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KY SB201

KY SB201
AN ACT relating to Medicaid coverage for evaluation and management services.


summary

Introduced
02/13/2026
In Committee
02/13/2026
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

Create a new section of KRS Chapter 205 to require the Department for Medicaid Services and Medicaid managed care organizations to cover evaluation and management services; prohibit the department or managed care organizations from limiting coverage for evaluation and management services to fewer than 2 units per physician, per recipient, per date of service; require the Cabinet for Health and Family Services or the Department for Medicaid Services to seek federal approval if it is determined that such approval is necessary; provide authorization from the General Assembly to make changes in the Medicaid program as required under KRS 205.5372(1).

AI Summary

This bill mandates that the Department for Medicaid Services and any private insurance companies contracted to manage Medicaid services must cover "evaluation and management services," which are standard medical services doctors use to assess a patient's condition and plan treatment. Crucially, it prohibits these entities from limiting coverage to fewer than two such service units per doctor, per patient, per day, ensuring a minimum level of access to these essential medical assessments. If federal approval is needed to implement these changes, the Cabinet for Health and Family Services or the Department for Medicaid Services is required to seek it within 90 days and can only delay implementation until that approval is granted, providing context that these changes are authorized by the General Assembly for the Medicaid program.

Sponsors (1)

Last Action

to Committee on Committees (S) (on 02/13/2026)

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