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AN ACT relating to mental health coverage in connection with pregnancy. 1
Be it enacted by the General Assembly of the Commonwealth of Kentucky: 2
Section 1. KRS 304.17A-145 is amended to read as follows: 3
(1) As used in this section: 4
(a) "Health benefit plan" has the same meaning as in KRS 304.17A-005, 5
except for purposes of subsection (2)(b) of this section, the term includes 6
student health insurance offered by a Kentucky-licensed insurer under 7
written contract with a university or college whose students it proposes to 8
insure; and 9
(b) "Pregnant and postpartum persons at increased risk of perinatal 10
depression" includes persons who have suffered a miscarriage or stillbirth. 11
(2) A health benefit plan [issued or renewed on or after July 15, 1996, ]that provides 12
maternity coverage shall provide coverage for: 13
(a) Inpatient care for a mother and her newly-born child for a minimum of forty-14
eight (48) hours after vaginal delivery and a minimum of ninety-six (96) hours 15
after delivery by Cesarean section; and 16
(b) Counseling interventions for pregnant and postpartum persons at increased 17
risk of perinatal depression. 18
(3)[(2)] The provisions of subsection (2)(a)[(1)] of this section shall not apply to a 19
health benefit plan if the health benefit plan authorizes an initial postpartum home 20
visit which would include the collection of an adequate sample for the hereditary 21
and metabolic newborn screening and if the attending physician, with the consent of 22
the mother of the newly-born child, authorizes a shorter length of stay than that 23
required of health benefit plans in subsection (2)(a)[(1)] of this section upon the 24
physician's determination that the mother and newborn meet the criteria for medical 25
stability in the most current version of "Guidelines for Perinatal Care" prepared by 26
the American Academy of Pediatrics and the American College of Obstetricians 27 UNOFFICIAL COPY 23 RS BR 922
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and Gynecologists. 1
Section 2. KRS 164.2871 (Effective January 1, 2023) is amended to read as 2
follows: 3
(1) The governing board of each state postsecondary educational institution is 4
authorized to purchase liability insurance for the protection of the individual 5
members of the governing board, faculty, and staff of such institutions from liability 6
for acts and omissions committed in the course and scope of the individual's 7
employment or service. Each institution may purchase the type and amount of 8
liability coverage deemed to best serve the interest of such institution. 9
(2) All retirement annuity allowances accrued or accruing to any employee of a state 10
postsecondary educational institution through a retirement program sponsored by 11
the state postsecondary educational institution are hereby exempt from any state, 12
county, or municipal tax, and shall not be subject to execution, attachment, 13
garnishment, or any other process whatsoever, nor shall any assignment thereof be 14
enforceable in any court. Except retirement benefits accrued or accruing to any 15
employee of a state postsecondary educational institution through a retirement 16
program sponsored by the state postsecondary educational institution on or after 17
January 1, 1998, shall be subject to the tax imposed by KRS 141.020, to the extent 18
provided in KRS 141.010 and 141.0215. 19
(3) Except as provided in KRS Chapter 44, the purchase of liability insurance for 20
members of governing boards, faculty and staff of institutions of higher education 21
in this state shall not be construed to be a waiver of sovereign immunity or any 22
other immunity or privilege. 23
(4) The governing board of each state postsecondary education institution is authorized 24
to provide a self-insured employer group health plan to its employees, which plan 25
shall: 26
(a) Conform to the requirements of Subtitle 32 of KRS Chapter 304; and 27 UNOFFICIAL COPY 23 RS BR 922
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(b) Except as provided in subsection (5) of this section, be exempt from 1
conformity with Subtitle 17A of KRS Chapter 304. 2
(5) A self-insured employer group health plan provided by the governing board of a 3
state postsecondary education institution to its employees shall comply with: 4
(a) Subsection (2)(b) of Section 1 of this Act; and 5
(b) KRS 304.17A-163 and 304.17A-1631. 6
Section 3. KRS 205.522 (Effective January 1, 2023) is amended to read as 7
follows: 8
(1) The Department for Medicaid Services and any managed care organization 9
contracted to provide Medicaid benefits pursuant to this chapter shall comply with 10
the provisions of subsection (2)(b) of Section 1 of this Act and KRS 304.17A-163, 11
304.17A-1631, 304.17A-167, 304.17A-235, 304.17A-257, 304.17A-259, 304.17A-12
515, 304.17A-580, 304.17A-600, 304.17A-603, 304.17A-607, and 304.17A-740 to 13
304.17A-743, as applicable. 14
(2) A managed care organization contracted to provide Medicaid benefits pursuant to 15
this chapter shall comply with the reporting requirements of KRS 304.17A-732. 16
Section 4. KRS 205.6485 (Effective January 1, 2023) is amended to read as 17
follows: 18
(1) The Cabinet for Health and Family Services shall prepare a state child health plan 19
meeting the requirements of Title XXI of the Federal Social Security Act, for 20
submission to the Secretary of the United States Department of Health and Human 21
Services within such time as will permit the state to receive the maximum amounts 22
of federal matching funds available under Title XXI. The cabinet shall, by 23
administrative regulation promulgated in accordance with KRS Chapter 13A, 24
establish the following: 25
(a) The eligibility criteria for children covered by the Kentucky Children's Health 26
Insurance Program. However, no person eligible for services under Title XIX 27 UNOFFICIAL COPY 23 RS BR 922
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of the Social Security Act, 42 U.S.C. secs. 1396 to 1396v, as amended, shall 1
be eligible for services under the Kentucky Children's Health Insurance 2
Program except to the extent that Title XIX coverage is expanded by KRS 3
205.6481 to 205.6495 and KRS 304.17A-340; 4
(b) The schedule of benefits to be covered by the Kentucky Children's Health 5
Insurance Program, which shall include preventive services, vision services 6
including glasses, and dental services including at least sealants, extractions, 7
and fillings, and which shall be at least equivalent to one (1) of the following: 8
1. The standard Blue Cross/Blue Shield preferred provider option under 9
the Federal Employees Health Benefit Plan established by 5 U.S.C. sec. 10
8903(1); 11
2. A mid-range health benefit coverage plan that is offered and generally 12
available to state employees; or 13
3. Health insurance coverage offered by a health maintenance organization 14
that has the largest insured commercial, non-Medicaid enrollment of 15
covered lives in the state; 16
(c) The premium contribution per family of health insurance coverage available 17
under the Kentucky Children's Health Insurance Program with provisions for 18
the payment of premium contributions by families of children eligible for 19
coverage by the program based upon a sliding scale relating to family income. 20
Premium contributions shall be based on a six (6) month period not to exceed: 21
1. Ten dollars ($10), to be paid by a family with income between one 22
hundred percent (100%) to one hundred thirty-three percent (133%) of 23
the federal poverty level; 24
2. Twenty dollars ($20), to be paid by a family with income between one 25
hundred thirty-four percent (134%) to one hundred forty-nine percent 26
(149%) of the federal poverty level; and 27 UNOFFICIAL COPY 23 RS BR 922
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3. One hundred twenty dollars ($120), to be paid by a family with income 1
between one hundred fifty percent (150%) to two hundred percent 2
(200%) of the federal poverty level, and which may be made on a partial 3
payment plan of twenty dollars ($20) per month or sixty dollars ($60) 4
per quarter; 5
(d) There shall be no copayments for services provided under the Kentucky 6
Children's Health Insurance Program; and 7
(e) The criteria for health services providers and insurers wishing to contract with 8
the Commonwealth to provide the children's health insurance coverage. 9
However, the cabinet shall provide, in any contracting process for the 10
preventive health insurance program, the opportunity for a public health 11
department to bid on preventive health services to eligible children within the 12
public health department's service area. A public health department shall not 13
be disqualified from bidding because the department does not currently offer 14
all the services required by paragraph (b) of this subsection. The criteria shall 15
be set forth in administrative regulations under KRS Chapter 13A and shall 16
maximize competition among the providers and insurers. The Cabinet for 17
Finance and Administration shall provide oversight over contracting policies 18
and procedures to assure that the number of applicants for contracts is 19
maximized. 20
(2) Within twelve (12) months of federal approval of the state's Title XXI child health 21
plan, the Cabinet for Health and Family Services shall assure that a KCHIP 22
program is available to all eligible children in all regions of the state. If necessary, 23
in order to meet this assurance, the cabinet shall institute its own program. 24
(3) KCHIP recipients shall have direct access without a referral from any gatekeeper 25
primary care provider to dentists for covered primary dental services and to 26
optometrists and ophthalmologists for covered primary eye and vision services. 27 UNOFFICIAL COPY 23 RS BR 922
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(4) The Kentucky Children's Health Insurance Program[Plan] shall comply with: 1
(a) Subsection (2)(b) of Section 1 of this Act; and 2
(b) KRS 304.17A-163 and 304.17A-1631. 3
Section 5. KRS 18A.225 (Effective January 1, 2023) is amended to read as 4
follows: 5
(1) (a) The term "employee" for purposes of this section means: 6
1. Any person, including an elected public official, who is regularly 7
employed by any department, office, board, agency, or branch of state 8
government; or by a public postsecondary educational institution; or by 9
any city, urban-county, charter county, county, or consolidated local 10
government, whose legislative body has opted to participate in the state-11
sponsored health insurance program pursuant to KRS 79.080; and who 12
is either a contributing member to any one (1) of the retirement systems 13
administered by the state, including but not limited to the Kentucky 14
Retirement Systems, County Employees Retirement System, Kentucky 15
Teachers' Retirement System, the Legislators' Retirement Plan, or the 16
Judicial Retirement Plan; or is receiving a contractual contribution from 17
the state toward a retirement plan; or, in the case of a public 18
postsecondary education institution, is an individual participating in an 19
optional retirement plan authorized by KRS 161.567; or is eligible to 20
participate in a retirement plan established by an employer who ceases 21
participating in the Kentucky Employees Retirement System pursuant to 22
KRS 61.522 whose employees participated in the health insurance plans 23
administered by the Personnel Cabinet prior to the employer's effective 24
cessation date in the Kentucky Employees Retirement System; 25
2. Any certified or classified employee of a local board of education or a 26
public charter school as defined in KRS 160.1590; 27 UNOFFICIAL COPY 23 RS BR 922
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3. Any elected member of a local board of education; 1
4. Any person who is a present or future recipient of a retirement 2
allowance from the Kentucky Retirement Systems, County Employees 3
Retirement System, Kentucky Teachers' Retirement System, the 4
Legislators' Retirement Plan, the Judicial Retirement Plan, or the 5
Kentucky Community and Technical College System's optional 6
retirement plan authorized by KRS 161.567, except that a person who is 7
receiving a retirement allowance and who is age sixty-five (65) or older 8
shall not be included, with the exception of persons covered under KRS 9
61.702(2)(b)3. and 78.5536(2)(b)3., unless he or she is actively 10
employed pursuant to subparagraph 1. of this paragraph; and 11
5. Any eligible dependents and beneficiaries of participating employees 12
and retirees who are entitled to participate in the state-sponsored health 13
insurance program; 14
(b) The term "health benefit plan" for the purposes of this section means a health 15
benefit plan as defined in KRS 304.17A-005; 16
(c) The term "insurer" for the purposes of this section means an insurer as defined 17
in KRS 304.17A-005; and 18
(d) The term "managed care plan" for the purposes of this section means a 19
managed care plan as defined in KRS 304.17A-500. 20
(2) (a) The secretary of the Finance and Administration Cabinet, upon the 21
recommendation of the secretary of the Personnel Cabinet, shall procure, in 22
compliance with the provisions of KRS 45A.080, 45A.085, and 45A.090, 23
from one (1) or more insurers authorized to do business in this state, a group 24
health benefit plan that may include but not be limited to health maintenance 25
organization (HMO), preferred provider organization (PPO), point of service 26
(POS), and exclusive provider organization (EPO) benefit plans 27 UNOFFICIAL COPY 23 RS BR 922
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encompassing all or any class or classes of employees. With the exception of 1
employers governed by the provisions of KRS Chapters 16, 18A, and 151B, 2
all employers of any class of employees or former employees shall enter into 3
a contract with the Personnel Cabinet prior to including that group in the state 4
health insurance group. The contracts shall include but not be limited to 5
designating the entity responsible for filing any federal forms, adoption of 6
policies required for proper plan administration, acceptance of the contractual 7
provisions with health insurance carriers or third-party administrators, and 8
adoption of the payment and reimbursement methods necessary for efficient 9
administration of the health insurance program. Health insurance coverage 10
provided to state employees under this section shall, at a minimum, contain 11
the same benefits as provided under Kentucky Kare Standard as of January 1, 12
1994, and shall include a mail-order drug option as provided in subsection 13
(13) of this section. All employees and other persons for whom the health care 14
coverage is provided or made available shall annually be given an option to 15
elect health care coverage through a self-funded plan offered by the 16
Commonwealth or, if a self-funded plan is not available, from a list of 17
coverage options determined by the competitive bid process under the 18
provisions of KRS 45A.080, 45A.085, and 45A.090 and made available 19
during annual open enrollment. 20
(b) The policy or policies shall be approved by the commissioner of insurance 21
and may contain the provisions the commissioner of insurance approves, 22
whether or not otherwise permitted by the insurance laws. 23
(c) Any carrier bidding to offer health care coverage to employees shall agree to 24
provide coverage to all members of the state group, including active 25
employees and retirees and their eligible covered dependents and 26
beneficiaries, within the county or counties specified in its bid. Except as 27 UNOFFICIAL COPY 23 RS BR 922
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provided in subsection (20) of this section, any carrier bidding to offer health 1
care coverage to employees shall also agree to rate all employees as a single 2
entity, except for those retirees whose former employers insure their active 3
employees outside the state-sponsored health insurance program and as 4
otherwise provided in KRS 61.702(2)(b)3.b. and 78.5536(2)(b)3.b. 5
(d) Any carrier bidding to offer health care coverage to employees shall agree to 6
provide enrollment, claims, and utilization data to the Commonwealth in a 7
format specified by the Personnel Cabinet with the understanding that the data 8
shall be owned by the Commonwealth; to provide data in an electronic form 9
and within a time frame specified by the Personnel Cabinet; and to be subject 10
to penalties for noncompliance with data reporting requirements as specified 11
by the Personnel Cabinet. The Personnel Cabinet shall take strict precautions 12
to protect the confidentiality of each individual employee; however, 13
confidentiality assertions shall not relieve a carrier from the requirement of 14
providing stipulated data to the Commonwealth. 15
(e) The Personnel Cabinet shall develop the necessary techniques and capabilities 16
for timely analysis of data received from carriers and, to the extent possible, 17
provide in the request-for-proposal specifics relating to data requirements, 18
electronic reporting, and penalties for noncompliance. The Commonwealth 19
shall own the enrollment, claims, and utilization data provided by each carrier 20
and shall develop methods to protect the confidentiality of the individual. The 21
Personnel Cabinet shall include in the October annual report submitted 22
pursuant to the provisions of KRS 18A.226 to the Governor, the General 23
Assembly, and the Chief Justice of the Supreme Court, an analysis of the 24
financial stability of the program, which shall include but not be limited to 25
loss ratios, methods of risk adjustment, measurements of carrier quality of 26
service, prescription coverage and cost management, and statutorily required 27 UNOFFICIAL COPY 23 RS BR 922
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mandates. If state self-insurance was available as a carrier option, the report 1
also shall provide a detailed financial analysis of the self-insurance fund 2
including but not limited to loss ratios, reserves, and reinsurance agreements. 3
(f) If any agency participating in the state-sponsored employee health insurance 4
program for its active employees terminates participation and there is a state 5
appropriation for the employer's contribution for active employees' health 6
insurance coverage, then neither the agency nor the employees shall receive 7
the state-funded contribution after termination from the state-sponsored 8
employee health insurance program. 9
(g) Any funds in flexible spending accounts that remain after all reimbursements 10
have been processed shall be transferred to the credit of the state-sponsored 11
health insurance plan's appropriation account. 12
(h) Each entity participating in the state-sponsored health insurance program shall 13
provide an amount at least equal to the state contribution rate for the employer 14
portion of the health insurance premium. For any participating entity that used 15
the state payroll system, the employer contribution amount shall be equal to 16
but not greater than the state contribution rate. 17
(3) The premiums may be paid by the policyholder: 18
(a) Wholly from funds contributed by the employee, by payroll deduction or 19
otherwise; 20
(b) Wholly from funds contributed by any department, board, agency, public 21
postsecondary education institution, or branch of state, city, urban-county, 22
charter county, county, or consolidated local government; or 23
(c) Partly from each, except that any premium due for health care coverage or 24
dental coverage, if any, in excess of the premium amount contributed by any 25
department, board, agency, postsecondary education institution, or branch of 26
state, city, urban-county, charter county, county, or consolidated local 27 UNOFFICIAL COPY 23 RS BR 922
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government for any other health care coverage shall be paid by the employee. 1
(4) If an employee moves his or her place of residence or employment out of the 2
service area of an insurer offering a managed health care plan, under which he or 3
she has elected coverage, into either the service area of another managed health care 4
plan or into an area of the Commonwealth not within a managed health care plan 5
service area, the employee shall be given an option, at the time of the move or 6
transfer, to change his or her coverage to another health benefit plan. 7
(5) No payment of premium by any department, board, agency, public postsecondary 8
educational institution, or branch of state, city, urban-county, charter county, 9
county, or consolidated local government shall constitute compensation to an 10
insured employee for the purposes of any statute fixing or limiting the 11
compensation of such an employee. Any premium or other expense incurred by any 12
department, board, agency, public postsecondary educational institution, or branch 13
of state, city, urban-county, charter county, county, or consolidated local 14
government shall be considered a proper cost of administration. 15
(6) The policy or policies may contain the provisions with respect to the class or classes 16
of employees covered, amounts of insurance or coverage for designated classes or 17
groups of employees, policy options, terms of eligibility, and continuation of 18
insurance or coverage after retirement. 19
(7) Group rates under this section shall be made available to the disabled child of an 20
employee regardless of the child's age if the entire premium for the disabled child's 21
coverage is paid by the state employee. A child shall be considered disabled if he or 22
she has been determined to be eligible for federal Social Security disability benefits. 23
(8) The health care contract or contracts for employees shall be entered into for a 24
period of not less than one (1) year. 25
(9) The secretary shall appoint thirty-two (32) persons to an Advisory Committee of 26
State Health Insurance Subscribers to advise the secretary or the secretary's 27 UNOFFICIAL COPY 23 RS BR 922
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designee regarding the state-sponsored health insurance program for employees. 1
The secretary shall appoint, from a list of names submitted by appointing 2
authorities, members representing school districts from each of the seven (7) 3
Supreme Court districts, members representing state government from each of the 4
seven (7) Supreme Court districts, two (2) members representing retirees under age 5
sixty-five (65), one (1) member representing local health departments, two (2) 6
members representing the Kentucky Teachers' Retirement System, and three (3) 7
members at large. The secretary shall also appoint two (2) members from a list of 8
five (5) names submitted by the Kentucky Education Association, two (2) members 9
from a list of five (5) names submitted by the largest state employee organization of 10
nonschool state employees, two (2) members from a list of five (5) names submitted 11
by the Kentucky Association of Counties, two (2) members from a list of five (5) 12
names submitted by the Kentucky League of Cities, and two (2) members from a 13
list of names consisting of five (5) names submitted by each state employee 14
organization that has two thousand (2,000) or more members on state payroll 15
deduction. The advisory committee shall be appointed in January of each year and 16
shall meet quarterly. 17
(10) Notwithstanding any other provision of law to the contrary, the policy or policies 18
provided to employees pursuant to this section shall not provide coverage for 19
obtaining or performing an abortion, nor shall any state funds be used for the 20
purpose of obtaining or performing an abortion on behalf of employees or their 21
dependents. 22
(11) Interruption of an established treatment regime with maintenance drugs shall be 23
grounds for an insured to appeal a formulary change through the established appeal 24
procedures approved by the Department of Insurance, if the physician supervising 25
the treatment certifies that the change is not in the best interests of the patient. 26
(12) Any employee who is eligible for and elects to participate in the state health 27 UNOFFICIAL COPY 23 RS BR 922
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insurance program as a retiree, or the spouse or beneficiary of a retiree, under any 1
one (1) of the state-sponsored retirement systems shall not be eligible to receive the 2
state health insurance contribution toward health care coverage as a result of any 3
other employment for which there is a public employer contribution. This does not 4
preclude a retiree and an active employee spouse from using both contributions to 5
the extent needed for purchase of one (1) state sponsored health insurance policy 6
for that plan year. 7
(13) (a) The policies of health insurance coverage procured under subsection (2) of 8
this section shall include a mail-order drug option for maintenance drugs for 9
state employees. Maintenance drugs may be dispensed by mail order in 10
accordance with Kentucky law. 11
(b) A health insurer shall not discriminate against any retail pharmacy located 12
within the geographic coverage area of the health benefit plan and that meets 13
the terms and conditions for participation established by the insurer, including 14
price, dispensing fee, and copay requirements of a mail-order option. The 15
retail pharmacy shall not be required to dispense by mail. 16
(c) The mail-order option shall not permit the dispensing of a controlled 17
substance classified in Schedule II. 18
(14) The policy or policies provided to state employees or their dependents pursuant to 19
this section shall provide coverage for obtaining a hearing aid and acquiring hearing 20
aid-related services for insured individuals under eighteen (18) years of age, subject 21
to a cap of one thousand four hundred dollars ($1,400) every thirty-six (36) months 22
pursuant to KRS 304.17A-132. 23
(15) Any policy provided to state employees or their dependents pursuant to this section 24
shall provide coverage for the diagnosis and treatment of autism spectrum disorders 25
consistent with KRS 304.17A-142. 26
(16) Any policy provided to state employees or their dependents pursuant to this section 27 UNOFFICIAL COPY 23 RS BR 922
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shall provide coverage for obtaining amino acid-based elemental formula pursuant 1
to KRS 304.17A-258. 2
(17) If a state employee's residence and place of employment are in the same county, 3
and if the hospital located within that county does not offer surgical services, 4
intensive care services, obstetrical services, level II neonatal services, diagnostic 5
cardiac catheterization services, and magnetic resonance imaging services, the 6
employee may select a plan available in a contiguous county that does provide 7
those services, and the state contribution for the plan shall be the amount available 8
in the county where the plan selected is located. 9
(18) If a state employee's residence and place of employment are each located in 10
counties in which the hospitals do not offer surgical services, intensive care 11
services, obstetrical services, level II neonatal services, diagnostic cardiac 12
catheterization services, and magnetic resonance imaging services, the employee 13
may select a plan available in a county contiguous to the county of residence that 14
does provide those services, and the state contribution for the plan shall be the 15
amount available in the county where the plan selected is located. 16
(19) The Personnel Cabinet is encouraged to study whether it is fair and reasonable and 17
in the best interests of the state group to allow any carrier bidding to offer health 18
care coverage under this section to submit bids that may vary county by county or 19
by larger geographic areas. 20
(20) Notwithstanding any other provision of this section, the bid for proposals for health 21
insurance coverage for calendar year 2004 shall include a bid scenario that reflects 22
the statewide rating structure provided in calendar year 2003 and a bid scenario that 23
allows for a regional rating structure that allows carriers to submit bids that may 24
vary by region for a given product offering as described in this subsection: 25
(a) The regional rating bid scenario shall not include a request for bid on a 26
statewide option; 27 UNOFFICIAL COPY 23 RS BR 922
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(b) The Personnel Cabinet shall divide the state into geographical regions which 1
shall be the same as the partnership regions designated by the Department for 2
Medicaid Services for purposes of the Kentucky Health Care Partnership 3
Program established pursuant to 907 KAR 1:705; 4
(c) The request for proposal shall require a carrier's bid to include every county 5
within the region or regions for which the bid is submitted and include but not 6
be restricted to a preferred provider organization (PPO) option; 7
(d) If the Personnel Cabinet accepts a carrier's bid, the cabinet shall award the 8
carrier all of the counties included in its bid within the region. If the Personnel 9
Cabinet deems the bids submitted in accordance with this subsection to be in 10
the best interests of state employees in a region, the cabinet may award the 11
contract for that region to no more than two (2) carriers; and 12
(e) Nothing in this subsection shall prohibit the Personnel Cabinet from including 13
other requirements or criteria in the request for proposal. 14
(21) Any fully insured health benefit plan or self-insured plan issued or renewed on or 15
after July 12, 2006, to public employees pursuant to this section which provides 16
coverage for services rendered by a physician or osteopath duly licensed under KRS 17
Chapter 311 that are within the scope of practice of an optometrist duly licensed 18
under the provisions of KRS Chapter 320 shall provide the same payment of 19
coverage to optometrists as allowed for those services rendered by physicians or 20
osteopaths. 21
(22) Any fully insured health benefit plan or self-insured plan issued or renewed to 22
public employees pursuant to this section shall comply with: 23
(a) KRS 304.12-237; 24
(b) KRS 304.17A-270 and 304.17A-525; 25
(c) KRS 304.17A-600 to 304.17A-633; 26
(d) KRS 205.593; 27 UNOFFICIAL COPY 23 RS BR 922
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(e) KRS 304.17A-700 to 304.17A-730; 1
(f) KRS 304.14-135; 2
(g) KRS 304.17A-580 and 304.17A-641; 3
(h) KRS 304.99-123; 4
(i) KRS 304.17A-138; 5
(j) KRS 304.17A-148; 6
(k) KRS 304.17A-163 and 304.17A-1631;[ and] 7
(l) Subsection (2)(b) of Section 1 of this Act; and 8
(m) Administrative regulations promulgated pursuant to statutes listed in this 9
subsection. 10
Section 6. Sections 1, 2, and 5 of this Act apply to health benefit plans issued or 11
renewed on or after January 1, 2024. 12
Section 7. If the Cabinet for Health and Family Services determines that a 13
waiver or any other authorization from a federal agency is necessary to implement 14
Section 3 or 4 of this Act for any reason, including the loss of federal funds, the cabinet 15
shall, within 90 days after the effective date of this section, request the waiver or 16
authorization and may only delay implementation of those provisions for which a waiver 17
or authorization was deemed necessary until the waiver or authorization is granted. 18
Section 8. Sections 1 to 6 of this Act take effect January 1, 2024. 19