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HB 176 KY
Became Law

AN ACT relating to prior authorization.

KY · session 2026RS · Assembly / House · bill

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Introduced Jan 7, 2026

Latest action (Apr 13, 2026) signed by Governor (Acts Ch. 102)

Summary

Create new sections of KRS 304.17A-600 to 304.17A-633 to define terms; prohibit insurers of health benefit plans from requiring prior authorization for a health care service for which the provider has an exemption; require insurers of health benefit plans to establish a program under which participating providers may qualify for exemptions from prior authorization; establish mandatory and permitted provisions of an insurer's prior authorization exemption program; establish requirements for sending forms and notices; require the commissioner of the Department of Insurance to submit an annual report relating to prior authorization, provide a detailed briefing upon request, and promulgate administrative regulations; amend KRS 304.17A-605 to conform; amend KRS 304.17A-611 to prohibit conducting a retrospective review that is based solely on a participating provider having a prior authorization exemption; provide that certain utilization review time frames do not apply to retrospective reviews conducted for the purposes of determining eligibility for a prior authorization exemption; create a new section of KRS Chapter 205 to require the commissioner of the Department for Medicaid Services to submit an annual report relating to prior authorization, provide a detailed briefing upon request, and promulgate administrative regulations; amend KRS 205.536 to conform; apply the provisions to contracts delivered, entered, renewed, extended, or amended on or after January 1, 2028; EFFECTIVE, in part, January 1, 2027, and January 1, 2028.

Sponsors (7)

Action history (23)

  1. Jan 7, 2026 introduced in House · lower
  2. Jan 7, 2026 to Committee on Committees (H) · lower
  3. Jan 12, 2026 to Banking & Insurance (H) · lower
  4. Jan 14, 2026 reported favorably, 1st reading, to Calendar · lower
  5. Jan 15, 2026 2nd reading, to Rules · lower
  6. Jan 16, 2026 posted for passage in the Regular Orders of the Day for Tuesday, January 20, 2026 · lower
  7. Jan 21, 2026 3rd reading, passed 89-1 · lower
  8. Jan 22, 2026 received in Senate · upper
  9. Jan 22, 2026 to Committee on Committees (S) · upper
  10. Mar 16, 2026 to Health Services (S) · upper
  11. Mar 18, 2026 reported favorably, 1st reading, to Consent Calendar · lower
  12. Mar 19, 2026 2nd reading, to Rules as a consent bill · lower
  13. Mar 26, 2026 floor amendment (1) filed · lower
  14. Mar 26, 2026 posted for passage in the Regular Orders of the Day for Friday, March 27 2026 · lower
  15. Mar 27, 2026 passed over and retained in the Orders of the Day · lower
  16. Mar 31, 2026 3rd reading · lower
  17. Mar 31, 2026 Floor Amendment (1) withdrawn · lower
  18. Mar 31, 2026 passed 38-0 · lower
  19. Mar 31, 2026 received in House · lower
  20. Apr 1, 2026 enrolled, signed by Speaker of the House · lower
  21. Apr 1, 2026 enrolled, signed by President of the Senate · upper
  22. Apr 1, 2026 delivered to Governor · lower
  23. Apr 13, 2026 signed by Governor (Acts Ch. 102) · lower
Subjects
Actuarial AnalysisAdministrative Regulations And ProceedingsEffective Dates, DelayedHealth And Medical ServicesHealth Benefit Plan MandateInsurance, HealthLocal MandateMedicaidReports MandatedState AgenciesState Employee Health Plan MandateState Employees

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