Bill

Bill > SB212


KY SB212

KY SB212
AN ACT relating to mental health coverage and declaring an emergency.


summary

Introduced
02/19/2026
In Committee
02/19/2026
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

Amend KRS 304.17A-660 to define "health professional"; amend KRS 304.17A-661 to require that annual mental health parity reports be submitted to the Legislative Research Commission on or before June 1 of each year for referral to certain committees and be published by the insurance commissioner on the Department of Insurance's website; require insurers to have an independent audit conducted to evaluate mental health parity compliance upon request of the commissioner or Attorney General; require the commissioner to establish and operate a hotline that allows health professionals and insureds to submit complaints regarding mental health parity compliance; prohibit insurers from retaliating against a health professional for submitting a complaint; authorize the Attorney General to enforce the mental health parity law; establish duties, remedies, and penalties for enforcement by the Attorney General; authorize a private cause of action by any person directly injured by a violation or likely violation of the mental health parity law; establish duties, remedies, and penalties for a private right of action under the mental health parity law; establish construction clauses; authorize the Attorney General to promulgate administrative regulations for proper enforcement of mental health parity law; create a new section of KRS 304.17A-660 to 304.17A-669 to establish requirements for review criteria used by insurers to determine the medical necessity and appropriateness of a claim submitted for the diagnosis or treatment of a mental health condition; require that the review criteria be publicly available on the insurer's website; require insurers to comply with KRS 304.17A-600 to 304.17A-633 with respect to claims submitted by health professionals for the diagnosis of treatment of mental health conditions except as provided in the section; amend KRS 304.17A-617 and 304.17A-623 to conform; amend KRS 205.522 to require the Department for Medicaid Services, Medicaid managed care organizations, and the state' medical assistance program to comply with mental health parity law; 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; provide authorization from the General Assembly to make changes as required under KRS 205.5372(1); EFFECTIVE, in part, January 1, 2027; EMERGENCY.

AI Summary

This bill strengthens mental health parity laws by defining "health professional" and requiring insurers to submit annual mental health parity reports to the Legislative Research Commission by June 1st each year, with the reports also being published on the Department of Insurance's website. It mandates that insurers undergo independent audits of their mental health parity compliance upon request by the Insurance Commissioner or Attorney General, and establishes a hotline for health professionals and insured individuals to report complaints about parity compliance, prohibiting insurer retaliation against those who file complaints. The Attorney General is empowered to enforce these mental health parity laws, with defined duties, remedies, and penalties, and individuals directly harmed by violations can pursue private legal action. The bill also sets new requirements for how insurers review claims for mental health conditions, ensuring their criteria are clinically specified, publicly available, and align with generally accepted standards of care, and requires that these new provisions apply to health benefit plans issued or renewed on or after January 1, 2027, with some sections taking effect immediately due to an declared emergency. Furthermore, it extends these mental health parity requirements to the state's Medicaid program, including managed care organizations, and allows for necessary federal approvals to be sought to ensure compliance and avoid loss of federal funds.

Sponsors (1)

Last Action

to Committee on Committees (S) (on 02/19/2026)

bill text


bill summary

Loading...

bill summary

Loading...
Loading...