Fabio
7.2 KiB
type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags
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| Bill | AN ACT relating to prior authorization. | Create new sections of KRS 304.17A-600 to 304.17A-633 to define terms; prohibit insurers of health benefit plans from requiring prior authorization for a health care service for which the provider has an exemption; require insurers of health benefit plans to establish a program under which participating providers may qualify for exemptions from prior authorization; establish mandatory and permitted provisions of an insurer's prior authorization exemption program; establish requirements for sending forms and notices; require the commissioner of the Department of Insurance to submit an annual report relating to prior authorization, provide a detailed briefing upon request, and promulgate administrative regulations; amend KRS 304.17A-605 to conform; amend KRS 304.17A-611 to prohibit conducting a retrospective review that is based solely on a participating provider having a prior authorization exemption; provide that certain utilization review time frames do not apply to retrospective reviews conducted for the purposes of determining eligibility for a prior authorization exemption; create a new section of KRS Chapter 205 to require the commissioner of the Department for Medicaid Services to submit an annual report relating to prior authorization, provide a detailed briefing upon request, and promulgate administrative regulations; amend KRS 205.536 to conform; apply the provisions to contracts delivered, entered, renewed, extended, or amended on or after January 1, 2028; EFFECTIVE, in part, January 1, 2027, and January 1, 2028. | us/states/ky | Kentucky General Assembly | 2026RS | HB 176 | Kentucky HB 176 (2026RS) |
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enacted |
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3 | 23 | 2 | 2026-01-07T05:00:00+00:00 | 2026-04-13T04:00:00+00:00 | openstates | ocd-bill/5f79524c-7da3-429c-b263-f7dd71242db5 | https://apps.legislature.ky.gov/record/26RS/hb176.html | 2a980a676f6c8a047296b2cf983a92a28545631e3a11b2619e3c7d5ec20eec04 | 2026-07-01 | https://data.openstates.org/daily/2026-07-01/public.pgdump | 2026-07-06 | reported |
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Kentucky HB 176 (2026RS) — AN ACT relating to prior authorization.
Create new sections of KRS 304.17A-600 to 304.17A-633 to define terms; prohibit insurers of health benefit plans from requiring prior authorization for a health care service for which the provider has an exemption; require insurers of health benefit plans to establish a program under which participating providers may qualify for exemptions from prior authorization; establish mandatory and permitted provisions of an insurer's prior authorization exemption program; establish requirements for sending forms and notices; require the commissioner of the Department of Insurance to submit an annual report relating to prior authorization, provide a detailed briefing upon request, and promulgate administrative regulations; amend KRS 304.17A-605 to conform; amend KRS 304.17A-611 to prohibit conducting a retrospective review that is based solely on a participating provider having a prior authorization exemption; provide that certain utilization review time frames do not apply to retrospective reviews conducted for the purposes of determining eligibility for a prior authorization exemption; create a new section of KRS Chapter 205 to require the commissioner of the Department for Medicaid Services to submit an annual report relating to prior authorization, provide a detailed briefing upon request, and promulgate administrative regulations; amend KRS 205.536 to conform; apply the provisions to contracts delivered, entered, renewed, extended, or amended on or after January 1, 2028; EFFECTIVE, in part, January 1, 2027, and January 1, 2028.
Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
- Introduced (filed) — source
- Acts Chapter 102 (committee substitute) — source
- Current/Final (committee substitute) — source
Votes
- Pass — 89–1 (pass) · lower
- PASS HB 176 — 38–0 (pass) · lower
Sponsors
- B. Chester-Burton — primary (person)
- B. McCool — primary (person)
- C. Aull — primary (person)
- D. Grossberg — primary (person)
- K. Moser — primary (person)
- R. Duvall — primary (person)
- S. Stalker — 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 - 2026-01-12T05:00:00+00:00 to Banking & Insurance (H)
referral-committee - 2026-01-14T05:00:00+00:00 reported favorably, 1st reading, to Calendar
committee-passage - 2026-01-15T05:00:00+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 89-1
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 - 2026-03-18T04:00:00+00:00 reported favorably, 1st reading, to Consent Calendar
committee-passage - 2026-03-19T04:00:00+00:00 2nd reading, to Rules as a consent bill
reading-2 - 2026-03-26T04:00:00+00:00 floor amendment (1) filed
amendment-introduction - 2026-03-26T04:00:00+00:00 posted for passage in the Regular Orders of the Day for Friday, March 27 2026
- 2026-03-27T04:00:00+00:00 passed over and retained in the Orders of the Day
passage - 2026-03-31T04:00:00+00:00 3rd reading
reading-3 - 2026-03-31T04:00:00+00:00 Floor Amendment (1) withdrawn
- 2026-03-31T04:00:00+00:00 passed 38-0
passage - 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. 102)
executive-signature
Source
OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/5f79524c-7da3-429c-b263-f7dd71242db5. Confidence: reported (aggregated from official Kentucky legislature records).