Bill Commons

KY HB 176

enacted

AN ACT relating to prior authorization.

Kentucky · 2026 Regular Session · lower

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Quick answers

Did KY HB 176 pass?

Yes. KY HB 176 has been enacted into law. Latest recorded action (2026-04-13): signed by Governor (Acts Ch. 102)

What is KY HB 176 about?

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.

Who sponsors KY HB 176?

S. Stalker, B. McCool, D. Grossberg and 4 others are the primary sponsors of KY HB 176.

Description

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.

Introduced
2026-01-07
Latest action
2026-04-13 — signed by Governor (Acts Ch. 102)
Bill type
bill
Last updated
—

Subjects

Sponsors

  • S. Stalkerprimary
  • B. McCoolprimary
  • D. Grossbergprimary
  • B. Chester-Burtonprimary
  • C. Aullprimary
  • R. Duvallprimary
  • K. Moserprimary

Committees

Not provided by source.

Action timeline

Newest first

  1. 2026-04-13

    signed by Governor (Acts Ch. 102)

    executive-signature

  2. 2026-04-01

    delivered to Governor

  3. 2026-04-01

    enrolled, signed by President of the Senate

    passage

  4. 2026-04-01

    enrolled, signed by Speaker of the House

    passage

  5. 2026-03-31

    received in House

  6. 2026-03-31

    passed 38-0

    passage

  7. 2026-03-31

    Floor Amendment (1) withdrawn

  8. 2026-03-31

    3rd reading

    reading-3

  9. 2026-03-27

    passed over and retained in the Orders of the Day

    passage

  10. 2026-03-26

    posted for passage in the Regular Orders of the Day for Friday, March 27 2026

  11. 2026-03-26

    floor amendment (1) filed

    amendment-introduction

  12. 2026-03-19

    2nd reading, to Rules as a consent bill

    reading-2

  13. 2026-03-18

    reported favorably, 1st reading, to Consent Calendar

    committee-passage

  14. 2026-03-16

    to Health Services (S)

    referral-committee

  15. 2026-01-22

    to Committee on Committees (S)

    referral-committee

  16. 2026-01-22

    received in Senate

  17. 2026-01-21

    3rd reading, passed 89-1

    passage,reading-3

  18. 2026-01-16

    posted for passage in the Regular Orders of the Day for Tuesday, January 20, 2026

  19. 2026-01-15

    2nd reading, to Rules

    reading-2

  20. 2026-01-14

    reported favorably, 1st reading, to Calendar

    committee-passage

  21. 2026-01-12

    to Banking & Insurance (H)

    referral-committee

  22. 2026-01-07

    to Committee on Committees (H)

    referral-committee

  23. 2026-01-07

    introduced in House

    introduction

Versions

Documents

Votes

  • Pass

    2026-01-21 · pass · 89-1

    Member-level votes (101)
    • Aull: yes
    • Doan: yes
    • Hart: yes
    • McCool: yes
    • Smith: yes
    • Baker: yes
    • Donworth: yes
    • Heavrin: yes
    • McPherson: yes
    • Stalker: yes
    • Banta: yes
    • Dossett: yes
    • Hodgson: yes
    • Meade: yes
    • Stevenson P: yes
    • Bivens: yes
    • Dotson: yes
    • Holloway: yes
    • Meredith: yes
    • Tackett Laferty: yes
    • Blanton: yes
    • Duvall: yes
    • Huff T: yes
    • Moore: yes
    • Tate: yes
    • Bojanowski: yes
    • Elliott: yes
    • Imes: yes
    • Moser: yes
    • Thomas: yes
    • Branscum: yes
    • Fister: yes
    • Jackson: yes
    • Neighbors: yes
    • Thompson: yes
    • Bratcher S.: yes
    • Flannery: yes
    • Johnson: yes
    • Nemes: yes
    • Tipton: yes
    • Bridges: yes
    • Fleming: yes
    • King: yes
    • Osborne: yes
    • Truett: yes
    • Brown: yes
    • Freeland: yes
    • Koch: yes
    • Payne: yes
    • Upchurch: yes
    • Burke: yes
    • Gentry: yes
    • Kulkarni: yes
    • Pollock: yes
    • Watkins: yes
    • Callaway: yes
    • Gordon: yes
    • Lawrence: yes
    • Proctor: yes
    • Wesley: yes
    • Calloway: yes
    • Griffee: yes
    • Lehman: yes
    • Rabourn: yes
    • Whitaker: yes
    • Camuel: yes
    • Grossberg: yes
    • Lewis C: yes
    • Raymer: yes
    • White: yes
    • Chester-Burton: yes
    • Grossl: yes
    • Lewis S: yes
    • Riley: yes
    • Williams: yes
    • Clines: yes
    • Hale: yes
    • Lockett: yes
    • Roarx: yes
    • Wilson: yes
    • Decker: yes
    • Hampton: yes
    • Maddox: yes
    • Roberts: yes
    • Witten: yes
    • Dietz: yes
    • Hancock: yes
    • Massaroni: yes
    • Sharp: yes
    • Rudy: no
    • Bauman: not voting
    • Bray: not voting
    • Gooch: not voting
    • Marzian: not voting
    • Petrie: not voting
    • Bowling: not voting
    • Fugate: not voting
    • Lewis D: not voting
    • Miles: not voting
    • Willner: not voting
    • COMMONWEALTH OF KENTUCKY SENATE: not voting

  • PASS HB 176

    2026-03-31 · pass · 38-0

    Member-level votes (38)
    • Berg: yes
    • Girdler: yes
    • Neal: yes
    • Storm: yes
    • Boswell: yes
    • Givens: yes
    • Nemes: yes
    • Thomas: yes
    • Carpenter: yes
    • Herron: yes
    • Nunn: yes
    • Tichenor: yes
    • Carroll: yes
    • Higdon: yes
    • Raque Adams: yes
    • Webb: yes
    • ChambersArmstrong: yes
    • Howell: yes
    • Rawlings: yes
    • West: yes
    • Clemons: yes
    • Madon: yes
    • Reed: yes
    • Wheeler: yes
    • Deneen: yes
    • Mays Bledsoe: yes
    • Richardson: yes
    • Williams: yes
    • Douglas: yes
    • McDaniel: yes
    • Smith: yes
    • Wilson: yes
    • Elkins: yes
    • Meredith: yes
    • Stivers: yes
    • Wise: yes
    • Funke Frommeyer: yes
    • Mills: yes

Related bills

No related bills recorded for this bill.

Official source

https://apps.legislature.ky.gov/record/26RS/hb176.html

Attribution

Data from openstates_bulk_csv, retrieved 2026-07-24T05:22:24.357326Z

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