Summary of Original Version

Create a new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to provide coverage for prosthetic devices and orthotic devices when medically necessary for certain purposes; establish minimum requirements for the required coverage; prohibit any limitation or requirements with respect to out-of-network coverage unless the limitation or requirement is not more restrictive than the restrictions or requirements applicable to out-of-network coverage for medical or surgical benefits; require the commissioner of insurance to submit a report to the Legislative Research Commission regarding implementation of the required coverage; require insurers to provide data requested by the commissioner for purposes of completing the report; require the commissioner to promulgate any necessary administrative regulations; amend KRS 164.2871 and 18A.225 to require self-insured group health plans offered by the governing board of state postsecondary education institutions and the state employee health plan to comply with prosthetic and orthotic device coverage requirements; provide that the Act applies to health benefit plans issued or renewed on or after January 1, 2027; EFFECTIVE, January 1, 2027.

Statutes affected:
Introduced: 164.2871, 18A.225