrative Regulations And Proceedings - Department of Insurance, prosthetic and orthotic devices, coverage requirement Disabilities - Prosthetic and orthotic devices, coverage requirement Education, Higher - Self-insured group health plans, prosthetic and orthotic devices, coverage requirement |
| 02/25/26 |
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Last updated: 2/25/2026 6:56 PM (EST)