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HB 176

Kentucky House of Representatives bill in Session 26RS.

Status: enacted. Latest action: April 13, 2026.

AN ACT relating to prior authorization.

Bill ID KY-26RS-HB-176
Session 26RS
Status enacted
House of Representatives enacted 2026-04-13
Healthcare Insurance / Consumer Protection
Summary

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 commissioner of the Department of Insurance to submit an annual report relating to prior authorization, provide a detailed briefing upon request, and promulgate administrative regulations; amend KRS 304.17A-605 to conform; amend KRS 304.17A-611 to prohibit conducting a retrospective review that is based solely on a participating provider having a prior authorization exemption; provide that certain utilization review time frames do not apply to retrospective reviews conducted for the purposes of determining eligibility for a prior authorization exemption; create a new section of KRS Chapter 205 to require the commissioner of the Department for Medicaid Services to submit an annual report relating to prior authorization, provide a detailed briefing upon request, and promulgate administrative regulations; amend KRS 205.536 to conform; apply the provisions to contracts delivered, entered, renewed, extended, or amended on or after January 1, 2028; EFFECTIVE, in part, January 1, 2027, and January 1, 2028.

Sponsor
Kimberly Poore Moser
Official Source Back to Bills
Actions Timeline
Date Event Detail
2026-01-07 Introduced Bill introduced
2026-04-13 Status enacted
2026-04-13 Latest Action 04/13/26: signed by Governor (Acts Ch. 102)
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