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Bill > SB93


KY SB93

AN ACT relating to coverage for hearing loss.


summary

Introduced
02/04/2025
In Committee
03/12/2025
Crossed Over
03/06/2025
Passed
Dead
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)

Last Action

2nd reading, to Rules (on 03/13/2025)

bill text


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bill summary

Document Type Source Location
State Bill Page https://apps.legislature.ky.gov/record/25RS/sb93.html
House Committee Amendment 1 https://apps.legislature.ky.gov/recorddocuments/bill/25RS/SB93/HCA1.pdf
State Employee Health Plan Impact to House Committee Substitute 1 https://apps.legislature.ky.gov/recorddocuments/note/25RS/sb93/HCS1SP.pdf
Local Mandate to House Committee Substitute 1 https://apps.legislature.ky.gov/recorddocuments/note/25RS/sb93/HCS1LM.pdf
Health Mandate to House Committee Substitute 1 https://apps.legislature.ky.gov/recorddocuments/note/25RS/sb93/HCS1HM.pdf
Actuarial Analysis to House Committee Substitute 1 https://apps.legislature.ky.gov/recorddocuments/note/25RS/sb93/HCS1AA.pdf
House Committee Substitute 1 https://apps.legislature.ky.gov/recorddocuments/bill/25RS/SB93/HCS1.pdf
Local Mandate Fiscal Impact for HCS1 https://apps.legislature.ky.gov/recorddocuments/note/25RS/sb93/HCS1LM.pdf
BillText https://apps.legislature.ky.gov/recorddocuments/bill/25RS/sb93/bill.pdf
Vote History for SB93 https://apps.legislature.ky.gov/record/25RS/sb93/vote_history.pdf
State Employee Health Plan Impact to Senate Committee Substitute 1 https://apps.legislature.ky.gov/recorddocuments/note/25RS/sb93/SCS1SP.pdf
Local Mandate to Senate Committee Substitute 1 https://apps.legislature.ky.gov/recorddocuments/note/25RS/sb93/SCS1LM.pdf
Health Mandate to Senate Committee Substitute 1 https://apps.legislature.ky.gov/recorddocuments/note/25RS/sb93/SCS1HM.pdf
Actuarial Analysis to Senate Committee Substitute 1 https://apps.legislature.ky.gov/recorddocuments/note/25RS/sb93/SCS1AA.pdf
Senate Committee Substitute 1 https://apps.legislature.ky.gov/recorddocuments/bill/25RS/SB93/SCS1.pdf
Local Mandate Fiscal Impact for SCS1 https://apps.legislature.ky.gov/recorddocuments/note/25RS/sb93/SCS1LM.pdf
Fiscal Note for SB93 https://apps.legislature.ky.gov/recorddocuments/note/25RS/sb93/FN.pdf
BillText https://apps.legislature.ky.gov/recorddocuments/bill/25RS/sb93/orig_bill.pdf
Local Mandate Fiscal Impact https://apps.legislature.ky.gov/recorddocuments/note/25RS/sb93/LM.pdf
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