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Bill > HB244


KY HB244

KY HB244
AN ACT relating to coverage of feeding or eating disorders.


summary

Introduced
02/04/2025
In Committee
02/07/2025
Crossed Over
Passed
Dead
03/28/2025

Introduced Session

2025 Regular Session

Bill Summary

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.

AI Summary

This bill establishes comprehensive requirements for health insurance coverage of eating and feeding disorders in Kentucky, with a focus on ensuring more inclusive and compassionate treatment. The bill defines eating and feeding disorders according to the Diagnostic and Statistical Manual of Mental Disorders, specifically including conditions like anorexia nervosa, bulimia nervosa, and binge-eating disorder. It mandates that all health plans provide coverage for treatment of diagnosed eating and feeding disorders, and critically, prohibits health plans from using restrictive standards like body mass index (BMI) or ideal body weight when determining medical necessity or appropriate care. Instead, health plans must consider factors such as eating behaviors, need for supervised meals, laboratory results, recovery environment, and co-occurring disorders. The legislation applies to various health plans, including Medicaid, the Kentucky Children's Health Insurance Program (KCHIP), state employee health plans, and student health insurance. These new requirements will take effect for health plans issued or renewed on or after January 1, 2026, and the state will seek any necessary federal approvals to implement the changes, particularly for Medicaid and KCHIP programs.

Committee Categories

Business and Industry

Sponsors (4)

Last Action

to Banking & Insurance (H) (on 02/07/2025)

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