summary
Introduced
02/18/2026
02/18/2026
In Committee
02/18/2026
02/18/2026
Crossed Over
Passed
Dead
Introduced Session
2026 Regular Session
Bill Summary
Amend KRS 304.17C-085 to modify the definition of "covered services" to exclude services and materials for which reimbursement would be available but for the application of the enrollee's contractual limitation of an annual maximum benefit; prohibit contractual waivers; make technical amendments; direct that the Act applies to contracts issued or renewed on or after the effective date of the Act.
AI Summary
This bill modifies the definition of "covered services" within limited health service benefit plans, which are types of insurance plans that offer a specific set of health services. Specifically, it clarifies that "covered services" include those for which reimbursement would normally be provided, even if that reimbursement is currently limited by things like deductibles, copayments, or frequency limits, but it explicitly excludes services and materials that would be reimbursed except for an annual maximum benefit limit. The bill also prohibits contractual waivers of these provisions, meaning that insurance plan contracts cannot override these new rules, and any contract attempting to do so will be considered void. These changes will apply to all such insurance contracts that are issued or renewed on or after the bill's effective date.
Sponsors (1)
Last Action
to Committee on Committees (H) (on 02/18/2026)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://apps.legislature.ky.gov/record/26RS/hb655.html |
| BillText | https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb655/orig_bill.pdf |
| Local Mandate Fiscal Impact | https://apps.legislature.ky.gov/recorddocuments/note/26RS/hb655/LM.pdf |
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