HB 236

Bill Subjects

Actuarial Analysis Children And Minors Drugs And Medicines Education, Higher Effective Dates, Delayed Health Benefit Plan Mandate Insurance, Health Local Mandate Medicaid State Agencies State Employee Health Plan Mandate State Employees

Abstract

Create a new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to cover epinephrine devices for covered persons; limit a covered person's cost-sharing amount to $100 annually; amend KRS 304.17A-099 to exempt the epinephrine device coverage requirement from being suspended under state law due to the triggering of federal cost defrayment requirements; amend KRS 205.522, 205.6485,164.2871, and 18A.225 to require Medicaid, KCHIP, self-insured employer group health plans offered by the governing board of a state postsecondary education institution, and the state employee health plan to comply with the epinephrine device coverage requirement; provide that various sections apply to health benefit plans issued or renewed on or after January 1, 2026; require the Department of Insurance to determine whether the epinephrine devices coverage requirement would be in addition to essential health benefits required under federal law; require the Department of Insurance to obtain federal approval, if necessary; require the Cabinet for Health and Family Services or the Department for Medicaid Services to obtain federal approval, if necessary, and comply with notice requirements; EFFECTIVE, in part, January 1, 2026.