26RS HB 21

House Bill 21

Actions

Last Action	01/06/26: to Committee on Committees (H)
Title	AN ACT relating to mental health coverage in connection with pregnancy.
Bill Documents	Introduced
Fiscal Impact Statements	Actuarial Analysis Health Mandate Local Mandate State Employee Health Plan Impact
Bill Request Number	258
Sponsors	L. Burke, A. Camuel
Summary of Original Version	Create a new section of Subtitle 17A of KRS Chapter 304 to define terms; require health benefit plans to provide coverage for counseling interventions for pregnant and postpartum persons at increased risk of perinatal depression, including persons who have suffered a miscarriage or stillbirth; suspend the coverage requirement's application to qualified health plans if the state would be required to make cost defrayal payments; amend KRS 304.17A-099 to conform; amend KRS 205.522, 205.6485, 164.2871, and 18A.225 to require Medicaid, the Kentucky Children's Health Insurance Program, self-insured employer plans provided by the governing board of a state postsecondary education institution, and the state employee health plan to comply with the coverage requirement for counseling interventions; provide that certain provisions apply to health benefit plans issued or renewed on or after January 1, 2027; require the Cabinet for Health and Family Services or Department for Medicaid Services to obtain federal approval if it is determined that such approval is necessary and comply with notice requirements; provide authorization from the General Assembly to make changes in the Medicaid program as required under KRS 205.5372(1); EFFECTIVE, in part, January 1, 2027.
Index Headings of Original Version	Actuarial Analysis - Counseling interventions, perinatal depression, coverage requirement Health Benefit Plan Mandate - Health plan, counseling interventions, perinatal depression, coverage requirement Local Mandate - Counseling interventions, perinatal depression, coverage requirement State Employee Health Plan Mandate - Health plan, counseling interventions, perinatal depression, coverage requirement Children And Minors - KCHIP, counseling interventions, perinatal depression, coverage requirement Education, Higher - Self-insured employer group health plan, counseling interventions, perinatal depression, coverage Effective Dates, Delayed - Perinatal depression, coverage requirement, January 1, 2027 Health And Medical Services - Counseling interventions, perinatal depression, coverage requirement Insurance, Health - Counseling interventions, perinatal depression, coverage requirement Medicaid - Counseling interventions, perinatal depression, coverage requirement Mental Health - Counseling interventions, perinatal depression, coverage requirement Reproductive Issues - Counseling interventions, perinatal depression, coverage requirement State Agencies - Cabinet for Health and Family Services, counseling interventions, perinatal depression, approval State Agencies - Department for Medicaid Services, counseling interventions, perinatal depression, approval State Employees - Health plan, counseling interventions, perinatal depression, coverage requirement Women - Counseling interventions, perinatal depression, coverage requirement