summary
Introduced
02/04/2025
02/04/2025
In Committee
03/12/2025
03/12/2025
Crossed Over
03/06/2025
03/06/2025
Passed
Dead
03/28/2025
03/28/2025
Introduced Session
Potential new amendment
2025 Regular Session
Bill Summary
Amend KRS 304.17A-132 to modify coverage requirements for hearing aids and related services; amend KRS 304.17A-131 to modify coverage requirements for cochlear implants; amend KRS 205.522, 205.6485, 164.2871, and 18A.225 to require 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 coverage requirements for hearing aids and related services and cochlear implants; provide that various sections apply to health benefit plans issued or renewed on or after January 1, 2026; establish construction of certain provisions for purposes of federal law and require state officials to comply; require the Department of Insurance to determine whether the coverage requirements for hearing aids and related services or cochlear implants would be in addition to essential health benefits required under federal law; require the Department of Insurance and the Cabinet for Health and Family Services to obtain federal waivers or approval, if necessary; EFFECTIVE, January 1, 2026.
AI Summary
This bill aims to enhance health insurance coverage for hearing loss by modifying requirements for hearing aids and cochlear implants in Kentucky. Specifically, the bill mandates that health benefit plans provide coverage for hearing aids without cost sharing for children, with a minimum coverage amount of $2,500 per hearing aid every 36 months. For cochlear implants, the bill requires coverage that is at least equivalent to federal Medicare standards, ensuring that individuals with hearing loss have access to necessary medical devices. The bill applies to various health plans, including Medicaid, the Kentucky Children's Health Insurance Program (KCHIP), self-insured employer group plans for state postsecondary educational institutions, and the state employee health plan. The legislation also includes provisions for the Department of Insurance to review and potentially adjust coverage amounts annually and to seek federal waivers if necessary to implement the new requirements. The changes will take effect on January 1, 2026, and apply to health benefit plans issued or renewed on or after that date, with the goal of improving access to hearing-related medical care for Kentucky residents.
Committee Categories
Budget and Finance, Health and Social Services
Sponsors (6)
Karen Berg (D)*,
Danny Carroll (R),
Don Douglas (R),
Stephen Meredith (R),
Gerald Neal (D),
David Yates (D),
Last Action
2nd reading, to Rules (on 03/13/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
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