republic-os/legislation/us/states/ky/2026rs/hb-176.md

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

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
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)	bill	Actuarial Analysis Administrative Regulations And Proceedings Effective Dates Delayed Health And Medical Services Health Benefit Plan Mandate Insurance Health Local Mandate Medicaid Reports Mandated State Agencies State Employee Health Plan Mandate State Employees	enacted	B. Chester-Burton B. McCool C. Aull D. Grossberg K. Moser R. Duvall S. Stalker	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	legislation bill us-ky

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.

1. Introduced (filed) — source
2. Acts Chapter 102 (committee substitute) — source
3. 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).