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SB97Introduced in the Senate

AN ACT relating to coverage for prostheses and orthoses.

Passed

Introduced by Rick Girdler, District 15

What does this bill do?

Plain-English breakdown

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Official description

Create a new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to provide coverage for prostheses and orthoses; establish minimum requirements for the required coverage; require utilizations review decisions to be made in a nondiscriminatory manner; require an insurer or its private review agent to provide notice of certain rights of the insured; establish notice requirements for denials; establish network adequacy requirements for the provision of a prosthesis or orthosis that is required to be covered; establish reporting requirements for insurers and the commissioner of the Department of Insurance relating to the required coverage; amend KRS 164.2871 and 18A.225 to require self-insured group health plans offering by the governing board of state postsecondary education institutions and the state employee health plan to comply with the requirements relating to coverage for prostheses and orthoses; provide that the Act applies to health benefit plans issued or renewed on or after January 1, 2027; EFFECTIVE January 1, 2027.

Where it stands

signed by Governor (Acts Ch. 51)

April 7, 2026

How did lawmakers vote?

House votes

1 recorded vote · each counted separately

Senate votes

2 recorded votes · each counted separately

SenateStage: Senate: Third Reading RSN# 4079 · 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

Bill history

  1. introduced in Senate

  2. to Committee on Committees (S)

  3. to Banking & Insurance (S)

  4. reported favorably, 1st reading, to Calendar with Committee Substitute (1)

  5. 2nd reading, to Rules

  6. posted for passage in the Regular Orders of the Day for Thursday, March 12 2026

  7. 3rd reading, passed 38-0 with Committee Substitute (1)

  8. received in House

  9. to Committee on Committees (H)

  10. to Banking & Insurance (H)

  11. reported favorably, 1st reading, to Calendar with Committee Substitute (1)

  12. 2nd reading, to Rules

  13. posted for passage in the Regular Orders of the Day for Friday, March 27 2026

  14. floor amendment (1) filed to Committee Substitute

  15. Committee Substitute (1) adopted

  16. floor amendment (1) adopted

  17. 3rd reading, passed 95-0 with Committee Substitute (1) and Floor Amendment (1)

  18. received in Senate

  19. to Rules (S)

  20. posted for passage for concurrence in House Floor Amendment (1) and Committee Substitute (1)

  21. Senate concurred in Committee Substitute (1) and Floor Amendment (1)

  22. passed 38-0

  23. enrolled, signed by President of the Senate

  24. enrolled, signed by Speaker of the House

  25. delivered to Governor

  26. signed by Governor (Acts Ch. 51)

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