SB 97 KY Became Law
AN ACT relating to coverage for prostheses and orthoses.
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Summary
Create a new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to provide coverage for prostheses and orthoses; establish minimum requirements for the required coverage; require utilizations review decisions to be made in a nondiscriminatory manner; require an insurer or its private review agent to provide notice of certain rights of the insured; establish notice requirements for denials; establish network adequacy requirements for the provision of a prosthesis or orthosis that is required to be covered; establish reporting requirements for insurers and the commissioner of the Department of Insurance relating to the required coverage; amend KRS 164.2871 and 18A.225 to require self-insured group health plans offering by the governing board of state postsecondary education institutions and the state employee health plan to comply with the requirements relating to coverage for prostheses and orthoses; provide that the Act applies to health benefit plans issued or renewed on or after January 1, 2027; EFFECTIVE January 1, 2027.
Sponsors (11)
- R. Girdler Republican · primary
- J. Adams Republican · primary
- M. Deneen Republican · primary
- G. Elkins Republican · primary
- S. Madon Republican · primary
- A. Mays Bledsoe Republican · primary
- M. Nunn Republican · primary
- S. Rawlings Republican · primary
- A. Reed Republican · primary
- B. Storm Republican · primary
- P. Wheeler Republican · primary
Action history (26)
- Jan 15, 2026 introduced in Senate · upper
- Jan 15, 2026 to Committee on Committees (S) · upper
- Mar 6, 2026 to Banking & Insurance (S) · upper
- Mar 10, 2026 reported favorably, 1st reading, to Calendar with Committee Substitute (1) · upper
- Mar 11, 2026 2nd reading, to Rules · upper
- Mar 11, 2026 posted for passage in the Regular Orders of the Day for Thursday, March 12 2026 · upper
- Mar 12, 2026 3rd reading, passed 38-0 with Committee Substitute (1) · upper
- Mar 13, 2026 received in House · lower
- Mar 13, 2026 to Committee on Committees (H) · lower
- Mar 24, 2026 to Banking & Insurance (H) · lower
- Mar 25, 2026 reported favorably, 1st reading, to Calendar with Committee Substitute (1) · upper
- Mar 26, 2026 2nd reading, to Rules · upper
- Mar 26, 2026 posted for passage in the Regular Orders of the Day for Friday, March 27 2026 · upper
- Mar 26, 2026 floor amendment (1) filed to Committee Substitute · upper
- Mar 27, 2026 Committee Substitute (1) adopted · upper
- Mar 27, 2026 floor amendment (1) adopted · upper
- Mar 27, 2026 3rd reading, passed 95-0 with Committee Substitute (1) and Floor Amendment (1) · upper
- Mar 27, 2026 received in Senate · upper
- Mar 27, 2026 to Rules (S) · upper
- Mar 31, 2026 posted for passage for concurrence in House Floor Amendment (1) and Committee Substitute (1) · upper
- Mar 31, 2026 Senate concurred in Committee Substitute (1) and Floor Amendment (1) · upper
- Mar 31, 2026 passed 38-0 · upper
- Mar 31, 2026 enrolled, signed by President of the Senate · upper
- Mar 31, 2026 enrolled, signed by Speaker of the House · lower
- Mar 31, 2026 delivered to Governor · upper
- Apr 7, 2026 signed by Governor (Acts Ch. 51) · upper
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