---
type: "Bill"
title: "AN ACT relating to fiscal impacts of health insurance mandates and declaring an emergency."
description: "Create a new section of subtitle 17A of KRS Chapter 304 to exempt qualified health plans from insurance laws that result, or would result, in a determination that the state must make payments to defray the cost of the requirements under federal law; require the Department of Insurance to apply for a waiver of any cost defrayal requirements."
jurisdiction: "us/states/ky"
legislature: "Kentucky General Assembly"
session: "2024RS"
identifier: "HB 186"
citation: "Kentucky HB 186 (2024RS)"
classification: ["bill"]
subjects: ["Federal Laws and Regulations", "Insurance", "Health", "State Agencies"]
status: "enacted"
primary_sponsors: ["J. Petrie", "M. Meredith"]
version_count: 3
action_count: 39
vote_count: 4
first_action: "2024-01-08T05:00:00+00:00"
last_action: "2024-04-09T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/9ef7b7ee-e2c2-4821-a248-17d63f27311d"
source_url: "https://apps.legislature.ky.gov/record/24RS/hb186.html"
source_hash: "7a79df75e29ee16deb22cffcb743b066a5acdf96913a0e06b0cb6b0dee0cf6f6"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ky"]
---

# Kentucky HB 186 (2024RS) — AN ACT relating to fiscal impacts of health insurance mandates and declaring an emergency.

Create a new section of subtitle 17A of KRS Chapter 304 to exempt qualified health plans from insurance laws that result, or would result, in a determination that the state must make payments to defray the cost of the requirements under federal law; require the Department of Insurance to apply for a waiver of any cost defrayal requirements.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://apps.legislature.ky.gov/recorddocuments/bill/24RS/hb186/orig_bill.pdf)
2. **Acts Chapter 120** (committee substitute) — [source](https://apps.legislature.ky.gov/law/acts/24RS/documents/0120.pdf)
3. **Current/Final** (committee substitute) — [source](https://apps.legislature.ky.gov/recorddocuments/bill/24RS/hb186/bill.pdf)

## Votes

- PASS HB 186 W/ scs1 — **pass** (pass) · lower
- Final Passage — **pass** (pass) · lower
- Pass — **pass** (pass) · lower
- FINAL PASS HB 186 W/ ccr1 — **pass** (pass) · lower

## Sponsors

- J. Petrie — primary (person)
- M. Meredith — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2024-01-08T05:00:00+00:00** introduced in House `introduction`
- **2024-01-08T05:00:00+00:00** to Committee on Committees (H) `referral-committee`
- **2024-02-13T05:00:00+00:00** to Banking & Insurance (H) `referral-committee`
- **2024-02-14T05:00:00+00:00** reported favorably, 1st reading, to Calendar with Committee Substitute (1) and Committee Amendment (1-title) `committee-passage`
- **2024-02-15T05:00:00+00:00** 2nd reading, to Rules `reading-2`
- **2024-02-16T05:00:00+00:00** posted for passage in the Regular Orders of the Day for Tuesday, February 20, 2024
- **2024-02-21T05:00:00+00:00** 3rd reading, passed 95-0 with Committee Substitute (1) and Committee Amendment (1-title) `passage, reading-3`
- **2024-02-22T05:00:00+00:00** received in Senate
- **2024-02-22T05:00:00+00:00** to Committee on Committees (S) `referral-committee`
- **2024-03-04T05:00:00+00:00** to Banking & Insurance (S) `referral-committee`
- **2024-03-21T04:00:00+00:00** reported favorably, 1st reading, to Consent Calendar with Committee Substitute (1) `committee-passage`
- **2024-03-22T04:00:00+00:00** 2nd reading, to Rules as a consent bill `reading-2`
- **2024-03-25T04:00:00+00:00** posted for passage in the Consent Orders of the Day for Tuesday, March 26, 2024
- **2024-03-26T04:00:00+00:00** floor amendment (1) filed to Committee Substitute `amendment-introduction`
- **2024-03-26T04:00:00+00:00** 3rd reading, passed 38-0 with Committee Substitute (1) `passage, reading-3`
- **2024-03-26T04:00:00+00:00** received in House
- **2024-03-26T04:00:00+00:00** to Rules (H) `referral-committee`
- **2024-03-27T04:00:00+00:00** posted for passage for concurrence in Senate Committee Substitute (1)
- **2024-03-27T04:00:00+00:00** House refused to concur in Senate Committee Substitute (1)
- **2024-03-27T04:00:00+00:00** received in Senate
- **2024-03-27T04:00:00+00:00** to Rules (S) `referral-committee`
- **2024-03-27T04:00:00+00:00** posted for passage for receding from Senate Committee Substitute (1)
- **2024-03-27T04:00:00+00:00** Senate refused to recede from Committee Substitute (1)
- **2024-03-27T04:00:00+00:00** Conference Committee appointed in House and Senate
- **2024-03-27T04:00:00+00:00** Conference Committee report filed in House
- **2024-03-28T04:00:00+00:00** Conference Committee report filed in Senate
- **2024-03-28T04:00:00+00:00** posted for passage for consideration of Conference Committee Report (1)
- **2024-03-28T04:00:00+00:00** Conference Committee report adopted in Senate
- **2024-03-28T04:00:00+00:00** passed 37-0 with Conference Committee Report (1) `passage`
- **2024-03-28T04:00:00+00:00** received in House
- **2024-03-28T04:00:00+00:00** to Rules (H) `referral-committee`
- **2024-03-28T04:00:00+00:00** taken from Rules
- **2024-03-28T04:00:00+00:00** posted for passage for consideration of Conference
- **2024-03-28T04:00:00+00:00** Conference Committee report adopted in House
- **2024-03-28T04:00:00+00:00** passed 96-2 with Conference Committee Report (1) `passage`
- **2024-03-28T04:00:00+00:00** enrolled, signed by Speaker of the House `passage`
- **2024-03-28T04:00:00+00:00** enrolled, signed by President of the Senate `passage`
- **2024-03-28T04:00:00+00:00** delivered to Governor
- **2024-04-09T04:00:00+00:00** signed by Governor (Acts Ch. 120) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9ef7b7ee-e2c2-4821-a248-17d63f27311d`. Confidence: reported (aggregated from official Kentucky legislature records).