Summary of Original Version

Amend KRS 304.17A-258 to require health benefit plans to provide coverage for certain formulas; to suspend the the coverage requirement for certain formulas as applied to qualified health plans if cost defrayment required by the state; amend KRS 304.17A-145 to require coverage for breastfeeding and lactation services without a prescription and in conjunction with the birth of each child; amend KRS 205.522 to require Medicaid to comply with the coverage requirements for formulas and breastfeeding support and equipment; 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 and breastfeeding support and equipment; provide that certain provisions apply to health benefit plans issued or renewed on or after January 1, 2026; 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; EFFECTIVE, in part, January 1, 2026.

Statutes affected:
Introduced: 205.522, 205.560, 205.6485, 164.2871, 18A.225