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Kentucky 2026RS

SB 97

AN ACT relating to coverage for prostheses and orthoses.

Source: Open States / PluralUpdated 2026-11-11 12:11:04 UTC.

Official record

Measure details

Jurisdiction
Kentucky
Session
2026RS
Chamber
upper
Classification
bill
Subjects
Actuarial Analysis, Disabilities, Education, Higher, Effective Dates, Delayed, Health And Medical Services, Health Benefit Plan Mandate, Health Care Professionals, Insurance, Health, Local Mandate, Reports Mandated, State Employee Health Plan Mandate, State Employees
Introduced / first action
2026-01-15 05:00:00

Source-supplied abstracts

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

Source-supplied history

Actions

  1. signed by Governor (Acts Ch. 51)

    executive-signature
  2. delivered to Governor

  3. enrolled, signed by Speaker of the House

    passage
  4. enrolled, signed by President of the Senate

    passage
  5. passed 38-0

    passage
  6. Senate concurred in Committee Substitute (1) and Floor Amendment (1)

  7. posted for passage for concurrence in House Floor Amendment (1) and Committee Substitute (1)

  8. to Rules (S)

    referral-committee
  9. received in Senate

  10. 3rd reading, passed 95-0 with Committee Substitute (1) and Floor Amendment (1)

    passage, reading-3
  11. floor amendment (1) adopted

  12. Committee Substitute (1) adopted

  13. floor amendment (1) filed to Committee Substitute

    amendment-introduction
  14. posted for passage in the Regular Orders of the Day for Friday, March 27 2026

  15. 2nd reading, to Rules

    reading-2
  16. reported favorably, 1st reading, to Calendar with Committee Substitute (1)

    committee-passage
  17. to Banking & Insurance (H)

    referral-committee
  18. to Committee on Committees (H)

    referral-committee
  19. received in House

  20. 3rd reading, passed 38-0 with Committee Substitute (1)

    passage, reading-3
  21. posted for passage in the Regular Orders of the Day for Thursday, March 12 2026

  22. 2nd reading, to Rules

    reading-2
  23. reported favorably, 1st reading, to Calendar with Committee Substitute (1)

    committee-passage
  24. to Banking & Insurance (S)

    referral-committee
  25. to Committee on Committees (S)

    referral-committee
  26. introduced in Senate

    introduction

When supplied by the API

Related measures

No resolvable related measure is supplied.