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Kentucky HB 386 requires health plans and Medicaid to cover perinatal mood and anxiety disorder screenings for parents during well-child visits

Original title: AN ACT relating to coverage for perinatal mood and anxiety disorders screenings.

Last action · January 22, 2026: to Banking & Insurance (H)Sponsors: Anne Donworth and 6 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

Official description

AN ACT relating to coverage for perinatal mood and anxiety disorders screenings.

Background
  • Perinatal mood and anxiety disorders are common complications during pregnancy and the postpartum period that affect both maternal well-being and infant development. context
  • The Kentucky General Assembly regularly considers legislation modifying health insurance mandates and Medicaid benefits for state residents. context

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

Parents and legal guardians of children under age two

Eligible to receive covered perinatal mood and anxiety disorders screenings during their child's well-child or Medicaid visits without cost sharing.

Directly affected

Health benefit plan issuers

Required to include coverage for perinatal mood and anxiety disorders screenings for eligible parents and legal guardians without cost-sharing under applicable health plans.

Directly affected

Department for Medicaid Services

Must allow perinatal mood and anxiety disorders screenings for accompanying parents or legal guardians to be claimed as a service for the child under Medicaid.

Key Facts

  • The Department for Medicaid Services and contracted managed care organizations must allow perinatal mood and anxiety disorders screenings for any accompanying parent or legal guardian of a covered child under two years old to be claimed as a service for the child.
  • Kentucky's preventive health insurance program for children under Title XXI must include coverage for perinatal mood and anxiety disorders screenings for accompanying parents or legal guardians of beneficiaries under two years of age without copayment, deductible, coinsurance, or premium.
  • Commercial health plans offering well-child or well-baby visits must include coverage for perinatal mood and anxiety disorders screenings for accompanying parents or legal guardians of covered children under two years of age without cost sharing.
  • If screening mandates cause a health plan to fail to qualify as a High Deductible Health Plan under federal tax law, the requirement does not apply until the minimum deductible is satisfied.
Show all 7 facts
  • Self-insured employer group health plans provided by state postsecondary education institutions and state employee health benefit plans under KRS 18A.225 are required to incorporate the new perinatal screening coverage.
  • Sections 3, 5, and 6 of the Act apply to health plans issued or renewed on or after January 1, 2027.
  • The Cabinet for Health and Family Services or Department for Medicaid Services must request necessary federal approvals within 90 days of the effective date to prevent the loss of federal funds for Sections 1 and 2.

Frequently Asked Questions

Who is eligible for the covered perinatal mood and anxiety disorders screenings?
Any accompanying parent or legal guardian of a covered child or beneficiary who is less than two years of age is eligible when the screening is provided in conjunction with preventive services rendered to the child.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died at adjournment · in House committee.

Procedural history

2 actions
  1. Jan 22, 2026HouseCommittee
    to Banking & Insurance (H)
  2. Jan 14, 2026HouseIntroduced
    introduced in House to Committee on Committees (H)

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Integration of Parental Mental Health into Pediatric Visits

The legislation formally links adult parental mental health screenings directly to pediatric well-child visits and Medicaid early and periodic screening benefits.

Connected Entities

Kentucky Employees Retirement System, General Assembly, Office of Data Analytics and 8 more
OrganizationKentucky Employees Retirement System“State-administered retirement system”Map →
OrganizationGeneral Assembly“The legislative body enacting the bill”Map →
OrganizationOffice of Data Analytics“Houses the Division of Health Benefit Exchange”Map →
OrganizationCounty Employees Retirement System“State-administered retirement system”Map →
OrganizationKentucky Teachers' Retirement System“State-administered retirement system”Map →
OrganizationDepartment for Medicaid Services“Administers Medicaid services and must allow certain screenings”Map →
OrganizationCabinet for Health and Family Services“Cabinet that submits plans for federal approval and requests waivers”Map →
OrganizationDivision of Health Benefit Exchange“Receives cost reports from qualified health plan issuers”Map →
OrganizationAmerican Academy of Actuaries“Members must conduct cost calculations for qualified health plan provisions”Map →
OrganizationKentucky Community and Technical College System“Administers an optional retirement plan for employees”Map →
OrganizationPersonnel Cabinet“Administers state employee health insurance program”Map →

Sources

Open source document

apps.legislature.ky.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 65)
  • Controversy15
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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