HB176
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Create new sections of KRS 304.17A-600 to 304.17A-633 to define terms; prohibit insurers of health benefit plans from requiring prior authorization for a health care service for which the provider has an exemption; require insurers of health benefit plans to establish a program under which participating providers may qualify for exemptions from prior authorization; establish mandatory and permitted provisions of an insurer's prior authorization exemption program; establish requirements for sending forms and notices; require the…
Introduced: January 7, 2026
Last action: April 13, 2026
Effective date: set within the act
This act specifies its own effective date(s) for some or all of its sections instead of following the standard 90-day rule (Ky. Constitution § 55) — see the act text for the exact dates.
Plain-language summary
This bill changes how health insurance prior authorization works in Kentucky. It requires insurers to create programs that allow certain healthcare providers to earn exemptions from having to get prior authorization approval before providing care to patients. It also applies similar rules to Medicaid and requires state insurance officials to report annually on how prior authorization is being used. Who it may affect: Kentuckians with private health insurance or Medicaid, and the healthcare providers who treat them.
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Legislative History
Primary Sponsor
Co-sponsors (6)
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