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Read. Follow. Verify.Kentucky HB 365 Mandates Health Benefit Plan Coverage for Therapeutic Foods, Formulas, and Maternity Care
Last action · January 21, 2026: to Banking & Insurance (H)Sponsors: Pamela Stevenson and 1 other
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What This Bill Proposed
Kentucky HB 365 requires health benefit plans, Medicaid, and state-sponsored employee health plans to cover therapeutic foods, formulas, and supplements for and genetic conditions, subject to specific annual caps. The measure also mandates comprehensive maternity care, telehealth services for pregnant and postpartum women, and specific provider credentialing timelines, with provisions taking effect on January 1, 2027.
- Kentucky House Bill 365 was introduced in the 2026 Regular Session relating to insurance coverage for the care of children and maternal health. 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.
Children and Individuals with Inborn Errors of Metabolism
Guaranteed health insurance and Medicaid coverage for therapeutic foods, formulas, and low-protein modified foods up to specified annual caps under physician direction.
Pregnant and Postpartum Women
Mandated health benefit plan coverage for maternity care, minimum hospital stays after delivery, in-home substance use disorder programs, and telehealth services.
Health Benefit Plan Issuers and Insurers
Required to update health plans, incorporate new nutritional and maternity coverage mandates, and calculate cost attributions for qualified health plans.
State Employees and Public Postsecondary Education Employees
State-sponsored and university group health plans must incorporate the new coverage mandates for child care, metabolic formulas, and maternity services.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
Are there financial caps on the coverage for therapeutic foods and formulas?
What are the minimum hospital stay requirements for maternity care under the bill?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
This bill did not become law - Died at adjournment · in House committee.
Procedural history
2 actions- Jan 21, 2026HouseCommitteeto Banking & Insurance (H)
- Jan 13, 2026HouseIntroducedintroduced 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
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Expansion of Statutory Health Insurance Mandates
The bill systematically amends multiple KRS chapters (304, 205, 164, and 18A) to align commercial plans, Medicaid, university plans, and state employee insurance under unified nutritional and maternity care mandates.
Connected Entities
Sources
apps.legislature.ky.gov
Analysis Score
0–100- Significance20Lowered because this bill did not pass (its text scored 80)
- Controversy35Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz40Current news / social attention level
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