HB655
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Amend KRS 304.17C-085 to modify the definition of "covered services" to exclude services and materials for which reimbursement would be available but for the application of the enrollee's contractual limitation of an annual maximum benefit; prohibit contractual waivers; make technical amendments; direct that the Act applies to contracts issued or renewed on or after the effective date of the Act.
Introduced: February 18, 2026
Last action: February 25, 2026
Plain-language summary
This bill changes the definition of "covered services" under limited health benefit plans, specifically excluding certain services and materials from that definition when the only reason they would not be reimbursed is that the enrollee has reached their annual benefit limit. It also prohibits plan contracts from including waivers of these rules, and the changes would apply to new or renewed contracts after the law takes effect. Who it may affect: Kentuckians enrolled in limited health service benefit plans.
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