House
Signed By Governor
2025 Regular Session

HB421

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AN ACT relating to colorectal cancer screenings.

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…

Drugs and MedicinesEffective Dates, DelayedHealth and Medical ServicesInsurance, HealthPublic Medical AssistanceState AgenciesMedicaid

Introduced: February 11, 2025

Last action: April 2, 2025

Signed By Governor (Acts Ch. 158)

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.

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Plain-language summary
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This bill requires health insurance plans in Kentucky to cover colorectal cancer screenings and related lab tests without requiring prior authorization, following guidelines set by the United States Multi-Society Task Force on Colorectal Cancer. It also requires coverage for FDA-approved bowel preparation medications prescribed as part of those screenings. Most of these requirements apply to health plans issued or renewed on or after January 1, 2026, with some provisions also extending to Medicaid. Who it may affect: Kentuckians with private health insurance or Medicaid coverage who need colorectal cancer screenings.

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Legislative History

Feb 11, 2025 · House
Introduced In House
Feb 11, 2025 · House
To Committee On Committees (H)
Feb 14, 2025 · House
To Banking & Insurance (H)
Feb 27, 2025 · House
Taken From Banking & Insurance (H) (clerical)
Feb 27, 2025 · House
1st Reading (clerical)
Feb 27, 2025 · House
Returned To Banking & Insurance (H) (clerical)
Feb 28, 2025 · House
Taken From Banking & Insurance (H) (clerical)
Feb 28, 2025 · House
2nd Reading (clerical)
Mar 5, 2025 · House
3rd Reading, Passed 98-0 With Committee Substitute (1)
Yea: 98
Nay: 0
Absent: 2
LegiScan roll call
Mar 28, 2025 · Senate
3rd Reading, Passed 37-0
Yea: 37
Nay: 0
Absent: 1
LegiScan roll call

Primary Sponsor

Portrait of Amy Neighbors
Amy Neighbors

Representative · House District 021

Primary sponsor
amy.neighbors@kylegislature.gov
BallotpediaOfficial profile

Co-sponsors (4)

Portrait of Kimberly Banta
Kimberly Banta

Representative · House District 063

Co-sponsor
kim.banta@kylegislature.gov
Portrait of Beverly Chester-Burton
Beverly Chester-Burton

Representative · House District 044

Co-sponsor
beverly.chesterburton@kylegislature.gov
Portrait of Daniel Grossberg
Daniel Grossberg

Representative · House District 030

Co-sponsor
daniel.grossberg@kylegislature.gov
Portrait of Kimberly Moser
Kimberly Moser

Representative · House District 064

Co-sponsor
Kimberly.Moser@kylegislature.gov

Bill Text Versions

Enacted — Acts chapter (final law)

Most current
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Engrossed (passed one chamber)

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Introduced (original)

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