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SB 97 KY
Became Law

AN ACT relating to coverage for prostheses and orthoses.

KY · session 2026RS · Senate · bill

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Introduced Jan 15, 2026

Latest action (Apr 7, 2026) signed by Governor (Acts Ch. 51)

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)

Action history (26)

  1. Jan 15, 2026 introduced in Senate · upper
  2. Jan 15, 2026 to Committee on Committees (S) · upper
  3. Mar 6, 2026 to Banking & Insurance (S) · upper
  4. Mar 10, 2026 reported favorably, 1st reading, to Calendar with Committee Substitute (1) · upper
  5. Mar 11, 2026 2nd reading, to Rules · upper
  6. Mar 11, 2026 posted for passage in the Regular Orders of the Day for Thursday, March 12 2026 · upper
  7. Mar 12, 2026 3rd reading, passed 38-0 with Committee Substitute (1) · upper
  8. Mar 13, 2026 received in House · lower
  9. Mar 13, 2026 to Committee on Committees (H) · lower
  10. Mar 24, 2026 to Banking & Insurance (H) · lower
  11. Mar 25, 2026 reported favorably, 1st reading, to Calendar with Committee Substitute (1) · upper
  12. Mar 26, 2026 2nd reading, to Rules · upper
  13. Mar 26, 2026 posted for passage in the Regular Orders of the Day for Friday, March 27 2026 · upper
  14. Mar 26, 2026 floor amendment (1) filed to Committee Substitute · upper
  15. Mar 27, 2026 Committee Substitute (1) adopted · upper
  16. Mar 27, 2026 floor amendment (1) adopted · upper
  17. Mar 27, 2026 3rd reading, passed 95-0 with Committee Substitute (1) and Floor Amendment (1) · upper
  18. Mar 27, 2026 received in Senate · upper
  19. Mar 27, 2026 to Rules (S) · upper
  20. Mar 31, 2026 posted for passage for concurrence in House Floor Amendment (1) and Committee Substitute (1) · upper
  21. Mar 31, 2026 Senate concurred in Committee Substitute (1) and Floor Amendment (1) · upper
  22. Mar 31, 2026 passed 38-0 · upper
  23. Mar 31, 2026 enrolled, signed by President of the Senate · upper
  24. Mar 31, 2026 enrolled, signed by Speaker of the House · lower
  25. Mar 31, 2026 delivered to Governor · upper
  26. Apr 7, 2026 signed by Governor (Acts Ch. 51) · upper
Subjects
Actuarial AnalysisDisabilitiesEducation, HigherEffective Dates, DelayedHealth And Medical ServicesHealth Benefit Plan MandateHealth Care ProfessionalsInsurance, HealthLocal MandateReports MandatedState Employee Health Plan MandateState Employees

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