---
type: "Bill"
title: "AN ACT relating to the psychiatric collaborative care model."
description: "Create a new section of KRS 304.17A-660 to 304.17A-669 to define \"psychiatric collaborative care model\"; require the commissioner of insurance to promulgate and maintain an administrative regulation to list alterations and additions to relevant billing codes; require health benefit plans that provide coverage for treatment of a mental health condition to provide reimbursement for those benefits that are delivered through the psychiatric collaborative care model; authorize insurers to deny any benefit billed under a covered billing code on grounds of medical necessity if certain conditions are met; apply requirement to health benefit plans issued, delivered, or renewed on or after January 1, 2027; require the Department of Insurance to seek a federal waiver if cost defrayal is determined."
jurisdiction: "us/states/ky"
legislature: "Kentucky General Assembly"
session: "2026RS"
identifier: "HB 178"
citation: "Kentucky HB 178 (2026RS)"
classification: ["bill"]
subjects: ["Administrative Regulations And Proceedings", "Federal Laws And Regulations", "Health And Medical Services", "Health Benefit Plan Mandate", "Insurance", "Health", "Local Mandate", "Mental Health"]
status: "enacted"
primary_sponsors: ["B. McCool", "D. Grossberg", "K. Moser"]
version_count: 3
action_count: 19
vote_count: 2
first_action: "2026-01-07T05:00:00+00:00"
last_action: "2026-04-13T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/288b4f0c-7d49-486c-ac2d-58ad60fe94fb"
source_url: "https://apps.legislature.ky.gov/record/26RS/hb178.html"
source_hash: "601d3d15c07184ea823570451c9972198141e1b238ec30d6ab23518355a6a6b6"
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 178 (2026RS) — AN ACT relating to the psychiatric collaborative care model.

Create a new section of KRS 304.17A-660 to 304.17A-669 to define "psychiatric collaborative care model"; require the commissioner of insurance to promulgate and maintain an administrative regulation to list alterations and additions to relevant billing codes; require health benefit plans that provide coverage for treatment of a mental health condition to provide reimbursement for those benefits that are delivered through the psychiatric collaborative care model; authorize insurers to deny any benefit billed under a covered billing code on grounds of medical necessity if certain conditions are met; apply requirement to health benefit plans issued, delivered, or renewed on or after January 1, 2027; require the Department of Insurance to seek a federal waiver if cost defrayal is determined.

## 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/26RS/hb178/orig_bill.pdf)
2. **Acts Chapter 103** (committee substitute) — [source](https://apps.legislature.ky.gov/law/acts/26RS/documents/0103.pdf)
3. **Current/Final** (committee substitute) — [source](https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb178/bill.pdf)

## Votes

- CONSENT PASSAGE OF HB 178 — **38–0** (pass) · lower
- Pass — **93–0** (pass) · lower

## Sponsors

- B. McCool — primary (person)
- D. Grossberg — primary (person)
- K. Moser — primary (person)

## Timeline

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

- **2026-01-07T05:00:00+00:00** introduced in House `introduction`
- **2026-01-07T05:00:00+00:00** to Committee on Committees (H) `referral-committee`
- **2026-01-13T05:00:00+00:00** to Health Services (H) `referral-committee`
- **2026-01-15T05:00:00+00:00** reported favorably, 1st reading, to Calendar `committee-passage`
- **2026-01-16T05:00:00+00:00** 2nd reading, to Rules `reading-2`
- **2026-01-16T05:00:00+00:00** posted for passage in the Regular Orders of the Day for Tuesday, January 20, 2026
- **2026-01-21T05:00:00+00:00** 3rd reading, passed 93-0 `passage, reading-3`
- **2026-01-22T05:00:00+00:00** received in Senate
- **2026-01-22T05:00:00+00:00** to Committee on Committees (S) `referral-committee`
- **2026-03-16T04:00:00+00:00** to Health Services (S) `referral-committee`
- **2026-03-25T04:00:00+00:00** reported favorably, 1st reading, to Consent Calendar `committee-passage`
- **2026-03-26T04:00:00+00:00** 2nd reading, to Rules as a consent bill `reading-2`
- **2026-03-26T04:00:00+00:00** posted for passage in the Consent Orders of the Day for Friday, March 27 2026
- **2026-03-31T04:00:00+00:00** 3rd reading, passed 38-0 `passage, reading-3`
- **2026-03-31T04:00:00+00:00** received in House
- **2026-04-01T04:00:00+00:00** enrolled, signed by Speaker of the House `passage`
- **2026-04-01T04:00:00+00:00** enrolled, signed by President of the Senate `passage`
- **2026-04-01T04:00:00+00:00** delivered to Governor
- **2026-04-13T04:00:00+00:00** signed by Governor (Acts Ch. 103) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/288b4f0c-7d49-486c-ac2d-58ad60fe94fb`. Confidence: reported (aggregated from official Kentucky legislature records).