Kentucky 2024 Regular Session Status: Enacted Bipartisan · 6 D · 2 R cosponsors

HB 52 — AN ACT relating to coverage for cancer detection.

Last action — signed by Governor (Acts Ch. 75)

  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 02, 2024. Enacted.

Signed by Governor Andy Beshear (Democratic) on April 04, 2024.

Odds of enactment

High chance

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

Upgrade to see the exact probability and what's driving it.

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

Prognosis

Likely to advance 98% · high confidence

  • Enacted

    Current position in the legislative process.

  • 10 sponsors

    10 primary, 0 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (6 D · 2 R) — 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.

In plain language

The bill requires health plans to cover cancer screenings and tests before a diagnosis.

This bill mandates health benefit plans to provide coverage for cancer screenings, tests, and procedures. It applies to various health plans and will take effect for policies issued or renewed on or after January 1, 2025.

What this means for you
  • Consumers: Consumers will have improved access to necessary cancer screenings and testing without additional costs.
  • Healthcare: Healthcare providers will need to comply with new coverage requirements for cancer detection services.

Summary

Create a new section of Subtitle 17A of KRS Chapter 304 to define "cancer screeing, test, or procedure"; require coverage for screenings, tests, and procedures performed for the purpose of detecting cancer that occur prior to diagnosis; amend KRS 304.17C-125, 205.522, 164.2871, and 18A.225 to require limited health service benefit plans, Medicaid, self-insured employer group health plans provided by the governing board of a state postsecondary education institution, and the state employee health plan to comply with the cancer coverage requirement; provide that various sections apply to health insurance policies, certificates, plans, or contracts issued or renewed on or after January 1, 2025; establish the construction of certain provisions for purposes of federal law and require state officials to comply; require the Department of Insurance to determine whether the coverage requirement for cancer detection would be in addition to essential health benefits required under federal law; require the Department of Insurance and the Cabinet for Health and Family Services to obtain federal waivers, if necessary; EFFECTIVE, in part, January 1, 2025.

Bill Text

What changed in the latest version

366 added · 484 removed

366 line(s) added, 484 removed.

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Latest
UNOFFICIAL COPY 24 RS HB 52/GA AN ACT relating to coverage for cancer detection.
CHAPTER 75 1 CHAPTER 75 ( HB 52 ) AN ACT relating to coverage for cancer detection.
Clinical practice guidelines established by the National Page 1 of 17 HB005210.100 - 6 - XXXX 2/28/2024 3:19 PM GA UNOFFICIAL COPY 24 RS HB 52/GA Comprehensive Cancer Network;
Clinical practice guidelines established by the National Comprehensive Cancer Network;
1.
Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY 1.
Page 2 of 17 HB005210.100 - 6 - XXXX 2/28/2024 3:19 PM GA UNOFFICIAL COPY 24 RS HB 52/GA (b) In the case of a conflict between this section and any other law, this section shall control unless application of this section would result in a reduction of coverage or benefits for any insured.
(b) In the case of a conflict between this section and any other law, this section shall control unless application of this section would result in a reduction of coverage or benefits for any insured.
(1) The governing board of each state postsecondary educational institution is authorized to purchase liability insurance for the protection of the individual Page 3 of 17 HB005210.100 - 6 - XXXX 2/28/2024 3:19 PM GA UNOFFICIAL COPY 24 RS HB 52/GA members of the governing board, faculty, and staff of such institutions from liability for acts and omissions committed in the course and scope of the individual's employment or service.
(1) The governing board of each state postsecondary educational institution is authorized to purchase liability insurance for the protection of the individual members of the governing board, faculty, and staff of such institutions from liability for acts and omissions committed in the course and scope of the individual's employment or service.
(5) A self-insured employer group health plan provided by the governing board of a state postsecondary education institution to its employees shall comply with:
CHAPTER 75 3 (5) A self-insured employer group health plan provided by the governing board of a state postsecondary education institution to its employees shall comply with:
Page 4 of 17 HB005210.100 - 6 - XXXX 2/28/2024 3:19 PM GA UNOFFICIAL COPY 24 RS HB 52/GA (b) KRS 304.17A-265;
(b) KRS 304.17A-265;
or by any city, urban-county, charter county, county, or consolidated local government, whose legislative body has opted to participate in the state- sponsored health insurance program pursuant to KRS 79.080;
or by any city, urban-county, charter county, county, or consolidated local government, whose legislative body has opted to participate in the state-sponsored health insurance program pursuant to KRS 79.080;
Any certified or classified employee of a local board of education or a Page 5 of 17 HB005210.100 - 6 - XXXX 2/28/2024 3:19 PM GA UNOFFICIAL COPY 24 RS HB 52/GA public charter school as defined in KRS 160.1590;
Any certified or classified employee of a local board of education or a public charter school as defined in KRS 160.1590;
(2) (a) The secretary of the Finance and Administration Cabinet, upon the recommendation of the secretary of the Personnel Cabinet, shall procure, in compliance with the provisions of KRS 45A.080, 45A.085, and 45A.090, from one (1) or more insurers authorized to do business in this state, a group health benefit plan that may include but not be limited to health maintenance organization (HMO), preferred provider organization (PPO), point of service Page 6 of 17 HB005210.100 - 6 - XXXX 2/28/2024 3:19 PM GA UNOFFICIAL COPY 24 RS HB 52/GA (POS), and exclusive provider organization (EPO) benefit plans encompassing all or any class or classes of employees.
(2) (a) The secretary of the Finance and Administration Cabinet, upon the recommendation of the secretary of the Personnel Cabinet, shall procure, in compliance with the provisions of KRS 45A.080, 45A.085, and 45A.090, from one (1) or more insurers authorized to do business in this state, a group health benefit plan that may include but not be limited to health maintenance organization (HMO), preferred provider organization (PPO), point of service (POS), and exclusive provider organization (EPO) benefit plans encompassing all or any class or classes of employees.
With the exception of employers governed by the provisions of KRS Chapters 16, 18A, and 151B, all employers of any class of employees or former employees shall enter into a contract with the Personnel Cabinet prior to including that group in the state health insurance group.
With the exception of employers governed by the provisions of KRS Chapters 16, 18A, and 151B, all employers of any class of employees or former Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY employees shall enter into a contract with the Personnel Cabinet prior to including that group in the state health insurance group.
(c) Any carrier bidding to offer health care coverage to employees shall agree to provide coverage to all members of the state group, including active employees and retirees and their eligible covered dependents and Page 7 of 17 HB005210.100 - 6 - XXXX 2/28/2024 3:19 PM GA UNOFFICIAL COPY 24 RS HB 52/GA beneficiaries, within the county or counties specified in its bid.
(c) Any carrier bidding to offer health care coverage to employees shall agree to provide coverage to all members of the state group, including active employees and retirees and their eligible covered dependents and beneficiaries, within the county or counties specified in its bid.
The Personnel Cabinet shall include in the October annual report submitted pursuant to the provisions of KRS 18A.226 to the Governor, the General Assembly, and the Chief Justice of the Supreme Court, an analysis of the financial stability of the program, which shall include but not be limited to loss ratios, methods of risk adjustment, measurements of carrier quality of Page 8 of 17 HB005210.100 - 6 - XXXX 2/28/2024 3:19 PM GA UNOFFICIAL COPY 24 RS HB 52/GA service, prescription coverage and cost management, and statutorily required mandates.
The Personnel Cabinet shall include in the October annual report submitted pursuant to the provisions of KRS 18A.226 to the Governor, the General Assembly, and the Chief Justice of the Supreme Court, an analysis of the financial stability of the program, which shall include but not be limited to loss ratios, methods of risk adjustment, measurements of carrier quality of service, prescription coverage and cost management, and statutorily required mandates.
(a) Wholly from funds contributed by the employee, by payroll deduction or otherwise;
CHAPTER 75 5 (a) Wholly from funds contributed by the employee, by payroll deduction or otherwise;
or (c) Partly from each, except that any premium due for health care coverage or dental coverage, if any, in excess of the premium amount contributed by any department, board, agency, postsecondary education institution, or branch of Page 9 of 17 HB005210.100 - 6 - XXXX 2/28/2024 3:19 PM GA UNOFFICIAL COPY 24 RS HB 52/GA state, city, urban-county, charter county, county, or consolidated local government for any other health care coverage shall be paid by the employee.
or (c) Partly from each, except that any premium due for health care coverage or dental coverage, if any, in excess of the premium amount contributed by any department, board, agency, postsecondary education institution, or branch of state, city, urban-county, charter county, county, or consolidated local government for any other health care coverage shall be paid by the employee.
(9) The secretary shall appoint thirty-two (32) persons to an Advisory Committee of Page 10 of 17 HB005210.100 - 6 - XXXX 2/28/2024 3:19 PM GA UNOFFICIAL COPY 24 RS HB 52/GA State Health Insurance Subscribers to advise the secretary or the secretary's designee regarding the state-sponsored health insurance program for employees.
(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.
Page 11 of 17 HB005210.100 - 6 - XXXX 2/28/2024 3:19 PM GA UNOFFICIAL COPY 24 RS HB 52/GA (12) Any employee who is eligible for and elects to participate in the state health insurance program as a retiree, or the spouse or beneficiary of a retiree, under any one (1) of the state-sponsored retirement systems shall not be eligible to receive the state health insurance contribution toward health care coverage as a result of any other employment for which there is a public employer contribution.
(12) Any employee who is eligible for and elects to participate in the state health insurance program as a retiree, or the spouse or beneficiary of a retiree, under any one (1) of the state-sponsored retirement systems shall not be Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY eligible to receive the state health insurance contribution toward health care coverage as a result of any other employment for which there is a public employer contribution.
Page 12 of 17 HB005210.100 - 6 - XXXX 2/28/2024 3:19 PM GA UNOFFICIAL COPY 24 RS HB 52/GA (16) Any policy provided to state employees or their dependents pursuant to this section shall provide coverage for obtaining amino acid-based elemental formula pursuant to KRS 304.17A-258.
(16) Any policy provided to state employees or their dependents pursuant to this section shall provide coverage for obtaining amino acid-based elemental formula pursuant to KRS 304.17A-258.
(a) The regional rating bid scenario shall not include a request for bid on a Page 13 of 17 HB005210.100 - 6 - XXXX 2/28/2024 3:19 PM GA UNOFFICIAL COPY 24 RS HB 52/GA statewide option;
(a) The regional rating bid scenario shall not include a request for bid on a statewide option;
(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 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 75 7 (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 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.
Page 14 of 17 HB005210.100 - 6 - XXXX 2/28/2024 3:19 PM GA UNOFFICIAL COPY 24 RS HB 52/GA (d) KRS 205.593;
(d) KRS 205.593;
(3) The "Federal requirements" referred to in subsection (2) of this section Page 15 of 17 HB005210.100 - 6 - XXXX 2/28/2024 3:19 PM GA UNOFFICIAL COPY 24 RS HB 52/GA include the requirement to provide coverage for preventive health services under 42 U.S.C.
(3) The "Federal requirements" referred to in subsection (2) of this section include the requirement to provide coverage for preventive health services under 42 U.S.C.
(2) If it is determined that the application of any requirement of subsection (2) of Section 1 of this Act to a QHP is in addition to the essential health benefits required under federal law, then the department shall, within 180 days of the effective date of this section, apply for a waiver under 42 U.S.C.
Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY (2) If it is determined that the application of any requirement of subsection (2) of Section 1 of this Act to a QHP is in addition to the essential health benefits required under federal law, then the department shall, within 180 days of the effective date of this section, apply for a waiver under 42 U.S.C.
If the Cabinet for Health and Family Services determines that a waiver or other authorization from a federal agency is necessary to implement Section 2 of this Act for any reason, including the loss of federal funds, the cabinet shall, within 90 days of the effective date of this section, request the waiver or authorization, and may only delay implementation of those provisions for which a waiver or authorization was Page 16 of 17 HB005210.100 - 6 - XXXX 2/28/2024 3:19 PM GA UNOFFICIAL COPY 24 RS HB 52/GA deemed necessary until the waiver or authorization is granted.
If the Cabinet for Health and Family Services determines that a waiver or other authorization from a federal agency is necessary to implement Section 2 of this Act for any reason, including the loss of federal funds, the cabinet shall, within 90 days of the effective date of this section, request the waiver or authorization, and may only delay implementation of those provisions for which a waiver or authorization was deemed necessary until the waiver or authorization is granted.
HB005210.100 - 6 - XXXX 2/28/2024 3:19 PMage 17 of 17 GA
Signed by Governor April 4, 2024.
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How this bill changes current law

1 change Share ↗

Compared against the Kentucky Revised Statutes as published AI-generated reading aid — verify against the official bill.

The bill adds a requirement for Medicaid services and managed care organizations to comply with new cancer screening coverage mandates.

  • KRS 205.522

    provisions of → Section 1 of this Act.

    This change incorporates the new cancer screening requirements into the compliance obligations for Medicaid services and managed care organizations.

Action History

  1. signed by Governor (Acts Ch. 75)

  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 36-1

  7. passed over and retained in the Consent Orders of the Day

  8. passed over and retained in the Consent Orders of the Day

  9. passed over and retained in the Consent Orders of the Day

  10. passed over and retained in the Consent Orders of the Day

  11. passed over and retained in the Consent Orders of the Day

  12. passed over and retained in the Consent Orders of the Day

  13. posted for passage in the Consent Orders of the Day for Thursday, March 14, 2024

  14. 2nd reading, to Rules as a consent bill

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

  16. to Banking & Insurance (S)

  17. to Committee on Committees (S)

  18. received in Senate

  19. 3rd reading, passed 98-0 with Committee Substitute (1)

  20. posted for passage in the Regular Orders of the Day for Wednesday, February 28, 2024

  21. 2nd reading, to Rules

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

  23. to Health Services (H)

  24. to Committee on Committees (H)

  25. introduced in House

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

10 sponsors · 0 co-sponsors · 128 not signed on

Sponsors (10)

Co-sponsors (0)

None.

Not signed on (128)

128 members have not signed on to this bill.

Show all 128 →

"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

PASS HB 52

Passed 36 Yea · 1 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 3000
Republican 27001
Unaffiliated 6100
Total 36101
% of votes cast 95%3%0%3%
How each member voted (38)
Member Party Vote
Turner — Yea
Schickel — Yea
Westerfield — Yea
Thayer — Yea
Yates — Yea
Southworth — Nay
Harper Angel — Yea
Cassie Chambers Armstrong Democrat Yea
Gerald A. Neal Democrat Yea
Karen Berg Democrat Yea
Amanda Mays Bledsoe Republican Yea
Brandon J. Storm Republican Yea
Christian McDaniel 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 Not Voting
Julie Raque Adams Republican Yea
Lindsey Tichenor 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
Shelley Funke Frommeyer Republican Yea
Stephen West Republican Yea
Tom Smith Republican Yea
Wade Williams Republican Yea
Walker Thomas Republican Yea

Official roll call →

Pass

Passed 98 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 15000
Republican 72000
Unaffiliated 11000
Total 98000
% of votes cast 100%0%0%0%
How each member voted (98)
Member Party Vote
Heath — Yea
Dixon — Yea
Bentley — Yea
Palumbo — Yea
Justice — Yea
Timoney — Yea
Pratt — Yea
Raymond — Yea
Graham — Yea
Bratcher K. — Yea
Stevenson C — Yea
Adrielle Camuel Democrat Yea
Al Gentry Democrat Yea
Ashley Tackett Laferty Democrat Yea
Beverly Chester-Burton Democrat Yea
Chad Aull Democrat Yea
Daniel Grossberg Democrat Yea
George Brown Jr. Democrat Yea
Keturah J. Herron Democrat Yea
Lindsey Burke Democrat Yea
Lisa Willner Democrat Yea
Nima Kulkarni Democrat Yea
Pamela Stevenson Democrat Yea
Rachel Roarx Democrat Yea
Sarah Stalker Democrat Yea
Tina Bojanowski Democrat 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 Yea
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 Yea
Emily Callaway Republican Yea
Felicia Rabourn Republican Yea
James Tipton Republican Yea
Jared Bauman Republican Yea
Jason Nemes Republican Yea
Jason Petrie Republican Yea
Jennifer Decker Republican Yea
Jim Gooch Jr. Republican Yea
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 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
Myron Dossett Republican Yea
Nancy Tate Republican Yea
Nick Wilson Republican Yea
Patrick Flannery Republican Yea
Randy Bridges Republican Yea
Rebecca Raymer Republican Yea
Richard White Republican Yea
Robert Duvall 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 Rawlings Republican Yea
Steve Riley Republican Yea
Steven Doan Republican Yea
Steven Rudy Republican Yea
Susan Witten Republican Yea
Suzanne Miles Republican Yea
T.J. Roberts Republican Yea
Thomas Huff Republican Yea
Timmy Truett Republican Yea
Tom Smith 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 52 do?
Create a new section of Subtitle 17A of KRS Chapter 304 to define "cancer screeing, test, or procedure"; require coverage for screenings, tests, and procedures performed for the purpose of detecting cancer that occur prior to diagnosis; amend KRS 304.17C-125, 205.522, 164.2871, and 18A.225 to require limited health service benefit plans, Medicaid, self-insured employer group health plans provided by the governing board of a state postsecondary education institution, and the state employee health plan to comply with the cancer coverage requirement; provide that various sections apply to health insurance policies, certificates, plans, or contracts issued or renewed on or after January 1, 2025; establish the construction of certain provisions for purposes of federal law and require state officials to comply; require the Department of Insurance to determine whether the coverage requirement for cancer detection would be in addition to essential health benefits required under federal law; require the Department of Insurance and the Cabinet for Health and Family Services to obtain federal waivers, if necessary; EFFECTIVE, in part, January 1, 2025.
Who sponsors HB 52?
HB 52 is sponsored by Deanna Gordon (Republican), Chad Aull (Democrat), D. Bentley, Beverly Chester-Burton (Democrat), Al Gentry (Democrat), R. Palumbo, Rachel Roarx (Democrat), Sarah Stalker (Democrat), Lisa Willner (Democrat), and T.J. Roberts (Republican).
What is the current status of HB 52?
This bill has been enacted into law. Introduced January 02, 2024. Enacted.
Where can I track HB 52?
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