Summary of Original Version

Create a new section of KRS Chapter 211 to establish the Kentucky maternal psychiatry access program, also known as the Kentucky Lifeline for Moms; establish duties and responsibilities of the program; direct that the program shall be operated by the Department for Public Health, Division of Maternal and Child Health; amend KRS 211.122 to establish that the collaborative panel related to maternal and infant health shall be renamed the Kentucky maternal and infant health collaborative; establish formal membership of the collaborative; require that the collaborative annually review the operations of the new Kentucky maternal psychiatry access program; amend KRS 211.690, related to the Health Access Nurturing Development Services program to require the HANDS program provide information related to lactation consultation, breastfeeding, and safe sleep for babies; establish that the program participants shall participate in the home visitation program through in-person face-to-face methods or through tele-service delivery methods; create a new section of Subtitle 17A of KRS Chapter 304 to require insurers and any exchange to provide a special enrollment period for pregnant individuals; specify requirements for the coverage; require group plan insurers to provide notice of special enrollment rights; amend KRS 304.17A-145 to require health benefit plans that provide coverage for dependents to provide coverage for maternity care; amend KRS 304.17A-220 and 194A.099 to conform with the special enrollment requirement; amend KRS 18A.225 and 164.2871 to require the state employee health plan and self-insured state postsecondary education institution group health plans to comply with the special enrollment and maternity coverage requirements; amend KRS 205.522 to require Medicaid coverage of maternity services; amend KRS 205.592 to allow Medicaid income limit for certain women and children to be increased under certain circumstances; amend KRS 205.6485 to require Kentucky Children’s Health Insurance Program to provide maternity coverage; create a new section of KRS Chapter 205 to require the Department for Medicaid Services and any managed care organization with whom the department contracts for the delivery of Medicaid services to provide coverage for lactation consultation and breastfeeding equipment; require the Cabinet for Health and Family Services to apply for a Medicaid waiver if potential cost defrayment or loss of federal funds is identified; require the Cabinet for Health and Family Services to study doula certification programs nationally; EFFECTIVE, in part, January 1, 2025.

Summary of Amendment: House Committee Substitute 1

Summary Retain original provisions; amend KRS 211.122 to add two additional members to the newly established Kentucky maternal and infant health collaborative; amend KRS 304.17A-145 to define "in-home program" and "telehealth"; establish health insurance coverage for an in-home program and telehealth services; amend new section of KRS Chapter 205 to define "in-home program" and "telehealth"; establish health insurance coverage for an in-home program and telehealth services; make technical corrections; effective January 1, 2025.

Summary of Amendment: House Floor Amendment 1 -- K. Moser

Summary Amend pregnancy special enrollment period requirement to apply to individual health plans except short term duration plans; amend maternity coverage requirement to remove application to short term duration plans and to exclude grandfathered group health benefit plans; provide that the state employee health plan and self-insured employer group health plans provided by state postsecondary education institutions to their employees shall provide a pregnancy special enrollment period.

Summary of Amendment: Senate Committee Substitute 1

Summary Retain original provisions; create a new section of KRS Chapter 216 to require all hospitals offering obstetric services and alternative birthing centers to provide or make referrals for perinatal palliative care; create a new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to provide coverage for perinatal palliative care; amend KRS 164.2871, 205.522, 205.6485, and 18A.225 to require self-insured employer group health plans provided by the governing board of a state postsecondary institution to its employees, Medicaid, the Kentucky Children's Health Insurance Program, and the state employee health plan to comply with the new section on perinatal palliative care; make technical corrections; amend KRS 405.075 to change the definition of "newborn safety device" related to the continuous staffing requirement; amend KRS 156.095 to require information on the Safe Haven Baby Boxes Crisis Line to be posted in public schools; provide that part of the Act may be cited as the Love Them Both Part II Act; EFFECTIVE, in part, January 1, 2025.

Summary of Amendment: Senate Floor Amendment 1 -- D. Yates

Summary Create a new section of KRS Chapter 311 to define "fatal fetal anomaly"; permit a physician to terminate a pregnancy if the pregnancy is complicated by a fatal fetal anomaly.

Summary of Amendment: Senate Floor Amendment 2 -- D. Harper Angel

Summary Delete definition of "baby" and replace with definition of "fetus".

Summary of Amendment: Senate Floor Amendment 3 -- D. Harper Angel

Summary Retain original provisions; create a new section of KRS Chapter 311 to provide for the termination of a pregnancy if it is the good faith belief of the physician that the pregnancy is the result of rape or incest.

Summary of Amendment: Senate Floor Amendment 4 -- D. Harper Angel

Summary Retain original provisions; create a new section of KRS Chapter 311 to provide for the termination of a pregnancy if it is the good faith belief of the physician that the pregnancy is the result of rape or incest.

Summary of Amendment: Senate Floor Amendment 5 -- D. Yates

Summary Create a new section of KRS Chapter 311 to define "fatal fetal anomaly"; permit a physician to terminate a pregnancy if the pregnancy is complicated by a fatal fetal anomaly.

Statutes affected:
Introduced: 211.122, 211.690, 194A.099, 205.522, 205.592, 205.6485
House Committee Substitute 1: 211.122, 211.690, 194A.099, 205.522, 205.592, 205.6485
Senate Committee Substitute 1: 211.122, 211.690, 194A.099, 205.522, 205.592, 205.6485, 405.075, 156.095
Current: 211.122, 211.690, 194A.099, 205.522, 205.592, 205.6485