UNOFFICIAL COPY 23 RS BR 462 Page 1 of 17 XXXX 1/5/2023 3:28 PM Jacketed AN ACT relating to the assignment of substance abuse or mental health treatment 1 benefits. 2 Be it enacted by the General Assembly of the Commonwealth of Kentucky: 3 SECTION 1. A NEW SECTION OF SUBTITLE 17A OF KRS CHAPTER 304 4 IS CREATED TO READ AS FOLLOWS: 5 (1) As used in this section: 6 (a) "Insurer": 7 1. Means any domestic, foreign, or alien insurer, self-insurer, self-8 insured plan, or self-insured group; and 9 2. Includes any domestic, foreign, or alien: 10 a. Health maintenance organization; 11 b. Limited health service organization; 12 c. Provider-sponsored integrated health delivery network; and 13 d. Nonprofit hospital, medical-surgical, dental, and health service 14 corporation; 15 (b) "Health insurance policy" includes any health insurance policy, certificate, 16 plan, or contract or managed care plan, as defined in KRS 304.17A-500, 17 regardless of whether the policy, certificate, plan, or contract was issued or 18 delivered in this state; and 19 (c) "Substance abuse and mental health facility" means a structurally distinct 20 public or private health care establishment, institution, or facility located in 21 this state that is primarily constituted, staffed, and equipped to deliver both 22 substance abuse and mental health treatment services to the general public. 23 (2) To the extent permitted under federal law, an insurer or its agent shall not 24 prohibit or restrict an insured under a health insurance policy from making a 25 written assignment of any substance abuse or mental health treatment benefits 26 available under the policy to a substance abuse and mental health facility or 27 UNOFFICIAL COPY 23 RS BR 462 Page 2 of 17 XXXX 1/5/2023 3:28 PM Jacketed other health care provider located in this state that provides both substance abuse 1 and mental health treatment services to the general public. 2 (3) For assignments made by an insured under subsection (2) of this section: 3 (a) The assignment shall be valid as of the effective date contained in the 4 assignment; and 5 (b) The insurer shall make payments directly to the substance abuse and mental 6 health facility or other health care provider: 7 1. Upon notice of the assignment; 8 2. Subject to any written direction of the insured, including any written 9 direction of the insured in an agreement between the insured and a 10 substance abuse and mental health facility or other health care 11 provider; and 12 3. In accordance with applicable state and federal law. 13 (4) This section shall not be construed to: 14 (a) Provide a coverage or benefit that is not otherwise available under the 15 health insurance policy; or 16 (b) Prohibit an insurer from enforcing any terms or conditions of the health 17 insurance policy that are not in conflict with this section. 18 Section 2. KRS 304.14-250 is amended to read as follows: 19 Except as provided in Section 1 of this Act: 20 (1) A policy may be assignable or not assignable, as provided by its terms;[. ] 21 (2) Subject to its terms relating to assignability, a life or health insurance policy, 22 regardless of when it was[whether heretofore or hereafter] issued, under the terms 23 of which the beneficiary may be changed upon the sole request of the insured or 24 owner, may be assigned either by pledge or transfer of title, by an assignment 25 executed by the insured or owner alone and delivered to the insurer, whether or not 26 the pledgee or assignee is the insurer;[. ] 27 UNOFFICIAL COPY 23 RS BR 462 Page 3 of 17 XXXX 1/5/2023 3:28 PM Jacketed (3) Any assignment of a policy which is otherwise lawful and of which the insurer has 1 received notice[,] shall entitle the insurer to deal with the assignee as the owner or 2 pledgee of the policy in accordance with the terms of the assignment, until the 3 insurer has received at its principal office written notice of the termination of the 4 assignment or pledge[,] or written notice by or on behalf of some interest in the 5 policy in conflict with the assignment; and[. ] 6 (4) (a) Any individual insured under a group insurance policy or group annuity 7 contract shall have the right, unless expressly prohibited under the terms of 8 the policy or contract, to assign to any other person his rights and benefits 9 under the policy or contract, including[,] but not limited to[,] the right to 10 designate the beneficiary or beneficiaries and the rights as to conversion 11 provided for in KRS 304.16-180 to 304.16-200, inclusive. 12 (b) While the assignment is in effect, and regardless of when it was[ whether 13 heretofore or hereafter] made, the insurer shall be entitled to deal with the 14 assignee as the owner of the[such] rights and benefits in accordance with the 15 terms of the assignment and[; but] without prejudice to the insurer on account 16 of any lawful action taken or payment made by the insurer[it] prior to receipt 17 by the insurer[it] at its principal office of[or] written notice of the assignment 18 or of the termination thereof. 19 (c) This subsection[section] acknowledges, confirms, and codifies the existing 20 right of assignment of interests under group life insurance policies. 21 Section 3. KRS 304.17-130 is amended to read as follows: 22 (1) There shall be a provision as follows: 23 "Payment of Claims: Indemnity for loss of life will be payable in accordance 24 with the beneficiary designation and the provisions respecting payment which may 25 be prescribed herein and effective at the time of payment. If no designation or 26 provision is then effective, any indemnity shall be payable to the estate of the 27 UNOFFICIAL COPY 23 RS BR 462 Page 4 of 17 XXXX 1/5/2023 3:28 PM Jacketed insured. Any other accrued indemnities unpaid at the insured's death may, at the 1 option of the insurer, be paid either to a beneficiary or to the estate. All other 2 indemnities will be payable to the insured." 3 (2) Except as provided in Section 1 of this Act, the following provisions, or either of 4 them, may be included with the[ foregoing] provision required under subsection 5 (1) of this section at the option of the insurer: 6 (a) "If any indemnity of this policy shall be payable to the estate of the insured, or 7 to an insured or beneficiary who is a minor or otherwise not competent to give 8 a valid release, the insurer may pay such indemnity, up to an amount not 9 exceeding $.... (insert an amount which shall not exceed $5,000), to any 10 relative by blood or connection by marriage of the insured or beneficiary who 11 is deemed by the insurer to be equitably entitled thereto. Any payment made 12 by the insurer in good faith pursuant to this provision shall fully discharge the 13 insurer to the extent of the payment."; and 14 (b) "Subject to any written direction of the insured in the application or otherwise, 15 all or a portion of any indemnities provided by this policy on account of 16 hospital, nursing, medical, or surgical services may, at the insurer's option and 17 unless the insured requests otherwise in writing not later than the time of 18 filing proofs of the loss, be paid directly to the hospital or person rendering 19 services,[;] but it is not required that the service be rendered by a particular 20 hospital or person." 21 Section 4. KRS 304.18-090 is amended to read as follows: 22 Except as provided in Section 1 of this Act: 23 (1) Subject to[Except as provided in] subsection (2) of this section, all benefits under 24 any blanket health insurance policy or contract shall be payable to the person 25 insured, or to the person's[his] designated beneficiary or beneficiaries, or to the 26 person's[his] estate, except that if the person insured is a minor or otherwise not 27 UNOFFICIAL COPY 23 RS BR 462 Page 5 of 17 XXXX 1/5/2023 3:28 PM Jacketed competent to give a valid release, the[such] benefits may be made payable to the 1 person's[his] parent, guardian, conservator, or other person actually supporting the 2 minor or person not competent to give a valid release; and[him. ] 3 (2) (a) A blanket health insurance policy or contract[The policy] may provide that 4 all or a portion of any indemnities provided by the[any such] policy or 5 contract on account of hospital, nursing, medical, or surgical services may, at 6 the option of the insurer and unless the insured requests otherwise in writing 7 not later than the time of filing proofs of such loss, be paid directly to the 8 hospital or person rendering such services,[;] but the policy or contract may 9 not require that the service be rendered by a particular hospital or person. 10 (b) Payment[ so] made directly to a hospital or other person for all or a portion 11 of any indemnities provided by a blanket health insurance policy or contract 12 shall discharge the obligation of the insurer with respect to the amount of 13 insurance so paid. 14 SECTION 5. A NEW SECTION OF SUBTITLE 38A OF KRS CHAPTER 304 15 IS CREATED TO READ AS FOLLOWS: 16 Limited health service organizations shall comply with Section 1 of this Act. 17 Section 6. KRS 18A.225 is amended to read as follows: 18 (1) (a) The term "employee" for purposes of this section means: 19 1. Any person, including an elected public official, who is regularly 20 employed by any department, office, board, agency, or branch of state 21 government; or by a public postsecondary educational institution; or by 22 any city, urban-county, charter county, county, or consolidated local 23 government, whose legislative body has opted to participate in the state-24 sponsored health insurance program pursuant to KRS 79.080; and who 25 is either a contributing member to any one (1) of the retirement systems 26 administered by the state, including but not limited to the Kentucky 27 UNOFFICIAL COPY 23 RS BR 462 Page 6 of 17 XXXX 1/5/2023 3:28 PM Jacketed Retirement Systems, County Employees Retirement System, Kentucky 1 Teachers' Retirement System, the Legislators' Retirement Plan, or the 2 Judicial Retirement Plan; or is receiving a contractual contribution from 3 the state toward a retirement plan; or, in the case of a public 4 postsecondary education institution, is an individual participating in an 5 optional retirement plan authorized by KRS 161.567; or is eligible to 6 participate in a retirement plan established by an employer who ceases 7 participating in the Kentucky Employees Retirement System pursuant to 8 KRS 61.522 whose employees participated in the health insurance plans 9 administered by the Personnel Cabinet prior to the employer's effective 10 cessation date in the Kentucky Employees Retirement System; 11 2. Any certified or classified employee of a local board of education or a 12 public charter school as defined in KRS 160.1590; 13 3. Any elected member of a local board of education; 14 4. Any person who is a present or future recipient of a retirement 15 allowance from the Kentucky Retirement Systems, County Employees 16 Retirement System, Kentucky Teachers' Retirement System, the 17 Legislators' Retirement Plan, the Judicial Retirement Plan, or the 18 Kentucky Community and Technical College System's optional 19 retirement plan authorized by KRS 161.567, except that a person who is 20 receiving a retirement allowance and who is age sixty-five (65) or older 21 shall not be included, with the exception of persons covered under KRS 22 61.702(2)(b)3. and 78.5536(2)(b)3., unless he or she is actively 23 employed pursuant to subparagraph 1. of this paragraph; and 24 5. Any eligible dependents and beneficiaries of participating employees 25 and retirees who are entitled to participate in the state-sponsored health 26 insurance program; 27 UNOFFICIAL COPY 23 RS BR 462 Page 7 of 17 XXXX 1/5/2023 3:28 PM Jacketed (b) The term "health benefit plan" for the purposes of this section means a health 1 benefit plan as defined in KRS 304.17A-005; 2 (c) The term "insurer" for the purposes of this section means an insurer as defined 3 in KRS 304.17A-005; and 4 (d) The term "managed care plan" for the purposes of this section means a 5 managed care plan as defined in KRS 304.17A-500. 6 (2) (a) The secretary of the Finance and Administration Cabinet, upon the 7 recommendation of the secretary of the Personnel Cabinet, shall procure, in 8 compliance with the provisions of KRS 45A.080, 45A.085, and 45A.090, 9 from one (1) or more insurers authorized to do business in this state, a group 10 health benefit plan that may include but not be limited to health maintenance 11 organization (HMO), preferred provider organization (PPO), point of service 12 (POS), and exclusive provider organization (EPO) benefit plans 13 encompassing all or any class or classes of employees. With the exception of 14 employers governed by the provisions of KRS Chapters 16, 18A, and 151B, 15 all employers of any class of employees or former employees shall enter into 16 a contract with the Personnel Cabinet prior to including that group in the state 17 health insurance group. The contracts shall include but not be limited to 18 designating the entity responsible for filing any federal forms, adoption of 19 policies required for proper plan administration, acceptance of the contractual 20 provisions with health insurance carriers or third-party administrators, and 21 adoption of the payment and reimbursement methods necessary for efficient 22 administration of the health insurance program. Health insurance coverage 23 provided to state employees under this section shall, at a minimum, contain 24 the same benefits as provided under Kentucky Kare Standard as of January 1, 25 1994, and shall include a mail-order drug option as provided in subsection 26 (13) of this section. All employees and other persons for whom the health care 27 UNOFFICIAL COPY 23 RS BR 462 Page 8 of 17 XXXX 1/5/2023 3:28 PM Jacketed coverage is provided or made available shall annually be given an option to 1 elect health care coverage through a self-funded plan offered by the 2 Commonwealth or, if a self-funded plan is not available, from a list of 3 coverage options determined by the competitive bid process under the 4 provisions of KRS 45A.080, 45A.085, and 45A.090 and made available 5 during annual open enrollment. 6 (b) The policy or policies shall be approved by the commissioner of insurance 7 and may contain the provisions the commissioner of insurance approves, 8 whether or not otherwise permitted by the insurance laws. 9 (c) Any carrier bidding to offer health care coverage to employees shall agree to 10 provide coverage to all members of the state group, including active 11 employees and retirees and their eligible covered dependents and 12 beneficiaries, within the county or counties specified in its bid. Except as 13 provided in subsection (20) of this section, any carrier bidding to offer health 14 care coverage to employees shall also agree to rate all employees as a single 15 entity, except for those retirees whose former employers insure their active 16 employees outside the state-sponsored health insurance program and as 17 otherwise provided in KRS 61.702(2)(b)3.b. and 78.5536(2)(b)3.b. 18 (d) Any carrier bidding to offer health care coverage to employees shall agree to 19 provide enrollment, claims, and utilization data to the Commonwealth in a 20 format specified by the Personnel Cabinet with the understanding that the data 21 shall be owned by the Commonwealth; to provide data in an electronic form 22 and within a time frame specified by the Personnel Cabinet; and to be subject 23 to penalties for noncompliance with data reporting requirements as specified 24 by the Personnel Cabinet. The Personnel Cabinet shall take strict precautions 25 to protect the confidentiality of each individual employee; however, 26 confidentiality assertions shall not relieve a carrier from the requirement of 27 UNOFFICIAL COPY 23 RS BR 462 Page 9 of 17 XXXX 1/5/2023 3:28 PM Jacketed providing stipulated data to the Commonwealth. 1 (e) The Personnel Cabinet shall develop the necessary techniques and capabilities 2 for timely analysis of data received from carriers and, to the extent possible, 3 provide in the request-for-proposal specifics relating to data requirements, 4 electronic reporting, and penalties for noncompliance. The Commonwealth 5 shall own the enrollment, claims, and utilization data provided by each carrier 6 and shall develop methods to protect the confidentiality of the individual. The 7 Personnel Cabinet shall include in the October annual report submitted 8 pursuant to the provisions of KRS 18A.226 to the Governor, the General 9 Assembly, and the Chief Justice of the Supreme Court, an analysis of the 10 financial stability of the program, which shall include but not be limited to 11 loss ratios, methods of risk adjustment, measurements of carrier quality of 12 service, prescription coverage and cost management, and statutorily required 13 mandates. If state self-insurance was available as a carrier option, the report 14 also shall provide a detailed financial analysis of the self-insurance fund 15 including but not limited to loss ratios, reserves, and reinsurance agreements. 16 (f) If any agency participating in the state-sponsored employee health insurance 17 program for its active employees terminates participation and there is a state 18 appropriation for the employer's contribution for active employees' health 19 insurance coverage, then neither the agency nor the employees shall receive 20 the state-funded contribution after termination from the state-sponsored 21 employee health insurance program. 22 (g) Any funds in flexible spending accounts that remain after all reimbursements 23 have been processed shall be transferred to the credit of the state-sponsored 24 health insurance plan's appropriation account. 25 (h) Each entity participating in the state-sponsored health insurance program shall 26 provide an amount at least equal to the state contribution rate for the employer 27 UNOFFICIAL COPY 23 RS BR 462 Page 10 of 17 XXXX 1/5/2023 3:28 PM Jacketed portion of the health insurance premium. For any participating entity that used 1 the state payroll system, the employer contribution amount shall be equal to 2 but not greater than the state contribution rate. 3 (3) The premiums may be paid by the policyholder: 4 (a) Wholly from funds contributed by the employee, by payroll deduction or 5 otherwise; 6 (b) Wholly from funds contributed by any department, board, agency, public 7 postsecondary education institution, or branch of state, city, urban-county, 8 charter county, county, or consolidated local government; or 9 (c) Partly from each, except that any premium due for health care coverage or 10 dental coverage, if any, in excess of the premium amount contributed by any 11 department, board, agency, postsecondary education institution, or branch of 12 state, city, urban-county, charter county, county, or consolidated local 13 government for any other health care coverage shall be paid by the employee. 14 (4) If an employee moves his or her place of residence or employment out of the 15 service area of an insurer offering a managed health care plan, under which he or 16 she has elected coverage, into either the service area of another managed health care 17 plan or into an area of the Commonwealth not within a managed health care plan 18 service area, the employee shall be given an option, at the time of the move or 19 transfer, to change his or her coverage to another health benefit plan. 20 (5) No payment of premium by any department, board, agency, public postsecondary 21 educational institution, or branch of state, city, urban-county, charter county, 22 county, or consolidated local government shall constitute compensation to an 23 insured employee for the purposes of any statute fixing or limiting the 24 compensation of such an employee. Any premium or other expense incurred by any 25 department, board, agency, public postsecondary educational institution, or branch 26 of state, city, urban-county, charter county, county, or consolidated local 27 UNOFFICIAL COPY 23 RS BR 462 Page 11 of 17 XXXX 1/5/2023 3:28 PM Jacketed government shall be considered a proper cost of administration. 1 (6) The policy or policies may contain the provisions with respect to the class or classes 2 of employees covered, amounts of insurance or coverage for designated classes or 3 groups of employees, policy options, terms of eligibility, and continuation of 4 insurance or coverage after retirement. 5 (7) Group rates under this section shall be made available to the disabled child of an 6 employee regardless of the child's age if the entire premium for the disabled child's 7 coverage is paid by the state employee. A child shall be considered disabled if he or 8 she has been determined to be eligible for federal Social Security disability benefits. 9 (8) The health care contract or contracts for employees shall be entered into for a 10 period of not less than one (1) year. 11 (9) The secretary shall appoint thirty-two (32) persons to an Advisory Committee of 12 State Health Insurance Subscribers to advise the secretary or the secretary's 13 designee regarding the state-sponsored health insurance program for employees. 14 The secretary shall appoint, from a list of names submitted by appointing 15 authorities, members representing school districts from each of the seven (7) 16 Supreme Court districts, members representing state government from each of the 17 seven (7) Supreme Court districts, two (2) members representing retirees under age 18 sixty-five (65), one (1) member representing local health departments, two (2) 19 members representing the Kentucky Teachers' Retirement System, and three (3) 20 members at large. The secretary shall also appoint two (2) members from a list of 21 five (5) names submitted by the Kentucky Education Association, two (2) members 22 from a list of five (5) names submitted by the largest state employee organization of 23 nonschool state employees, two (2) members from a list of five (5) names submitted 24 by the Kentucky Association of Counties, two (2) members from a list of five (5) 25 names submitted by the Kentucky League of Cities, and two (2) members from a 26 list of names consisting of five (5) names submitted by each state employee 27 UNOFFICIAL COPY 23 RS BR 462 Page 12 of 17 XXXX 1/5/2023 3:28 PM Jacketed organization that has two thousand (2,000) or more members on state payroll 1 deduction. The advisory committee shall be appointed in January of each year and 2 shall meet quarterly. 3 (10) Notwithstanding any other provision of law to the contrary, the policy or policies 4 provided to employees pursuant to this section shall not provide coverage for 5 obtaining or performing an abortion, nor shall any state funds be used for the 6 purpose of obtaining or performing an abortion on behalf of employees or their 7 dependents. 8 (11) Interruption of an established treatment regime with maintenance drugs shall be 9 grounds for an insured to appeal a formulary change through the established appeal 10 procedures approved by the Department of Insurance, if the physician supervising 11 the treatment certifies that the change is not in the best interests of the patient. 12 (12) Any employee who is eligible for and elects to participate in the state health 13 insurance program as a retiree, or the spouse or beneficiary of a retiree, under any 14 one (1) of the state-sponsored retirement systems shall not be eligible to receive the 15 state health insurance contribution toward health care coverage as a result of any 16 other employment for which there is a public employer contribution. This does not 17 preclude a retiree and an active employee spouse from using both contributions to 18 the extent needed for purchase of one (1) state sponsored health insurance policy 19 for that plan year. 20 (13) (a) The policies of health insurance coverage procured under subsection (2) of 21 this section shall include a mail-order drug option for maintenance drugs for 22 state employees. Maintenance drugs may be dispensed by mail order in 23 accordance with Kentucky law. 24 (b) A health insurer shall not discriminate against any retail pharmacy located 25 within the geographic coverage area of the health benefit plan and that meets 26 the terms and conditions for participation established by the insurer, including 27 UNOFFICIAL COPY 23 RS BR 462 Page 13 of 17 XXXX 1/5/2023 3:28 PM Jacketed price, dispensing fee, and copay requirements of a mail-order option. The 1 retail pharmacy shall not be required to dispense by mail. 2 (c) The mail-order option shall not permit the dispensing of a controlled 3 substance classified in Schedule II. 4 (14) The policy or policies provided to state employees or their dependents pursuant to 5 this section shall provide coverage for obtaining a hearing aid and acquiring hearing 6 aid-related services for insured individuals under eighteen (18) years of age, subject 7 to a cap of one thousand four hundred dollars ($1,400) every thirty-six (36) months 8 pursuant to KRS 304.17A-132. 9 (15) Any policy provided to state employees or their dependents pursuant to this section 10 shall provide coverage for the diagnosis and treatment of autism spectrum disorders 11 consistent with KRS 304.17A-142. 12 (16) Any policy provided to state employees or their dependents pursuant to this section 13 shall provide coverage for obtaining amino acid-based elemental formula pursuant 14 to KRS 304.17A-258. 15 (17) If a state employee's residence and place of employment are in the same county, 16 and if the hospital located within that county does not offer surgical services, 17 intensive care services, obstetrical services, level II neonatal services, diagnostic 18 cardiac catheterization services, and magnetic resonance imaging services, the 19 employee may select a plan available in a contiguous county that does provide 20 those services, and the state contribution for the plan shall be the amount available 21 in the county where the plan selected is located. 22 (18) If a state employee's residence and place of employment are each located in 23 counties in which the hospitals do not offer surgical services, intensive care 24 services, obstetrical services, level II neonatal services, diagnostic cardiac 25 catheterization services, and magnetic resonance imaging services, the employee 26 may select a plan available in a county contiguous to the county of residence that 27 UNOFFICIAL COPY 23 RS BR 462 Page 14 of 17 XXXX 1/5/2023 3:28 PM Jacketed does provide those services, and the state contribution for the plan shall be the 1 amount available in the county where the plan selected is located. 2 (19) The Personnel Cabinet is encouraged to study whether it is fair and reasonable and 3 in the best interests of the state group to allow any carrier bidding to offer health 4 care coverage under this section to submit bids that may vary county by county or 5 by larger geographic areas. 6 (20) Notwithstanding any other provision of this section, the bid for proposals for health 7 insurance coverage for calendar year 2004 shall include a bid scenario that reflects 8 the statewide rating structure provided in calendar year 2003 and a bid scenario that 9 allows for a regional rating structure that allows carriers to submit bids that may 10 vary by region for a given product offering as described in this subsection: 11 (a) The regional rating bid scenario shall not include a request for bid on a 12 statewide option; 13 (b) The Personnel Cabinet shall divide the state into geographical regions which 14 shall be the same as the partnership regions designated by the Department for 15 Medicaid Services for purposes of the Kentucky Health Care Partnership 16 Program established pursuant to 907 KAR 1:705; 17 (c) The request for proposal shall require a carrier's bid to include every county 18 within the region or regions for which the bid is submitted and include but not 19 be restricted to a preferred provider organization (PPO) option; 20 (d) If the Personnel Cabinet accepts a carrier's bid, the cabinet shall award the 21 carrier all of the counties included in its bid within the region. If the Personnel 22 Cabinet deems the bids submitted in accordance with this subsection to be in 23 the best interests of state employees in a region, the cabinet may award the 24 contract for that region to no more than two (2) carriers; and 25 (e) Nothing in this subsection shall prohibit the Personnel Cabinet from including 26 other requirements or criteria in the request for proposal. 27 UNOFFICIAL COPY 23 RS BR 462 Page 15 of 17 XXXX 1/5/2023 3:28 PM Jacketed (21) Any fully insured health benefit plan or self-insured plan issued or renewed on or 1 after July 12, 2006, to public employees pursuant to this section which provides 2 coverage for services rendered by a physician or osteopath duly licensed under KRS 3 Chapter 311 that are within the scope of practice of an optometrist duly licensed 4 under the provisions of KRS Chapter 320 shall provide the same payment of 5 coverage to optometrists as allowed for those services rendered by physicians or 6 osteopaths. 7 (22) Any fully insured health benefit plan or self-insured plan issued or renewed to 8 public employees pursuant to this section shall comply with: 9 (a) KRS 304.12-237; 10 (b) KRS 304.17A-270 and 304.17A-525; 11 (c) KRS 304.17A-600 to 304.17A-633; 12 (d) KRS 205.593; 13 (e) KRS 304.17A-700 to 304.17A-730; 14 (f) KRS 304.14-135; 15 (g) KRS 304.17A-580 and 304.17A-641; 16 (h) KRS 304.99-123; 17 (i) KRS 304.17A-138; 18 (j) KRS 304.17A-148; 19 (k) KRS 304.17A-163 and 304.17A-1631;[ and] 20 (l) Section 1 of this Act; and 21 (m) Administrative regulations promulgated pursuant to statutes listed in this 22 subsection. 23 Section 7. KRS 164.2871 is amended to read as follows: 24 (1) The governing board of each state postsecondary educational institution is 25 authorized to purchase liability insurance for the protection of the individual 26 members of the governing board, faculty, and staff of such institutions from liability 27 UNOFFICIAL COPY 23 RS BR 462 Page 16 of 17 XXXX 1/5/2023 3:28 PM Jacketed for acts and omissions committed in the course and scope of the individual's 1 employment or service. Each institution may purchase the type and amount of 2 liability coverage deemed to best serve the interest of such institution. 3 (2) All retirement annuity allowances accrued or accruing to any employee of a state 4 postsecondary educational institution through a retirement program sponsored by 5 the state postsecondary educational institution are hereby exempt from any state, 6 county, or municipal tax, and shall not be subject to execution, attachment, 7 garnishment, or any other process whatsoever, nor shall any assignment thereof be 8 enforceable in any court. Except retirement benefits accrued or accruing to any 9 employee of a state postsecondary educational institution through a retirement 10 program sponsored by the state postsecondary educational institution on or after 11 January 1, 1998, shall be subject to the tax imposed by KRS 141.020, to the extent 12 provided in KRS 141.010 and 141.0215. 13 (3) Except as provided in KRS Chapter 44, the purchase of liability insurance for 14 members of governing boards, faculty and staff of institutions of higher education 15 in this state shall not be construed to be a waiver of sovereign immunity or any 16 other immunity or privilege. 17 (4) The governing board of each state postsecondary education institution is authorized 18 to provide a self-insured employer group health plan to its employees, which plan 19 shall: 20 (a) Conform to the requirements of Subtitle 32 of KRS Chapter 304; and 21 (b) Except as provided in subsection (5) of this section, be exempt from 22 conformity with Subtitle 17A of KRS Chapter 304. 23 (5) A self-insured employer group health plan provided by the governing board of a 24 state postsecondary education institution to its employees shall comply with: 25 (a) KRS 304.17A-163 and 304.17A-1631; and 26 (b) Section 1 of this Act. 27 UNOFFICIAL COPY 23 RS BR 462 Page 17 of 17 XXXX 1/5/2023 3:28 PM Jacketed Section 8. This Act shall apply to: 1 (1) Health insurance policies in effect on or after the effective date of this Act; 2 and 3 (2) Health insurance policies issued, delivered, or renewed on or after the 4 effective date of this Act. 5