Kentucky 2026 Regular Session Status: Enacted Bipartisan · 2 R · 1 D cosponsors

HB 178 — AN ACT relating to the psychiatric collaborative care model.

Last action — signed by Governor (Acts Ch. 103)

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 07, 2026. Enacted.

Signed by Governor Andy Beshear (Democratic) on April 13, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 92% · high confidence

  • Enacted

    Current position in the legislative process.

  • 3 sponsors

    3 primary, 0 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (2 R · 1 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Create a new section of KRS 304.17A-660 to 304.17A-669 to define "psychiatric collaborative care model"; require the commissioner of insurance to promulgate and maintain an administrative regulation to list alterations and additions to relevant billing codes; require health benefit plans that provide coverage for treatment of a mental health condition to provide reimbursement for those benefits that are delivered through the psychiatric collaborative care model; authorize insurers to deny any benefit billed under a covered billing code on grounds of medical necessity if certain conditions are met; apply requirement to health benefit plans issued, delivered, or renewed on or after January 1, 2027; require the Department of Insurance to seek a federal waiver if cost defrayal is determined.

Bill Text

What changed in the latest version

44 added · 54 removed

Plain-language change summary

The updated version of HB 178 adds specific administrative steps regarding the psychiatric collaborative care model, including the requirement for the commissioner to maintain a list of any changes to certain billing codes. This enhancement ensures that health benefit plans adequately cover this evidence-based model for behavioral health services. These changes are important because they aim to streamline the process for healthcare providers, making it easier for them to get reimbursed for delivering these crucial services.

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UNOFFICIAL COPY 26 RS HB 178/GA AN ACT relating to the psychiatric collaborative care model.
CHAPTER 103 1 CHAPTER 103 ( HB 178 ) AN ACT relating to the psychiatric collaborative care model.
Means the evidence-based, integrated behavioral health service delivery method described in 81 Fed.
Means the evidence-based, integrated behavioral health service delivery method described in Fed.
(2) Except as provided in subsection (3) of this section, all health benefit plans that Page 1 of 2 HB017810.100 - 122 - XXXX 1/21/2026 2:50 PM GA UNOFFICIAL COPY 26 RS HB 178/GA provide coverage for treatment of a mental health condition shall provide reimbursement for those benefits that are delivered through the psychiatric collaborative care model.
(2) Except as provided in subsection (3) of this section, all health benefit plans that provide coverage for treatment of a mental health condition shall provide reimbursement for those benefits that are delivered through the psychiatric collaborative care model.
300gg- 26, as amended, and any related federal regulations, as amended;
300gg-26, as amended, and any related federal regulations, as amended;
Page 2 of 2 HB017810.100 - 122 - XXXX 1/21/2026 2:50 PM GA
Signed by Governor April 13, 2026.
Legislative Research Commission PDF Version
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View plain text versions (3)

Action History

  1. signed by Governor (Acts Ch. 103)

  2. delivered to Governor

  3. enrolled, signed by President of the Senate

  4. enrolled, signed by Speaker of the House

  5. received in House

  6. 3rd reading, passed 38-0

  7. posted for passage in the Consent Orders of the Day for Friday, March 27 2026

  8. 2nd reading, to Rules as a consent bill

  9. reported favorably, 1st reading, to Consent Calendar

  10. to Health Services (S)

  11. to Committee on Committees (S)

  12. received in Senate

  13. 3rd reading, passed 93-0

  14. posted for passage in the Regular Orders of the Day for Tuesday, January 20, 2026

  15. 2nd reading, to Rules

  16. reported favorably, 1st reading, to Calendar

  17. to Health Services (H)

  18. to Committee on Committees (H)

  19. introduced in House

Sponsors

Sponsorship breakdown

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3 sponsors · 0 co-sponsors · 135 not signed on

Sponsors (3)

Co-sponsors (0)

None.

Not signed on (135)

135 members have not signed on to this bill.

Show all 135 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

CONSENT PASSAGE OF HB 178

Passed 38 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 5000
Republican 33000
Total 38000
% of votes cast 100%0%0%0%
How each member voted (38)
Member Party Vote
Cassie Chambers Armstrong Democrat Yea
Gary Clemons Democrat Yea
Gerald A. Neal Democrat Yea
Karen Berg Democrat Yea
Keturah J. Herron Democrat Yea
Aaron Reed Republican Yea
Amanda Mays Bledsoe Republican Yea
Brandon J. Storm Republican Yea
Christian McDaniel Republican Yea
Craig Richardson Republican Yea
Danny Carroll Republican Yea
David P. Givens Republican Yea
Donald Douglas Republican Yea
Gary Boswell Republican Yea
Greg Elkins Republican Yea
Jared Carpenter Republican Yea
Jason Howell Republican Yea
Jason Nemes Republican Yea
Jimmy Higdon Republican Yea
Julie Raque Adams Republican Yea
Lindsey Tichenor Republican Yea
Matt Nunn Republican Yea
Matthew Deneen Republican Yea
Max Wise Republican Yea
Michael Meredith Republican Yea
Nick Wilson Republican Yea
Phillip Wheeler Republican Yea
Rick Girdler Republican Yea
Robby Mills Republican Yea
Robert Stivers Republican Yea
Robin L. Webb Republican Yea
Scott Madon Republican Yea
Shelley Funke Frommeyer Republican Yea
Stephen West Republican Yea
Steve Rawlings Republican Yea
Tom Smith Republican Yea
Wade Williams Republican Yea
Walker Thomas Republican Yea

Official roll call →

Pass

Passed 93 Yea · 0 Nay · 7 Other
Party YeaNayPresentNot Voting
Democrat 18002
Republican 74005
Unaffiliated 1000
Total 93007
% of votes cast 93%0%0%7%
How each member voted (100)
Member Party Vote
Lewis C — Yea
Adam Moore Democrat Yea
Adrielle Camuel Democrat Yea
Al Gentry Democrat Yea
Anne Gay Donworth Democrat Yea
Ashley Tackett Laferty Democrat Yea
Beverly Chester-Burton Democrat Yea
Chad Aull Democrat Yea
Daniel Grossberg Democrat Yea
Erika Hancock Democrat Yea
George Brown Jr. Democrat Yea
Joshua Watkins Democrat Yea
Lindsey Burke Democrat Yea
Lisa Willner Democrat Not Voting
Mary Lou Marzian Democrat Not Voting
Matthew Lehman Democrat Yea
Nima Kulkarni Democrat Yea
Pamela Stevenson Democrat Yea
Rachel Roarx Democrat Yea
Sarah Stalker Democrat Yea
Tina Bojanowski Democrat Yea
Aaron Thompson Republican Yea
Adam Bowling Republican Yea
Amy Neighbors Republican Yea
Bill Wesley Republican Yea
Bobby McCool Republican Yea
Candy Massaroni Republican Yea
Chris Freeland Republican Yea
Chris Fugate Republican Not Voting
DJ Johnson Republican Yea
Daniel Elliott Republican Yea
Daniel Fister Republican Yea
David Hale Republican Yea
David Meade Republican Yea
David W. Osborne Republican Yea
Deanna Gordon Republican Yea
Derek Lewis Republican Not Voting
Emily Callaway Republican Yea
Felicia Rabourn Republican Yea
J.T. Payne Republican Yea
James Tipton Republican Yea
Jared Bauman Republican Not Voting
Jason Nemes Republican Yea
Jason Petrie Republican Yea
Jennifer Decker Republican Yea
Jim Gooch Jr. Republican Not Voting
John Blanton Republican Yea
John Hodgson Republican Yea
Josh Branscum Republican Yea
Josh Bray Republican Yea
Josh Calloway Republican Yea
Ken Fleming Republican Yea
Ken Upchurch Republican Yea
Kevin Jackson Republican Yea
Kim Banta Republican Yea
Kim Holloway Republican Yea
Kim King Republican Yea
Kimberly Poore Moser Republican Yea
Marianne Proctor Republican Yea
Mark Hart Republican Yea
Mary Beth Imes Republican Yea
Matt Lockett Republican Yea
Matthew Koch Republican Yea
Michael Meredith Republican Yea
Michael Sarge Pollock Republican Yea
Mike Clines Republican Yea
Mitch Whitaker Republican Yea
Myron Dossett Republican Yea
Nancy Tate Republican Yea
Nick Wilson Republican Yea
Patrick Flannery Republican Yea
Peyton Griffee Republican Yea
Randy Bridges Republican Yea
Rebecca Raymer Republican Yea
Richard White Republican Yea
Robert Duvall Republican Yea
Ryan Bivens Republican Yea
Ryan Dotson Republican Yea
Samara Heavrin Republican Yea
Savannah Maddox Republican Yea
Scott Lewis Republican Yea
Scott Sharp Republican Yea
Shane Baker Republican Yea
Shawn McPherson Republican Yea
Stephanie Dietz Republican Yea
Steve Bratcher Republican Yea
Steve Riley Republican Yea
Steven Doan Republican Yea
Steven Rudy Republican Yea
Susan Witten Republican Yea
Suzanne Miles Republican Not Voting
T.J. Roberts Republican Yea
Thomas Huff Republican Yea
Timmy Truett Republican Yea
Tom Smith Republican Yea
Tony Hampton Republican Yea
Vanessa Grossl Republican Yea
Wade Williams Republican Yea
Walker Thomas Republican Yea
William Lawrence Republican Yea

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB 178 do?
Create a new section of KRS 304.17A-660 to 304.17A-669 to define "psychiatric collaborative care model"; require the commissioner of insurance to promulgate and maintain an administrative regulation to list alterations and additions to relevant billing codes; require health benefit plans that provide coverage for treatment of a mental health condition to provide reimbursement for those benefits that are delivered through the psychiatric collaborative care model; authorize insurers to deny any benefit billed under a covered billing code on grounds of medical necessity if certain conditions are met; apply requirement to health benefit plans issued, delivered, or renewed on or after January 1, 2027; require the Department of Insurance to seek a federal waiver if cost defrayal is determined.
Who sponsors HB 178?
HB 178 is sponsored by Bobby McCool (Republican), Daniel Grossberg (Democrat), and Kimberly Poore Moser (Republican).
What is the current status of HB 178?
This bill has been enacted into law. Introduced January 07, 2026. Enacted.
Where can I track HB 178?
Track HB 178 free on One Click Politics — get push/email alerts when it moves.

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