Kentucky 2024 Regular Session Status: Enacted 2 R cosponsors

HB 186 — AN ACT relating to fiscal impacts of health insurance mandates and declaring an emergency.

Last action — signed by Governor (Acts Ch. 120)

  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 08, 2024. Enacted.

Signed by Governor Andy Beshear (Democratic) on April 09, 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 74% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 2 sponsors

    2 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (2 R).

  • Cleared a recorded vote

    Passed 4 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 subtitle 17A of KRS Chapter 304 to exempt qualified health plans from insurance laws that result, or would result, in a determination that the state must make payments to defray the cost of the requirements under federal law; require the Department of Insurance to apply for a waiver of any cost defrayal requirements.

Bill Text

What changed in the latest version

214 added · 281 removed

214 line(s) added, 281 removed.

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Latest
UNOFFICIAL COPY 24 RS HB 186/EN AN ACT relating to fiscal impacts of health insurance mandates and declaring an emergency.
CHAPTER 120 1 CHAPTER 120 ( HB 186 ) AN ACT relating to fiscal impacts of health insurance mandates and declaring an emergency.
(h) "State employee health plan" means any fully insured health benefit plan or self-insured plan issued or renewed to public employees under KRS Page 1 of 10 HB018620.100 - 1146 - XXXX 3/28/2024 10:02 PM Engrossed UNOFFICIAL COPY 24 RS HB 186/EN 18A.225 or 18A.2254;
(h) "State employee health plan" means any fully insured health benefit plan or self-insured plan issued or renewed to public employees under KRS 18A.225 or 18A.2254;
(3) (a) The individuals referenced in paragraph (b) of this subsection may, in accordance with that paragraph, request the department or the Department of Employee Insurance, as applicable, to prepare any or all of the following:
Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY (3) (a) The individuals referenced in paragraph (b) of this subsection may, in accordance with that paragraph, request the department or the Department of Employee Insurance, as applicable, to prepare any or all of the following:
Page 2 of 10 HB018620.100 - 1146 - XXXX 3/28/2024 10:02 PM Engrossed UNOFFICIAL COPY 24 RS HB 186/EN 2.
2.
Page 3 of 10 HB018620.100 - 1146 - XXXX 3/28/2024 10:02 PM Engrossed UNOFFICIAL COPY 24 RS HB 186/EN 2.
2.
1.
CHAPTER 120 3 1.
Page 4 of 10 HB018620.100 - 1146 - XXXX 3/28/2024 10:02 PM Engrossed UNOFFICIAL COPY 24 RS HB 186/EN i.
i.
Page 5 of 10 HB018620.100 - 1146 - XXXX 3/28/2024 10:02 PM Engrossed UNOFFICIAL COPY 24 RS HB 186/EN 1.
1.
SECTION 2.
Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY SECTION 2.
(1) As used in this section, "qualified health plan" has the same meaning as in 42 Page 6 of 10 HB018620.100 - 1146 - XXXX 3/28/2024 10:02 PM Engrossed UNOFFICIAL COPY 24 RS HB 186/EN U.S.C.
(1) As used in this section, "qualified health plan" has the same meaning as in 42 U.S.C.
Page 7 of 10 HB018620.100 - 1146 - XXXX 3/28/2024 10:02 PM Engrossed UNOFFICIAL COPY 24 RS HB 186/EN (b) The commissioner shall use the information obtained under paragraph (a) of this subsection to determine the statewide average of the cost attributable to the provision for all qualified health plan issuers to which the provision is applicable;
(b) The commissioner shall use the information obtained under paragraph (a) of this subsection to determine the statewide average of the cost attributable to the provision for all qualified health plan issuers to which the provision is applicable;
(1) The Division of Health Benefit Exchange within the Office of Data Analytics shall Page 8 of 10 HB018620.100 - 1146 - XXXX 3/28/2024 10:02 PM Engrossed UNOFFICIAL COPY 24 RS HB 186/EN administer the provisions of the Patient Protection and Affordable Care Act of 2010, Pub.
CHAPTER 120 5 (1) The Division of Health Benefit Exchange within the Office of Data Analytics shall administer the provisions of the Patient Protection and Affordable Care Act of 2010, Pub.
155.110, to the extent necessary to carry out the duties and responsibilities of the office, provided that the agreements incorporate adequate protections with respect to the confidentiality of any information to be shared;[.] (b)[(4)] [The office ]Shall pursue all available federal funding for the further development and operation of the Division of Health Benefit Exchange;[.] (c)[(5)] [The Office of Health Data and Analytics ]Shall promulgate administrative regulations in accordance with KRS Chapter 13A to implement Page 9 of 10 HB018620.100 - 1146 - XXXX 3/28/2024 10:02 PM Engrossed UNOFFICIAL COPY 24 RS HB 186/EN this section;
155.110, to the extent necessary to carry out the duties and responsibilities of the office, provided that the agreements incorporate adequate protections with respect to the confidentiality of any information to be shared;[.] (b)[(4)] [The office ]Shall pursue all available federal funding for the further development and operation of the Division of Health Benefit Exchange;[.] (c)[(5)] [The Office of Health Data and Analytics ]Shall promulgate administrative regulations in accordance with KRS Chapter 13A to implement this section;
Page 10 of 10 HB018620.100 - 1146 - XXXX 3/28/2024 10:02 PM Engrossed
Signed by Governor April 9, 2024.
Legislative Research Commission PDF Version
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Action History

  1. signed by Governor (Acts Ch. 120)

  2. delivered to Governor

  3. enrolled, signed by President of the Senate

  4. enrolled, signed by Speaker of the House

  5. passed 96-2 with Conference Committee Report (1)

  6. Conference Committee report adopted in House

  7. posted for passage for consideration of Conference

  8. taken from Rules

  9. to Rules (H)

  10. received in House

  11. passed 37-0 with Conference Committee Report (1)

  12. Conference Committee report adopted in Senate

  13. posted for passage for consideration of Conference Committee Report (1)

  14. Conference Committee report filed in Senate

  15. Conference Committee report filed in House

  16. Conference Committee appointed in House and Senate

  17. Senate refused to recede from Committee Substitute (1)

  18. posted for passage for receding from Senate Committee Substitute (1)

  19. to Rules (S)

  20. received in Senate

  21. House refused to concur in Senate Committee Substitute (1)

  22. posted for passage for concurrence in Senate Committee Substitute (1)

  23. to Rules (H)

  24. received in House

  25. 3rd reading, passed 38-0 with Committee Substitute (1)

  26. floor amendment (1) filed to Committee Substitute

  27. posted for passage in the Consent Orders of the Day for Tuesday, March 26, 2024

  28. 2nd reading, to Rules as a consent bill

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

  30. to Banking & Insurance (S)

  31. to Committee on Committees (S)

  32. received in Senate

  33. 3rd reading, passed 95-0 with Committee Substitute (1) and Committee Amendment (1-title)

  34. posted for passage in the Regular Orders of the Day for Tuesday, February 20, 2024

  35. 2nd reading, to Rules

  36. reported favorably, 1st reading, to Calendar with Committee Substitute (1) and Committee Amendment (1-title)

  37. to Banking & Insurance (H)

  38. to Committee on Committees (H)

  39. introduced in House

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

2 sponsors · 0 co-sponsors · 136 not signed on · 2 voted No

Sponsors (2)

Co-sponsors (0)

None.

Not signed on (136)

136 members have not signed on to this bill.

Show all 136 →

"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

FINAL PASS HB 186 W/ ccr1

Passed 37 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 3000
Republican 28000
Unaffiliated 6001
Total 37001
% of votes cast 97%0%0%3%
How each member voted (38)
Member Party Vote
Turner — Yea
Schickel — Yea
Westerfield — Yea
Thayer — Yea
Yates — Yea
Southworth — Not Voting
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 Yea
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 →

Final Passage

Passed 96 Yea · 2 Nay · 2 Other
Party YeaNayPresentNot Voting
Democrat 15000
Republican 69202
Unaffiliated 12000
Total 96202
% of votes cast 96%2%0%2%
How each member voted (100)
Member Party Vote
Heath — Yea
Dixon — Yea
Bentley — Yea
Palumbo — Yea
Justice — Yea
Timoney — Yea
Pratt — Yea
Gilbert — Yea
Graham — Yea
Raymond — 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 Not Voting
Candy Massaroni Republican Yea
Chris Freeland Republican Yea
Chris Fugate Republican Yea
DJ Johnson Republican Yea
Daniel Elliott Republican Not Voting
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 Nay
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 Nay
Peyton Griffee 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 →

PASS HB 186 W/ scs1

Passed 38 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 3000
Republican 28000
Unaffiliated 7000
Total 38000
% of votes cast 100%0%0%0%
How each member voted (38)
Member Party Vote
Turner — Yea
Schickel — Yea
Southworth — Yea
Westerfield — Yea
Thayer — Yea
Yates — Yea
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 Yea
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 95 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Democrat 15000
Republican 69003
Unaffiliated 11000
Total 95003
% of votes cast 97%0%0%3%
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 Not Voting
Daniel Fister Republican Yea
David Hale Republican Not Voting
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 Not Voting

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 186 do?
Create a new section of subtitle 17A of KRS Chapter 304 to exempt qualified health plans from insurance laws that result, or would result, in a determination that the state must make payments to defray the cost of the requirements under federal law; require the Department of Insurance to apply for a waiver of any cost defrayal requirements.
Who sponsors HB 186?
HB 186 is sponsored by Michael Meredith (Republican) and Jason Petrie (Republican).
What is the current status of HB 186?
This bill has been enacted into law. Introduced January 08, 2024. Enacted.
Where can I track HB 186?
Track HB 186 free on One Click Politics — get push/email alerts when it moves.

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