Kentucky legislation · 2026 Regular Session
Kentucky HB655: AN ACT relating to limited health service benefit plans.
Status: In committee, February 25, 2026
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.
What the bill says
An act relating to limited health service benefit plans.
From the introduced text:
AN ACT relating to limited health service benefit plans. Be it enacted by the General Assembly of the Commonwealth of Kentucky: Section 1. KRS 304.17C-085 is amended to read as follows: (1) As used in this section: (a) "Contractual discount" means a percentage reduction from a provider's usual and customary rate for covered services [and material ]required under a participating provider agreement; and (b) "Covered services": 1. Means services and materials for which: a.[1.] Reimbursement from a plan is provided by the enrollee's plan contract; or b.[2.] Reimbursement would be available but for the application of the enrollee's contractual limitations of deductibles, copayments, coinsurance, or frequency limitations; and 2. Does not include services and materials for which reimbursement would be available but for the application of the enrollee's contractual limitation of an annual maximum benefit. (2) A participating provider agreement shall not require a participating provider to provide services to an enrollee at a fee set by or subject to the approval of the limited health service benefit plan unless the services are covered services under the participating provider agreement. (3) A provider shall not charge more for services and materials that are noncovered services under a limited health service benefit plan than the provider's rate for the services and materials. (4) The amount of a contractual discount shall not …
Sponsors
- Derek Lewis (R, HD-090) · primary sponsor
Latest actions
- : to Banking & Insurance (H)
- : to Committee on Committees (H)
- : introduced in House
Subjects: Insurance, Health, Health Care Professionals, Local Mandate, Contracts
Common questions
- What is HB655?
- HB655 is a bill in the Kentucky Legislature (2026 Regular Session): AN ACT relating to limited health service benefit plans.
- What does HB655 do?
- In its own words: An act relating to limited health service benefit plans.
- What is the status of HB655?
- In committee as of February 25, 2026. Latest action: to Banking & Insurance (H) (February 25, 2026).
- Who sponsored HB655?
- Derek Lewis (R, HD-090).
- Where is the official record for HB655?
- On the Kentucky Legislature website: https://apps.legislature.ky.gov/record/26rs/hb655.html
Source: official Kentucky record. Tracked by Delilah, AI for legislation across all 50 states and Congress.