2025 Regular SessionKentucky Legislature

HB421: AN ACT relating to colorectal cancer screenings.

Legislative Summary

Amend KRS 304.17A-257 to require coverage for all colorectal cancer examinations and laboratory tests specified in the United States Multi-Society Task Force on Colorectal Cancer guidelines for certain covered persons; require coverage for all United States Food and Drug Administration-approved bowel preparation prescribed in connection with a colorectal cancer examination or test; prohibit prior authorization requirements for colorectal cancer examinations and laboratory tests; provide an exemption from the cost sharing prohibition for Health Savings Account-qualified High Deductible Health Plans under certain circumstances; provide that the colorectal cancer examination and laboratory test coverage section applies to health benefit plans issued or renewed on or after January 1, 2026; establish construction of certain provisions for purposes of federal law and require state officials to comply; require the Cabinet for Health and Family Services or the Department for Medicaid Services to obtain federal approval, if necessary and comply with notice requirements; EFFECTIVE, in part, January 1, 2026.

Demographic Impact

Overall analysis of equity impact

80% Positive
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Bill History

2/11/2025
introduced in House
House of Representatives
2/11/2025
to Committee on Committees (H)
House of Representatives
2/14/2025
to Banking & Insurance (H)
House of Representatives
2/27/2025
taken from Banking & Insurance (H)
House of Representatives
2/27/2025
1st reading
House of Representatives
2/27/2025
returned to Banking & Insurance (H)
House of Representatives
2/28/2025
taken from Banking & Insurance (H)
House of Representatives
2/28/2025
2nd reading
House of Representatives
2/28/2025
returned to Banking & Insurance (H)
House of Representatives
3/5/2025
reported favorably, to Rules with Committee Substitute (1)
House of Representatives
3/5/2025
taken from Rules
House of Representatives
3/5/2025
placed in the Orders of the Day for Wednesday, March 5, 2025
House of Representatives
3/5/2025
3rd reading, passed 98-0 with Committee Substitute (1)
House of Representatives
3/6/2025
received in Senate
Senate
3/6/2025
to Committee on Committees (S)
Senate
3/7/2025
to Banking & Insurance (S)
Senate
3/7/2025
taken from Banking & Insurance (S)
Senate
3/7/2025
1st reading
Senate
3/7/2025
returned to Banking & Insurance (S)
Senate
3/11/2025
reported favorably, 2nd reading, to Rules
Senate
3/28/2025
posted for passage in the Regular Orders of the Day for Friday, March 28, 2025
Senate
3/28/2025
3rd reading, passed 37-0
Senate
3/28/2025
received in House
House of Representatives
3/28/2025
enrolled, signed by Speaker of the House
House of Representatives
3/28/2025
enrolled, signed by President of the Senate
House of Representatives
3/28/2025
delivered to Governor
House of Representatives
4/2/2025
signed by Governor (Acts Ch. 158)
House of Representatives

Amendments

House Committee Substitute

House Committee Substitute 1

Not Adopted

House Committee Substitute

Health Mandate to House Committee Substitute 1

Not Adopted

House Committee Substitute

Local Mandate to House Committee Substitute 1

Not Adopted

Roll Call Votes

Senate: Third Reading RSN# 3675
3/28/2025
37
Yea
0
Nay
0
Not Voting
1
Absent
Result: PASSED
House: Third Reading RCS# 161
3/5/2025
98
Yea
0
Nay
0
Not Voting
2
Absent
Result: PASSED

Status Information

Current Status
Passed(4/2/2025)
Chamber
House of Representatives

Documents

Engrossed
Bill Text1/1/197025.9 KB
Introduced
Bill Text1/1/197025.6 KB
Chaptered
Bill Text1/1/197024.3 KB
Local Mandate
Local Mandate1/1/19703.1 KB
Local Mandate
Local Mandate1/1/19703.1 KB
Vote Image
Vote Image4/3/202541.0 KB