Bill > HB236

This bill requires health benefit plans in Kentucky to provide coverage for epinephrine devices, which are single-use devices used to administer a premeasured dose of epinephrine, typically for emergency allergic reactions. The bill mandates that all health benefit plans must cover at least two medically necessary epinephrine devices for covered persons, with a cap on annual out-of-pocket costs of $100. The requirement will apply to various health insurance programs, including Medicaid, the Kentucky Children's Health Insurance Program (KCHIP), self-insured employer group health plans for state postsecondary education institutions, and the state employee health plan. The bill includes a provision that if covering epinephrine devices would cause a health plan to no longer qualify as a Health Savings Account-qualified High Deductible Health Plan, the requirement would not apply until the plan's minimum deductible is met. The new coverage requirements will take effect for health benefit plans issued or renewed on or after January 1, 2026, and the Department of Insurance is required to determine whether the coverage requirement would be in addition to essential health benefits under federal law, with provisions for seeking federal approval if necessary.

Budget and Finance, Business and Industry

https://apps.legislature.ky.gov/record/25RS/hb236.html