SB 111 — AN ACT relating to coverage for the treatment of stuttering.

UNOFFICIALCHAPTER COPY69 241 RSCHAPTER 69 ( SB 111/EN111 ) AN ACT relating to coverage for the treatment of stuttering.

Page 1 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN 1.

Not be less than the coverage required for health benefit plans under KRS 304.17A-138;304.17A- 138;

Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY Section 2.

Page 2 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN The following[KRS 304.17A-262] shall apply to limited health service benefit plans, including any limited health service contract, as defined in KRS 304.38A-010:

Page 3 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN (2) The Cabinet for Health and Family Services shall:

2.[(b)]2.[(b)]The The schedule of benefits to be covered by KCHIP[the Kentucky Children's Health Insurance Program], which shall:[ include preventive services, vision services including glasses, and dental services including at least sealants, extractions, and fillings, and which shall] a.

ii.[2.]ACHAPTER 69 3 ii.[2.] A mid-range health benefit coverage plan that is offered and generally available to state employees;

or iii.[3.] Health insurance coverage offered by a health maintenance organization that has the largest insured Page 4 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN commercial, non-Medicaid enrollment of covered lives in the state;

i.[1.] Ten dollars ($10), to be paid by a family with income between one hundred percent (100%) to one hundred thirty-thirty-three three percent (133%) of the federal poverty level;

ii.[2.]Twentyii.[2.] Twenty dollars ($20), to be paid by a family with income between one hundred thirty-four percent (134%) to one hundred forty-nine percent (149%) of the federal poverty level;

4.[(d)]4.[(d)]There There shall be no copayments for services provided under KCHIP[the Kentucky Children's Health Insurance Program];

The criteria for health services providers and insurers Page 5 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN wishing to contract with the Commonwealth to provide[ the children's health insurance] coverage under KCHIP.

Page 6 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN (a) Preventive services;

Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY Section 5.

(4) The governing board of each state postsecondary education institution is authorized Page 7 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN to provide a self-insured employer group health plan to its employees, which plan shall:

or by any city, urban-county, charter county, county, or consolidated local government, whose legislative body has opted to participate in the state-state-sponsored sponsored health insurance program pursuant to KRS 79.080;

or, in the case of a public Page 8 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN postsecondary education institution, is an individual participating in an optional retirement plan authorized by KRS 161.567;

CHAPTER 69 5 4.

and Page 9 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN (d) The term "managed care plan" for the purposes of this section means a managed care plan as defined in KRS 304.17A-500.

All employees and other persons for whom the health care coverage is provided or made available shall annually be given an option to elect health care coverage through a self-funded plan offered by the Commonwealth or, if a self-funded plan is not available, from a list of coverage options determined by the competitive bid process under the Page 10 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN provisions of KRS 45A.080, 45A.085, and 45A.090 and made available during annual open enrollment.

Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY (e) The Personnel Cabinet shall develop the necessary techniques and capabilities for timely analysis of data received from carriers and, to the extent possible, provide in the request-for-proposal specifics relating to data requirements, Page 11 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN electronic reporting, and penalties for noncompliance.

Page 12 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN (a) Wholly from funds contributed by the employee, by payroll deduction or otherwise;

(6) The policy or policies may contain the provisions with respect to the class or classes of employees covered, amounts of insurance or coverage for designated classes or groups of employees, policy options, terms of eligibility, and continuation of Page 13 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN insurance or coverage after retirement.

CHAPTER 69 7 (9) The secretary shall appoint thirty-two (32) persons to an Advisory Committee of State Health Insurance Subscribers to advise the secretary or the secretary's designee regarding the state-sponsored health insurance program for employees.

(10) Notwithstanding any other provision of law to the contrary, the policy or policies Page 14 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN provided to employees pursuant to this section shall not provide coverage for obtaining or performing an abortion, nor shall any state funds be used for the purpose of obtaining or performing an abortion on behalf of employees or their dependents.

Page 15 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN (14) The policy or policies provided to state employees or their dependents pursuant to this section shall provide coverage for obtaining a hearing aid and acquiring hearing aid-related services for insured individuals under eighteen (18) years of age, subject to a cap of one thousand four hundred dollars ($1,400) every thirty-six (36) months pursuant to KRS 304.17A-132.

(18) If a state employee's residence and place of employment are each located in counties in which the hospitals do not offer surgical services, intensive care services, obstetrical services, level II neonatal services, diagnostic cardiac catheterization services, and magnetic resonance imaging services, the employee may select a plan Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY available in a county contiguous to the county of residence that does provide those services, and the state contribution for the plan shall be the amount available in the county where the plan selected is located.

(19) The Personnel Cabinet is encouraged to study whether it is fair and reasonable and in the best interests of the state group to allow any carrier bidding to offer health Page 16 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN care coverage under this section to submit bids that may vary county by county or by larger geographic areas.

(21) Any fully insured health benefit plan or self-insured plan issued or renewed on or after July 12, 2006, to public employees pursuant to this section which provides coverage for services rendered by a physician or osteopath duly licensed under KRS Chapter 311 that are within the scope of practice of an optometrist duly licensed Page 17 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN under the provisions of KRS Chapter 320 shall provide the same payment of coverage to optometrists as allowed for those services rendered by physicians or osteopaths.

CHAPTER 69 9 Section 7.

156.115, the benefits required under Section 1 of this Act are intended to be, and shall be considered, substantially equal to the benefits required under the state's EHB-benchmarkEHB- benchmark plan.

Page 18 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN (2) For purposes of 45 C.F.R.

Page 19 of 20 SB011120.100 - 199 - XXXX 3/27/2024 4:02 PM Engrossed UNOFFICIAL COPY 24 RS SB 111/EN sec.

PageSigned 20by ofGovernor 20April SB011120.1004, -2024. 199 - XXXX 3/27/2024 4:02 PM Engrossed

Legislative Research Commission PDF Version