Medicaid
Kentucky 2025 Regular Session
AN ACT relating to prior authorization. [HB-423]
[Healthcare ]
[Insurance ]
[Medicare and Medicaid ]
[Public Health ]
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
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Sponsored by: Rep. Kimberly Poore Moser
Passed Over And Retained In The Orders Of The Day on 03/28/2025
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Gettr Kentucky 2025 Regular Session
AN ACT relating to utilization controls for nonopioid analgesics in the Medicaid program. [SB-128]
[Healthcare ]
[Medicare and Medicaid ]
[Pharmaceuticals ]
[Public Health ]
Create a new section of KRS Chapter 205 to prohibit the Department for Medicaid Services, any Medicaid managed care organization contracted by the department, and the Medicaid state pharmacy benefit manager from denying coverage for a nonopioid analgesic in favor of opioid analgesic or establishing more restrictive or more extensive utilization controls for nonopioid analgesics than the least restrictive or extensive utilization controls for any opioid or narcotic analgesic.
Sponsored by: Sen. Gerald A. Neal
To Health Services (s) on 02/13/2025
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Kentucky 2025 Regular Session
✔
AN ACT relating to the application of Subtitle 17A of KRS Chapter 304. [HB-415]
[Insurance ]
Create a new section of Subtitle 17A of KRS Chapter 304 to establish application of the subtitle to types of insurance, coverages, and benefits; authorize the insurance commissioner to exempt other types of similar or limited insurance, coverage, or benefits from the subtitle.
Sponsored by: Rep. Chris Freeland
Signed By Governor on 03/24/2025
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Kentucky 2025 Regular Session
AN ACT relating to the recruitment and retention of health care professionals and declaring an emergency. [SB-132]
[Healthcare ]
[Labor, Jobs, Employment ]
[Public Health ]
Create new sections of KRS Chapter 344 to ensure federal law relating to emergency medical treatment and the collection of evidence is not overridden; define terms; prohibit discrimination against health care professionals who decline to perform procedures that violate their conscience; grant health care professionals the right not to participate in services that violate their conscience; exempt health care professionals from liability for exercising these rights; prohibit hiring or licensing authorities from reprimanding health care professionals;
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Sponsored by: Sen. Donald Douglas
2nd Reading, To Rules on 03/13/2025
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Utah 2025 General Session
Medicaid Accounts Amendments [SB-257]
[Healthcare ]
[Medicare and Medicaid ]
Medicaid Accounts Amendments
Sponsored by: Sen. Brady Brammer
Senate/ Strike Enacting Clause In Senate Secretary on 03/07/2025
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Texas 89th Legislature Regular Session
Relating to the development and implementation of the Live Well Texas program and the expansion of Medicaid eligibility to provide health benefit coverage to certain individuals; imposing penalties. [HB-2627]
[Healthcare ]
[Medicare and Medicaid ]
[Public Health ]
Relating to the development and implementation of the Live Well Texas program and the expansion of Medicaid eligibility to provide health benefit coverage to certain individuals; imposing penalties.
Sponsored by: Rep. Cassandra Garcia Hernandez
Read First Time on 03/18/2025
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Idaho 2025 Regular Session
Amends existing law to provide minimum risk-sharing levels for value care organizations. [HB-201]
[Healthcare ]
[Medicare and Medicaid ]
MEDICAID -- Amends existing law to provide minimum risk-sharing levels for value care organizations.
Sponsored by: Rep. Health and Welfare Committee
Reported Printed And Referred To Health & Welfare on 02/11/2025
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Texas 89th Legislature Regular Session
Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act. [HB-2604]
[Healthcare ]
[Medicare and Medicaid ]
Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.
Sponsored by: Rep. Lauren Ashley Simmons
Read First Time on 03/18/2025
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Texas 89th Legislature Regular Session
✔
Relating to electronic health record requirements; authorizing a civil penalty. [SB-1188]
[Healthcare ]
[Technology and Innovation ]
[Data Privacy ]
[Public Health ]
Relating to electronic health record requirements; authorizing a civil penalty.
Sponsored by: Sen. Lois Kolkhorst
Signed By The Governor on 06/20/2025
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Utah 2025 General Session
Medicaid Reimbursement Rate Modifications [SB-246]
[Healthcare ]
[Medicare and Medicaid ]
[Budget and Spending ]
Medicaid Reimbursement Rate Modifications
Sponsored by: Sen. Todd D. Weiler
House/ Strike Enacting Clause In Clerk Of The House on 03/07/2025
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Maine 132nd Legislature
Resolve, to Raise MaineCare Reimbursement Rates for Detoxification Services for Substance Use Disorder Treatment [SB-514]
[Healthcare ]
[Medicare and Medicaid ]
[Public Health ]
[Mental Health ]
[Overdose Prevention ]
[Human Services ]
Resolve, to Raise MaineCare Reimbursement Rates for Detoxification Services for Substance Use Disorder Treatment
Sponsored by: Sen. Bradlee Thomas Farrin
Pursuant To Joint Rule 310.3 Placed In Legislative Files (dead) on 03/27/2025
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Maine 132nd Legislature
An Act to Support Healthy Weight by Providing MaineCare Coverage for Certain Weight Loss Medications [HB-480]
[Healthcare ]
[Medicare and Medicaid ]
[Public Health ]
An Act to Support Healthy Weight by Providing MaineCare Coverage for Certain Weight Loss Medications
Sponsored by: Rep. Tiffany D. Roberts-Lovell
Pursuant To Joint Rule 310.3 Placed In Legislative Files (dead) on 03/20/2025
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Kentucky 2025 Regular Session
AN ACT relating to reproductive health care. [HB-357]
[Healthcare ]
[Reproductive Rights / Abortion ]
[Medicare and Medicaid ]
[Human Services ]
[Public Health ]
[Family-Related Legislation ]
[Children and Youth ]
[Immigration ]
Amend KRS 205.592 to expand Medicaid eligibility to include pregnant women and new mothers up to 12 months postpartum regardless of citizenship or national origin; create a new section of KRS Chapter 205 to define terms; direct the Cabinet for Health and Family Services to establish a family planning program to provide family planning services and family planning-related services to Medicaid-eligible individuals, including individuals who would otherwise be eligible for Medicaid except for their citizenship or national origin; require the Department
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Sponsored by: Rep. George A. Brown
To Health Services (h) on 02/07/2025
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Texas 89th Legislature Regular Session
Relating to the determination of fees, charges, and rates for certain benefits under Medicaid. [SB-1112]
[Healthcare ]
[Medicare and Medicaid ]
Relating to the determination of fees, charges, and rates for certain benefits under Medicaid.
Sponsored by: Sen. Bryan Hughes
Read First Time on 02/24/2025
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Texas 89th Legislature Regular Session
Proposing a constitutional amendment requiring the state to expand eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act. [HJR-131]
[Healthcare ]
[Medicare and Medicaid ]
Proposing a constitutional amendment requiring the state to expand eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.
Sponsored by: Rep. Lauren Ashley Simmons
Read First Time on 03/19/2025
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Kentucky 2025 Regular Session
AN ACT relating to rapid whole genome sequencing. [HB-217]
[Healthcare ]
[Medicare and Medicaid ]
[Science ]
[Public Health ]
[Children and Youth ]
Create a new section of KRS Chapter 205 to define "rapid whole genome sequencing"; require the Department for Medicaid Services and Medicaid managed care organizations to provide coverage for rapid whole genome sequencing; establish conditions for coverage; amend KRS 205.6485 to require the Kentucky Children's Health Insurance Program to provide coverage for rapid whole genome sequencing; require the Department for Medicaid Services (department) to promulgate administrative regulations; require the Cabinet for Health and Family Services or the department
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Sponsored by: Rep. Rebecca Raymer
Withdrawn on 02/06/2025
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Kentucky 2025 Regular Session
AN ACT relating to coverage of feeding or eating disorders. [HB-244]
[Healthcare ]
[Insurance ]
[Medicare and Medicaid ]
[Mental Health ]
[Public Health ]
[Children and Youth ]
Create new section of Subtitle 17A of KRS Chapter 304 to define terms; require health plans to provide coverage for eating or feeding disorder treatment; prohibit health plans from using certain standards, including body mass index, when determining medical necessity or the appropriate level of care for an individual diagnosed with a feeding or eating disorder; amend KRS 304.17C-125, 205.522, 205.6485, 164.2871, and 18A.225 to require limited health services benefit plans, Medicaid, KCHIP, self-insured employer group plans provided by the governing
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Sponsored by: Rep. Ken Fleming
To Banking & Insurance (h) on 02/07/2025
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Kentucky 2025 Regular Session
AN ACT relating to conversion therapy. [SB-94]
[Healthcare ]
[Mental Health ]
[Children and Youth ]
[Human Rights ]
[Public Health ]
Create a new section of KRS Chapter 216 to define terms; direct the Cabinet for Health and Family Services (cabinet) to prohibit the direct or indirect use of state and federal funds for the practice of conversion therapy on minors; require state agencies to report providers engaged in conversion therapy efforts with a minor to the appropriate professional certification or licensing board; require the cabinet to update relevant policies and procedures to reflect the prohibition of conversion therapy on minors and to convey the dangers of conversion
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Sponsored by: Sen. Karen Berg
To Health Services (s) on 02/06/2025
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Kentucky 2025 Regular Session
AN ACT relating to coverage for hearing loss. [SB-93]
[Healthcare ]
[Insurance ]
[Medicare and Medicaid ]
[Public Health ]
Amend KRS 304.17A-132 to modify coverage requirements for hearing aids and related services; amend KRS 304.17A-131 to modify coverage requirements for cochlear implants; amend KRS 205.522, 205.6485, 164.2871, and 18A.225 to require Medicaid, KCHIP, self-insured employer group plans provided by the governing board of a state postsecondary education institution, and the state employee health plan to comply with the coverage requirements for hearing aids and related services and cochlear implants; provide that various sections apply to health benefit
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Sponsored by: Sen. Gerald A. Neal
2nd Reading, To Rules on 03/13/2025
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Kentucky 2025 Regular Session
AN ACT relating to coverage for epinephrine devices. [HB-236]
[Healthcare ]
[Insurance ]
[Public Health ]
[Pharmaceuticals ]
[Medicare and Medicaid ]
[Children and Youth ]
Create a new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to cover epinephrine devices for covered persons; limit a covered person's cost-sharing amount to $100 annually; amend KRS 304.17A-099 to exempt the epinephrine device coverage requirement from being suspended under state law due to the triggering of federal cost defrayment requirements; amend KRS 205.522, 205.6485,164.2871, and 18A.225 to require Medicaid, KCHIP, self-insured employer group health plans offered by the governing board of a state postsecondary
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Sponsored by: Rep. John C. Blanton
To Appropriations & Revenue (s) on 03/12/2025