Summary of Original Version

Create new section of Subtitle 17A of KRS Chapter 304 to define terms; require health plans to provide coverage for eating or feeding disorder treatment; prohibit health plans from using certain standards, including body mass index, when determining medical necessity or the appropriate level of care for an individual diagnosed with a feeding or eating disorder; amend KRS 304.17C-125, 205.522, 205.6485, 164.2871, and 18A.225 to require limited health services benefit plans, Medicaid, KCHIP, self-insured employer group plans provided by the governing board of a state postsecondary education institution, and the state employee health plan to comply with the prohibition from using certain standards when determining medical necessity and the coverage requirement for eating or feeding disorder treatment; provide that various sections apply to health plans issued or renewed on or after January 1, 2026; require the Department for Medicaid Services or the Cabinet for Health and Family Services to obtain federal approval, if necessary, and comply with notice requirements; EFFECTIVE, in part, January 1, 2026.

Statutes affected:
Introduced: 205.522, 205.6485, 164.2871, 18A.225