Senate Bill 97
04/07/26: signed by Governor (Acts Ch. 51)
Title AN ACT relating to coverage for prostheses and orthoses.
Bill Documents Acts Chapter 51
Current/Final
Introduced
Fiscal Impact Statements Actuarial Analysis
Health Mandate
Local Mandate
State Employee Health Plan Impact
Additional Fiscal Impact Statements Exist
Bill Request Number1263
Sponsors R. Girdler, J. Adams, M. Deneen, G. Elkins, S. Madon, A. Mays Bledsoe, M. Nunn, S. Rawlings, A. Reed, B. Storm, P. Wheeler
Summary of Original VersionCreate a new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to provide coverage for prostheses and orthoses; establish minimum requirements for the required coverage; require utilizations review decisions to be made in a nondiscriminatory manner; require an insurer or its private review agent to provide notice of certain rights of the insured; establish notice requirements for denials; establish network adequacy requirements for the provision of a prosthesis or orthosis that is required to be covered; establish reporting requirements for insurers and the commissioner of the Department of Insurance relating to the required coverage; amend KRS 164.2871 and 18A.225 to require self-insured group health plans offering by the governing board of state postsecondary education institutions and the state employee health plan to comply with the requirements relating to coverage for prostheses and orthoses; provide that the Act applies to health benefit plans issued or renewed on or after January 1, 2027; EFFECTIVE January 1, 2027.
Index Headings of Original VersionDisabilities - Prostheses and orthoses, coverage requirement
Education, Higher - Self-insured group health plans, prostheses and orthoses, coverage, requirements
Effective Dates, Delayed - Prostheses and orthoses, coverage requirement, January 1, 2027
Health And Medical Services - Prostheses and orthoses, coverage requirement
Health Care Professionals - Prostheses and orthoses, insurance, network adequacy
Insurance, Health - Prostheses and orthoses, coverage requirement, network adequacy
Reports Mandated - Department of Insurance, prostheses and orthoses coverage
Reports Mandated - Insurers, prostheses and orthoses coverage
State Employees - Health plan, prostheses and orthoses, coverage requirement
Actuarial Analysis - Prostheses and orthoses, coverage requirement, network adequacy
Health Benefit Plan Mandate - Prostheses and orthoses, coverage requirement, network adequacy
Local Mandate - Prostheses and orthoses, coverage requirement, network adequacy
State Employee Health Plan Mandate - Prostheses and orthoses, coverage requirement, network adequacy
Jump to Proposed Amendments Senate Committee Substitute 1 with Fiscal Impact Statements
House Committee Substitute 1 with Fiscal Impact Statements
House Floor Amendment 1
Votes Vote History
Actions
Top | Amendments
01/15/26
Bill Documents Acts Chapter 51
Current/Final
Introduced
Fiscal Impact Statements Actuarial Analysis
Health Mandate
Local Mandate
State Employee Health Plan Impact
Additional Fiscal Impact Statements Exist
Bill Request Number1263
Sponsors R. Girdler, J. Adams, M. Deneen, G. Elkins, S. Madon, A. Mays Bledsoe, M. Nunn, S. Rawlings, A. Reed, B. Storm, P. Wheeler
Summary of Original VersionCreate a new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to provide coverage for prostheses and orthoses; establish minimum requirements for the required coverage; require utilizations review decisions to be made in a nondiscriminatory manner; require an insurer or its private review agent to provide notice of certain rights of the insured; establish notice requirements for denials; establish network adequacy requirements for the provision of a prosthesis or orthosis that is required to be covered; establish reporting requirements for insurers and the commissioner of the Department of Insurance relating to the required coverage; amend KRS 164.2871 and 18A.225 to require self-insured group health plans offering by the governing board of state postsecondary education institutions and the state employee health plan to comply with the requirements relating to coverage for prostheses and orthoses; provide that the Act applies to health benefit plans issued or renewed on or after January 1, 2027; EFFECTIVE January 1, 2027.
Index Headings of Original VersionDisabilities - Prostheses and orthoses, coverage requirement
Education, Higher - Self-insured group health plans, prostheses and orthoses, coverage, requirements
Effective Dates, Delayed - Prostheses and orthoses, coverage requirement, January 1, 2027
Health And Medical Services - Prostheses and orthoses, coverage requirement
Health Care Professionals - Prostheses and orthoses, insurance, network adequacy
Insurance, Health - Prostheses and orthoses, coverage requirement, network adequacy
Reports Mandated - Department of Insurance, prostheses and orthoses coverage
Reports Mandated - Insurers, prostheses and orthoses coverage
State Employees - Health plan, prostheses and orthoses, coverage requirement
Actuarial Analysis - Prostheses and orthoses, coverage requirement, network adequacy
Health Benefit Plan Mandate - Prostheses and orthoses, coverage requirement, network adequacy
Local Mandate - Prostheses and orthoses, coverage requirement, network adequacy
State Employee Health Plan Mandate - Prostheses and orthoses, coverage requirement, network adequacy
Jump to Proposed Amendments Senate Committee Substitute 1 with Fiscal Impact Statements
House Committee Substitute 1 with Fiscal Impact Statements
House Floor Amendment 1
Votes Vote History
Actions
Top | Amendments
01/15/26
- introduced in Senate
- to Committee on Committees (S)
- to Banking & Insurance (S)
- reported favorably, 1st reading, to Calendar with Committee Substitute (1)
- 2nd reading, to Rules
- posted for passage in the Regular Orders of the Day for Thursday, March 12 2026
- 3rd reading, passed 38-0 with Committee Substitute (1)
- received in House
- to Committee on Committees (H)
- to Banking & Insurance (H)
- reported favorably, 1st reading, to Calendar with Committee Substitute (1)
- 2nd reading, to Rules
- posted for passage in the Regular Orders of the Day for Friday, March 27 2026
- floor amendment (1) filed to Committee Substitute
- Committee Substitute (1) adopted
- floor amendment (1) adopted
- 3rd reading, passed 95-0 with Committee Substitute (1) and Floor Amendment (1)
- received in Senate
- to Rules (S)
- posted for passage for concurrence in House Floor Amendment (1) and Committee Substitute (1)
- Senate concurred in Committee Substitute (1) and Floor Amendment (1)
- passed 38-0
- enrolled, signed by President of the Senate
- enrolled, signed by Speaker of the House
- delivered to Governor
- signed by Governor (Acts Ch. 51)
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What is "So Every BODY Can Move"?
- Movement is medicine and physical activity is a right, not a privilege.
- But today, thousands of individuals living with limb loss or limb difference are unable to afford and access orthotic and prosthetic care that helps them by physically active due to inadequate insurance coverage.
- So Every BODY Can Move (SEBCM) is mobilizing grassroots advocates to champion state-based legislative advocates to champion state-based legislative change, ultimately inspiring a national movement.
"So Every BODY Can Move" Mission
- So Every BODY Can Move is a grassroots policy and advocacy initiative with the mission to create equitable and life-changing access to orthotic and prosthetic care necessary for physical activity for individuals with disabilities.
- Through the collaborative effort of our national partners, we are achieving this through powerful storytelling and mobilizing grassroots advocates to champion local, state-by-state legislative change, ultimately inspiring.