AN ACT relating to consumer protections in health insurance.
Summary of Original Version
Create a new section of Subtitle 17A of KRS Chapter 304 to define terms; establish health-status eligibility rules for health benefit plans in any market; prohibit requiring a greater premium or contribution, or different benefits coverage, on the basis of any health status-related factor; prohibit pre-existing condition exclusions; require coverage for essential health benefits; prohibit insurers from establishing lifetime or annual limits on essential health benefits; require coverage for dependent children until age 26; prohibit adjustment of premium or contribution amounts for group health plans on the basis of genetic information; require the commissioner of insurance to define essential health benefits; establish when the section controls; establish opt-in for health plans not otherwise required to comply with requirements of section; establish that the section applies to health benefit plans and health plan opt-ins on or after the date as established under that section; amend various statutes to conform; amend KRS 18A.225 and 164.2871 to require the state employee health plan and state postsecondary education institution self-insured employer group health plans to comply with Section 1 of the Act.
Introduced .pdf (173.01 KB)
Index Headings of Original Version
State postsecondary education institution self-insured employer plans, health plan coverage
Health benefit plan coverage, parity with federal law
Health benefit plans, health benefits coverage
Health benefit plans, insurance eligibility and parity requirements, health status-related factors
State employee health plan, health plan coverage
Department of Insurance, essential health benefits definition
- Prefiled by the sponsor(s).
- introduced in House