2025 Regular SessionKentucky Legislature

HB90: AN ACT relating to maternal health and declaring an emergency.

Legislative Summary

Create a new section of KRS Chapter 216B to define "freestanding birthing center"; require the Cabinet for Health and Family Services to promulgate administrative regulations to establish licensure standards for freestanding birthing centers; establish criteria for a medical director; establish requirements for obtaining written informed consent; require a written patient transfer agreement with a hospital that provides obstetric services; require a written patient transfer agreement with an emergency medical transportation service; exempt a center with no more than four beds from certificate-of-need requirements for establishing and licensing a freestanding birthing center; state intent not to limit or expand liability of a center or health care provider or facility; require medical malpractice insurance for freestanding birthing centers; prohibit abortions in freestanding birthing centers; amend KRS 216B.015 to include freestanding birthing centers in the definition of "health facility"; amend KRS 216B.020, 196.173, 211.122, 211.647, 211.660, 213.046, 214.155, 214.565, 214.567, 214.569, 216.2920, 216.2921, 216.2923, 216.2925, 216.2927, and 216.2970 to conform; require the cabinet to promulgate updated administrative regulations by December 1, 2025; provide that the Act may be cited as the Mary Carol Akers Birth Centers Act.

Demographic Impact

Overall analysis of equity impact

70% Positive
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Bill History

1/7/2025
introduced in House
House of Representatives
1/7/2025
to Committee on Committees (H)
House of Representatives
2/4/2025
to Licensing, Occupations, & Administrative Regulations (H)
House of Representatives
2/28/2025
taken from Licensing, Occupations, & Administrative Regulations (H)
House of Representatives
2/28/2025
1st reading
House of Representatives
2/28/2025
returned to Licensing, Occupations, & Administrative Regulations (H)
House of Representatives
3/4/2025
taken from Licensing, Occupations, & Administrative Regulations (H)
House of Representatives
3/4/2025
2nd reading
House of Representatives
3/4/2025
returned to Licensing, Occupations, & Administrative Regulations (H)
House of Representatives
3/5/2025
reported favorably, to Rules
House of Representatives
3/6/2025
taken from Rules
House of Representatives
3/6/2025
placed in the Orders of the Day
House of Representatives
3/6/2025
3rd reading, passed 82-9
House of Representatives
3/6/2025
received in Senate
Senate
3/6/2025
to Committee on Committees (S)
Senate
3/6/2025
taken from Committee on Committees (S)
Senate
3/6/2025
1st reading
Senate
3/6/2025
returned to Committee on Committees (S)
Senate
3/7/2025
to Licensing & Occupations (S)
Senate
3/7/2025
taken from Licensing & Occupations (S)
Senate
3/7/2025
2nd reading
Senate
3/7/2025
returned to Licensing & Occupations (S)
Senate
3/13/2025
reported favorably, to Rules with Committee Substitute (1) and Committee Amendment (1-title)
Senate
3/13/2025
posted for passage in the Regular Orders of the Day for Thursday, March 13, 2025
Senate
3/13/2025
3rd reading, passed 29-0-5 with Committee Substitute (1) and Committee Amendment (1-title)
Senate
3/13/2025
received in House
House of Representatives
3/13/2025
to Rules (H)
House of Representatives
3/13/2025
taken from Rules (H)
House of Representatives
3/13/2025
posted for passage for concurrence in Senate Committee Substitute (1) and Committee Amendment (1-title)
House of Representatives
3/13/2025
House concurred in Senate Committee Substitute (1) and Committee Amendment (1-title)
House of Representatives
3/13/2025
passed 74-17
House of Representatives
3/13/2025
enrolled, signed by Speaker of the House
House of Representatives
3/13/2025
enrolled, signed by President of the Senate
House of Representatives
3/13/2025
delivered to Governor
House of Representatives
3/25/2025
Vetoed
House of Representatives
3/27/2025
received in House
Senate
3/27/2025
to Rules (H)
Senate
3/27/2025
taken from Rules
Senate
3/27/2025
posted for consideration of Governor's veto
Senate
3/27/2025
veto overridden
Senate
3/27/2025
passed 77-20
Senate
3/27/2025
received in Senate
House of Representatives
3/27/2025
to Rules (S)
House of Representatives
3/27/2025
posted for passage for consideration of Governor's veto
House of Representatives
3/27/2025
veto overridden
House of Representatives
3/27/2025
passed 31-7
House of Representatives
3/28/2025
received in House
Senate
3/28/2025
enrolled, signed by Speaker of the House
Senate
3/28/2025
enrolled, signed by President of the Senate
Senate
3/28/2025
delivered to Secretary of State (Acts Ch. 121)
Senate

Amendments

Senate Committee Substitute

Senate Committee Substitute 1

Not Adopted

Senate Committee Substitute

Corrections Impact to Senate Committee Substitute 1

Not Adopted

Senate Committee Substitute

Local Mandate to Senate Committee Substitute 1

Not Adopted

Senate Committee Amendment

Senate Committee Amendment 1

Not Adopted

Roll Call Votes

House: Third Reading RCS# 326
3/27/2025
77
Yea
20
Nay
0
Not Voting
3
Absent
Result: PASSED
Senate: Third Reading RSN# 3665
3/27/2025
31
Yea
7
Nay
0
Not Voting
0
Absent
Result: PASSED
Senate: Third Reading W/scs1 scta1 RSN# 3506
3/13/2025
29
Yea
0
Nay
5
Not Voting
4
Absent
Result: PASSED
House: Third Reading RCS# 244
3/13/2025
74
Yea
17
Nay
0
Not Voting
9
Absent
Result: PASSED
House: Third Reading RCS# 167
3/6/2025
82
Yea
9
Nay
0
Not Voting
9
Absent
Result: PASSED

Status Information

Current Status
Passed(3/28/2025)
Chamber
Senate

Documents

Introduced
Bill Text1/1/1970228.1 KB
Engrossed
Bill Text1/1/1970223.0 KB
Enrolled
Bill Text1/1/1970284.5 KB
Chaptered
Bill Text1/1/1970276.5 KB
Chaptered
Bill Text1/1/1970227.1 KB
Local Mandate
Local Mandate1/1/1970224.4 KB
Corrections Impact
Corrections Impact1/1/19703.2 KB
Vote Image
Vote Image4/3/202552.7 KB