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Education Introduced Kentucky · 2026RS
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HB 365

AN ACT relating to coverage for the care of children.

In Plain Language

This bill requires health insurance plans to cover certain types of infant formula and breastfeeding services for new mothers. The coverage requirements apply to most health plans starting January 1, 2027, though the state can skip this requirement for some plans if it would cost too much in state funding. The bill also requires Medicaid and state employee health plans to follow these same coverage rules.

Official summary

Amend KRS 304.17A-258 to require health benefit plans to provide coverage for certain formulas; suspend the coverage requirement's application to qualified health plans if the state would be required to make cost defrayal payments; amend KRS 304.17A-145 to require coverage for breastfeeding and lactation services in conjunction with the birth and without a prescription; amend KRS 304.17A-099 to conform; amend KRS 205.522 to require Medicaid to comply with the coverage requirements for formulas; amend KRS 205.560 to conform; amend KRS 205.6485, 164.2871, and 18A.225 to require KCHIP, self-insured employer group health plans provided by the governing board of a state postsecondary education institution, and the state employee health plan to comply with the coverage requirements for formulas; provide that certain provisions apply to health benefit plans issued or renewed on or after January 1, 2027; require the Cabinet for Health and Family Services or the Department for Medicaid Services to seek federal approval, if necessary, and to comply with notice requirements; provide authorization from the General Assembly to make changes in the Medicaid program as required under KRS 205.5372(1); EFFECTIVE, in part, January 1, 2027.

Sponsor

—

Cosponsors

None listed

Latest action

to Banking & Insurance (H)

Jan 21, 2026

Official source

View on OpenStates ↗

Action history

Jan 21, 2026 to Banking & Insurance (H)

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