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Read. Follow. Verify.Kentucky HB 32 Requires Health Plans to Cover Epinephrine Devices and Caps Cost Sharing at $100 Annually
Last action · January 13, 2026: to Banking & Insurance (H)Sponsors: Adam Moore and 14 others
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What This Bill Proposed
Kentucky health benefit plans, state employee health plans, Medicaid, and KCHIP must provide annual coverage for at least two medically necessary s per covered person, with out-of-pocket capped at $100 annually, starting January 1, 2027.
- Epinephrine auto-injectors are critical, life-saving medical devices used to treat severe allergic reactions (anaphylaxis). context
- State legislatures frequently introduce insurance mandate bills to limit out-of-pocket costs for essential medications and medical devices for 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.
Covered persons and patients
Patients receive guaranteed annual coverage for at least two medically necessary epinephrine devices with out-of-pocket costs capped at $100 annually.
Health benefit plan issuers
Insurers must update health benefit plans to provide coverage for epinephrine devices, calculate attributable costs, and report them to the commissioner.
Department for Medicaid Services
The department and its contracted managed care organizations must comply with the new epinephrine device coverage mandate.
Key Facts
- Health benefit plans must provide annual coverage for at least two medically necessary epinephrine devices per covered person.
- Cost sharing for covered epinephrine devices is capped at $100 annually, except where it would disqualify a Health Savings Account-qualified High Deductible Health Plan.
- Medicaid, managed care organizations contracted for Medicaid, and the state's medical assistance program must comply with the new epinephrine device coverage mandate.
- The Kentucky Children's Health Insurance Program (KCHIP) schedule of benefits must include coverage for epinephrine devices.
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- Self-insured employer group health plans provided by state postsecondary educational institutions must comply with the epinephrine device coverage mandate.
- State employee health benefit plans procured by the Personnel Cabinet must include coverage for epinephrine devices.
- Sections 1, 5, and 6 of the Act apply to health benefit plans issued or renewed on or after January 1, 2027.
- Within 90 days of the effective date, the Department of Insurance must identify whether the epinephrine coverage requirement for qualified health plans is in addition to essential health benefits under federal law.
- If the coverage requirement is in addition to essential health benefits, the Department of Insurance must apply for a federal waiver under 42 U.S.C. sec. 18052 within 180 days.
- Fines collected for violations of Section 2 are placed in a non-lapsing trust and agency account within the department to make cost defrayal payments.
Frequently Asked Questions
How many epinephrine devices must health plans cover each year?
What is the maximum out-of-pocket cost sharing allowed for epinephrine devices under this 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 13, 2026HouseCommitteeto Banking & Insurance (H)
- Jan 6, 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
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Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Expansion of Mandated Health Benefits
The bill amends multiple chapters governing commercial insurance, Medicaid, KCHIP, and state employee plans simultaneously to mandate epinephrine device coverage.
Connected Entities
Sources
apps.legislature.ky.gov
Analysis Score
0–100- Significance20Lowered because this bill did not pass (its text scored 75)
- Controversy30Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz40Current news / social attention level
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