AN ACT relating to colorectal cancer screenings.
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HB 421 — AN ACT relating to colorectal cancer screenings.
Last action — signed by Governor (Acts Ch. 158)
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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✓Passed House
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✓Passed Senate
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced February 11, 2025. Enacted.
Signed by Governor Andy Beshear (Democratic) on April 02, 2025.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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Cleared a recorded vote
Passed 2 recorded votes so far.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Summary
Amend KRS 304.17A-257 to require coverage for all colorectal cancer examinations and laboratory tests specified in the United States Multi-Society Task Force on Colorectal Cancer guidelines for certain covered persons; require coverage for all United States Food and Drug Administration-approved bowel preparation prescribed in connection with a colorectal cancer examination or test; prohibit prior authorization requirements for colorectal cancer examinations and laboratory tests; provide an exemption from the cost sharing prohibition for Health Savings Account-qualified High Deductible Health Plans under certain circumstances; provide that the colorectal cancer examination and laboratory test coverage section applies to health benefit plans issued or renewed on or after January 1, 2026; establish construction of certain provisions for purposes of federal law and require state officials to comply; require the Cabinet for Health and Family Services or the Department for Medicaid Services to obtain federal approval, if necessary and comply with notice requirements; EFFECTIVE, in part, January 1, 2026.
Bill Text
We don't have the full text on file for this bill yet.
Read HB 421 on the official Kentucky source →Action History
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signed by Governor (Acts Ch. 158)
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delivered to Governor
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enrolled, signed by President of the Senate
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enrolled, signed by Speaker of the House
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received in House
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3rd reading, passed 37-0
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posted for passage in the Regular Orders of the Day for Friday, March 28, 2025
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reported favorably, 2nd reading, to Rules
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returned to Banking & Insurance (S)
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1st reading
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taken from Banking & Insurance (S)
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to Banking & Insurance (S)
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to Committee on Committees (S)
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received in Senate
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3rd reading, passed 98-0 with Committee Substitute (1)
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placed in the Orders of the Day for Wednesday, March 5, 2025
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taken from Rules
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reported favorably, to Rules with Committee Substitute (1)
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returned to Banking & Insurance (H)
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2nd reading
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taken from Banking & Insurance (H)
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returned to Banking & Insurance (H)
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1st reading
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taken from Banking & Insurance (H)
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to Banking & Insurance (H)
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to Committee on Committees (H)
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introduced in House
Sponsorship breakdown
Export CSV (upgrade) →0 sponsors · 0 co-sponsors · 138 not signed on
Sponsors (0)
None.
Co-sponsors (0)
None.
Not signed on (138)
138 members have not signed on to this bill.
Show all 138 →"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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 4 | 0 | 0 | 0 |
| Republican | 31 | 0 | 0 | 1 |
| Unaffiliated | 2 | 0 | 0 | 0 |
| Total | 37 | 0 | 0 | 1 |
| % of votes cast | 97% | 0% | 0% | 3% |
How each member voted (38)
| Member | Party | Vote |
|---|---|---|
| ChambersArmstrong | — | Yea |
| Yates | — | Yea |
| Gerald A. Neal | Democrat | Yea |
| Karen Berg | Democrat | Yea |
| Keturah J. Herron | Democrat | Yea |
| Reginald L. Thomas | Democrat | Yea |
| Aaron Reed | Republican | Yea |
| Amanda Mays Bledsoe | Republican | Yea |
| Brandon J. Storm | Republican | Yea |
| Brandon Smith | 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 |
| Gex Williams | Republican | Yea |
| Greg Elkins | Republican | Yea |
| Jared Carpenter | Republican | Yea |
| Jason Howell | 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 J. Nemes | Republican | Yea |
| Mike Wilson | Republican | Yea |
| Phillip Wheeler | Republican | Yea |
| Rick Girdler | Republican | Yea |
| Robby Mills | Republican | Yea |
| Robert Stivers | Republican | Not Voting |
| Robin L. Webb | Republican | Yea |
| Scott Madon | Republican | Yea |
| Shelley Funke Frommeyer | Republican | Yea |
| Stephen Meredith | Republican | Yea |
| Stephen West | Republican | Yea |
| Steve Rawlings | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 20 | 0 | 0 | 0 |
| Republican | 73 | 0 | 0 | 1 |
| Unaffiliated | 5 | 0 | 0 | 1 |
| Total | 98 | 0 | 0 | 2 |
| % of votes cast | 98% | 0% | 0% | 2% |
How each member voted (100)
| Member | Party | Vote |
|---|---|---|
| Huff T | — | Yea |
| Bratcher S. | — | Yea |
| Lewis | — | Yea |
| Lewis D | — | Yea |
| Lewis S | — | Yea |
| Stevenson P | — | Not Voting |
| 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 | Yea |
| Mary Lou Marzian | Democrat | Yea |
| Matthew Lehman | Democrat | Yea |
| Nima Kulkarni | Democrat | Yea |
| Rachel Roarx | Democrat | Yea |
| Reginald L. Thomas | 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 |
| Brandon Smith | Republican | Yea |
| Candy Massaroni | Republican | Not Voting |
| 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 |
| Emily Callaway | Republican | Yea |
| Felicia Rabourn | Republican | Yea |
| Gex Williams | Republican | Yea |
| J.T. Payne | Republican | Yea |
| James Tipton | Republican | Yea |
| Jared Bauman | 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 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 J. Nemes | Republican | Yea |
| Michael Sarge Pollock | Republican | Yea |
| Mike Clines | Republican | Yea |
| Mike Wilson | Republican | Yea |
| Mitch Whitaker | Republican | Yea |
| Myron Dossett | Republican | Yea |
| Nancy Tate | 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 Sharp | Republican | Yea |
| Shane Baker | Republican | Yea |
| Shawn McPherson | Republican | Yea |
| Stephanie Dietz | Republican | Yea |
| Stephen Meredith | 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 |
| Timmy Truett | Republican | Yea |
| Tony Hampton | Republican | Yea |
| Vanessa Grossl | Republican | Yea |
| William Lawrence | Republican | Yea |
Subjects
Frequently asked questions
- What does HB 421 do?
- Amend KRS 304.17A-257 to require coverage for all colorectal cancer examinations and laboratory tests specified in the United States Multi-Society Task Force on Colorectal Cancer guidelines for certain covered persons; require coverage for all United States Food and Drug Administration-approved bowel preparation prescribed in connection with a colorectal cancer examination or test; prohibit prior authorization requirements for colorectal cancer examinations and laboratory tests; provide an exemption from the cost sharing prohibition for Health Savings Account-qualified High Deductible Health Plans under certain circumstances; provide that the colorectal cancer examination and laboratory test coverage section applies to health benefit plans issued or renewed on or after January 1, 2026; establish construction of certain provisions for purposes of federal law and require state officials to comply; require the Cabinet for Health and Family Services or the Department for Medicaid Services to obtain federal approval, if necessary and comply with notice requirements; EFFECTIVE, in part, January 1, 2026.
- What is the current status of HB 421?
- This bill has been enacted into law. Introduced February 11, 2025. Enacted.
- Where can I track HB 421?
- Track HB 421 free on One Click Politics — get push/email alerts when it moves.
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