- Section 304.17A-071 - [Repealed]
- Section 304.17A-080 - Health Insurance Advisory Council - Powers - Duties - Members - Expenses and supplies
- Section 304.17A-090 - [Repealed]
- Section 304.17A-095 - Insurer issuing health benefit plan must file rates and charges - Commissioner's approval - Policy forms - Administrative regulations - Hearing
- Section 304.17A-0952 - Premium rate guidelines for individual, small group, and association plans
- Section 304.17A-0954 - Premium rate guidelines for employer-organized association plans
- Section 304.17A-096 - [Effective Until 1/1/2025] Basic health benefit plans permitted for individual, small group, and association markets - Required coverage - Exclusions from coverage
- Section 304.17A-096 - [Effective 1/1/2025] Basic health benefit plans permitted for individual, small group, and association markets - Required coverage - Exclusions from coverage
- Section 304.17A-097 - Disclosure of coverage levels in basic health benefit plan
- Section 304.17A-098 - Rewards or incentives to participate in voluntary wellness or health improvement program
- Section 304.17A-099 - Qualified health plans - Effect of requirement that state make payments under federal law to defray the cost of application of provision of chapter - Administrative regulations
- Section 304.17A-100 - [Repealed]
- Section 304.17A-110 - [Repealed]
- Section 304.17A-120 - [Repealed]
- Section 304.17A-129 - [Effective 1/1/2025] Coverage for stuttering
- Section 304.17A-130 - [Repealed]
- Section 304.17A-131 - Coverage for cochlear implants
- Section 304.17A-132 - Coverage for hearing aids
- Section 304.17A-133 - [Effective Until 1/1/2025] Coverage for mammograms
- Section 304.17A-133 - [Effective 1/1/2025] Coverage for mammograms
- Section 304.17A-134 - Coverage for medical and surgical benefits with respect to mastectomy, diagnosis and treatment of endometrioses and endometritis, and bone density testing - Requirements for health benefit plan
- Section 304.17A-135 - Coverage for treatment of breast cancer
- Section 304.17A-136 - Coverage for cancer clinical trials
- Section 304.17A-137 - [Repealed]
- Section 304.17A-138 - Telehealth coverage and reimbursement - Requirements for health benefit plan - Reimbursement for rural health clinics, federally qualified health centers, and federally qualified health center look-alikes - Benefits subject to deductible, copayment, or coinsurance - Payment subject to provider network arrangements - Audio-only encounters - Administrative regulations
- Section 304.17A-139 - Family or dependents coverage to apply to newly born child from moment of birth and to include inherited metabolic diseases - Requirement for notification and payment of premium - Coverage for milk fortifiers to prevent enterocolitis
- Section 304.17A-140 - Coverage applicable to children to include legally-adopted children
- Section 304.17A-141 - [Repealed]
- Section 304.17A-142 - Coverage for autism spectrum disorders - Limitations on coverage - Utilization review - Reimbursement not required
- Section 304.17A-143 - [Repealed]
- Section 304.17A-144 - Liaison for autism spectrum disorders treatment benefits
- Section 304.17A-145 - [Effective Until 1/1/2025] Maternity coverage to include specified amounts of inpatient care for mothers and newly-born children - Exemption
- Section 304.17A-145 - [Effective 1/1/2025] Maternity coverage to include specified amounts of inpatient care for mothers and newly-born children - Exemption
- Section 304.17A-146 - Coverage for registered nurse first assistant
- Section 304.17A-147 - Coverage for surgical first assisting or intraoperative surgical care to include services performed by certified surgical assistant
- Section 304.17A-1473 - Coverage for surgical first assisting or intraoperative surgical care to include services performed by certified surgical assistant or physician assistant
- Section 304.17A-148 - Coverage for diabetes - Cap on cost-sharing requirements for insulin
- Section 304.17A-149 - Coverage for anesthesia and services in connection with dental procedures for certain patients
- Section 304.17A-150 - Unfair trade practices - Penalties
- Section 304.17A-155 - Prohibition against denial of coverage to victims of domestic violence
- Section 304.17A-160 - [Repealed]
- Section 304.17A-161 - Definitions for KRS 304.17A-161, 304.17A-162, 304.17A-163, and 304.17A-165
- Section 304.17A-162 - Identification of sources used to calculate drug product reimbursement - Process to appeal disputes over maximum allowable cost pricing - Adjustment of maximum allowable cost and drug product reimbursement - Duties of pharmacy benefit manager
- Section 304.17A-163 - Definitions for KRS 304.17A-163 and 304.17A-1631 - Establishment of clinical review criteria - Override of restrictions on medication sequence in step therapy or fail-first protocol
- Section 304.17A-1631 - Administrative regulations - Requirement of annual report to commissioner
- Section 304.17A-164 - Limitations on insurers and pharmacy benefit managers regarding cost-sharing for prescription drugs - Exceptions
- Section 304.17A-165 - Prescription drug coverage to include exceptions or override policy for refills of covered drugs - Limitations and exclusions - Program for synchronization of medications
- Section 304.17A-166 - Prescription eye drops coverage to include refills and additional bottle if conditions met
- Section 304.17A-167 - Processes and standards for electronic prior authorizations - Prior authorization of drugs for ongoing medication therapy - Requirements - Time span of authorization - Exemptions
- Section 304.17A-168 - Coverage for tobacco cessation medications and services
- Section 304.17A-170 - Definitions for KRS 304.17A-170 and 304.17A-171
- Section 304.17A-171 - Requirements for health benefit plans that include chiropractic benefits
- Section 304.17A-172 - Requirements for health benefit plans that include anticancer medications that are injected or intravenously administered by a health care provider and patient-administered anticancer medications
- Section 304.17A-173 - Reimbursement for services within scope of practice of optometrists - Terms and conditions
- Section 304.17A-175 - Limitation on amount of copayment or coinsurance charged for services rendered by chiropractor or optometrist
- Section 304.17A-177 - Limitation on amount of copayment or coinsurance charged for services rendered by occupational or physical therapist - Insurer to clearly state coverage
- Section 304.17A-200 - Prohibition against establishing certain rules of eligibility in small group, large group, or association markets - Limitation on premium - Participation rules - Effect of denial of coverage - Disclosure
- Section 304.17A-210 - [Repealed]
- Section 304.17A-220 - Pre-existing condition exclusion in group coverage - Definitions for section
- Section 304.17A-230 - Pre-existing condition exclusion in individual market - Prohibition against use of genetic information - Administrative regulations
- Section 304.17A-235 - Notice of proposed material change in health benefit plan's agreement with participating provider
- Section 304.17A-240 - Renewal or continuation - Ground for nonrenewal, cancellation, or discontinuance
- Section 304.17A-243 - Grace period for unpaid premiums
- Section 304.17A-245 - Required notice of cancellation - Procedure - Refund of unearned premium
- Section 304.17A-250 - Standard health benefit plan - Individual or small group markets - Writing requirement for provider participation - Time limit for rate quote - Notice of denial of coverage
- Section 304.17A-252 - Health benefit plan not required to include state-mandated benefits enacted after issuance
- Section 304.17A-254 - Duties of insurer offering health benefit plan
- Section 304.17A-255 - Definition of "cost sharing" and "plan year" - Payments from specified federal programs on behalf of an insured count toward insured's premium and cost-sharing requirement - Payments made by any person on behalf of insured permissible - Exceptions - Insured's responsibility towards premium payments
- Section 304.17A-256 - Options for dependent coverage under group health benefit plans - Disclaimer
- Section 304.17A-257 - Coverage under health benefit plan for colorectal cancer examinations and laboratory tests
- Section 304.17A-258 - Coverage under health benefit plan for therapeutic food, formulas, supplements, low-protein modified food products, and amino acid-based elemental formula
- Section 304.17A-259 - Coverage under health benefit plan for genetic test for cancer risk
- Section 304.17A-260 - [Repealed]
- Section 304.17A-261 - [Effective 1/1/2025] Coverage under health benefit plan for oocyte and sperm preservation services
- Section 304.17A-262 - [Effective 1/1/2025] Coverage for orchiectomy or orchidectomy as treatment for urological cancers
- Section 304.17A-263 - Coverage under health benefit plan for biomarker testing
- Section 304.17A-265 - Insurer may not restrict assignment of benefits to substance abuse or mental health facility - Exceptions - Requirements for assignment - Construction
- Section 304.17A-270 - Nondiscrimination against provider in geographic coverage area
- Section 304.17A-275 - Health benefit plan not to discriminate against physician on basis of degree in medicine or osteopathy
- Section 304.17A-280 - [Repealed]
- Section 304.17A-290 - Prohibition against renewal of nonstate employees and small groups under KRS 18A.2251 or 18A.2281
- Section 304.17A-300 - Provider-sponsored integrated health delivery network - Qualifications - Fees - Network subject to provisions of other subtitles
- Section 304.17A-310 - Financial solvency requirements for network
- Section 304.17A-320 - Certificate of filing for employer-organized association - Effect - Revocation
- Section 304.17A-330 - Self-insurance reporting requirements - Exemption
- Section 304.17A-340 - Restrictions on use of Kentucky Children's Health Insurance Program allocated funds
- Section 304.17A-350 - [Repealed]