HB176Introduced in the House
AN ACT relating to prior authorization.
Introduced by Kimberly Moser, District 64
What does this bill do?
Plain-English breakdown
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Official description
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.
Where it stands
signed by Governor (Acts Ch. 102)
April 13, 2026
How did lawmakers vote?
House votes
2 recorded votes · each counted separately
Senate votes
1 recorded vote · each counted separately
SenateStage: Senate: Third Reading RSN# 4090 · March 31, 2026
38
Yes
0
No
0
Absent or Not Voting
38 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.
See how each senator voted
| Senator | District | Vote |
|---|---|---|
| Jason Howell | 1 | Yes |
| Danny Carroll | 2 | Yes |
| Craig Richardson | 3 | Yes |
| Robert Mills | 4 | Yes |
| Stephen Meredith | 5 | Yes |
| Lindsey Tichenor | 6 | Yes |
| Aaron Reed | 7 | Yes |
| Gary Boswell | 8 | Yes |
| David Givens | 9 | Yes |
| Matthew Deneen | 10 | Yes |
Bill history
introduced in House
to Committee on Committees (H)
to Banking & Insurance (H)
reported favorably, 1st reading, to Calendar
2nd reading, to Rules
posted for passage in the Regular Orders of the Day for Tuesday, January 20, 2026
3rd reading, passed 89-1
received in Senate
to Committee on Committees (S)
to Health Services (S)
reported favorably, 1st reading, to Consent Calendar
2nd reading, to Rules as a consent bill
floor amendment (1) filed
posted for passage in the Regular Orders of the Day for Friday, March 27 2026
passed over and retained in the Orders of the Day
3rd reading
Floor Amendment (1) withdrawn
passed 38-0
received in House
enrolled, signed by Speaker of the House
enrolled, signed by President of the Senate
delivered to Governor
signed by Governor (Acts Ch. 102)
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