Kentucky SB97 mandates coverage for prostheses and orthoses in health benefit plans.

Kentucky SB97 requires health benefit plans to cover prostheses and orthoses, including necessary materials, components, and repairs. It mandates a reasonably adequate network of prosthetists and orthotists, with options for out-of-network referrals and reimbursements. The bill also specifies coverage for disabled children of employees and allows employees to select alternative plans if their county lacks certain services. It applies to health benefit plans issued or renewed on or after January 1, 2027.

Kentucky SB97 mandates coverage for prostheses and orthoses in health benefit plans.

Kentucky SB97 requires health benefit plans to cover prostheses and orthoses, including necessary materials, components, and repairs. It mandates a reasonably adequate network of prosthetists and orthotists, with options for out-of-network referrals and reimbursements. The bill also specifies coverage for disabled children of employees and allows employees to select alternative plans if their county lacks certain services. It applies to health benefit plans issued or renewed on or after January 1, 2027.