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Read. Follow. Verify.Kentucky House Bill 752 Establishes Patient Rights for Directed and Autologous Blood Donations and Mandates Health Plan Coverage
Last action · March 4, 2026: to Health Services (H)Sponsors: Candy Massaroni and 1 other
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What This Bill Proposed
Kentucky HB 752 grants individuals the right to select willing blood donors or donate their own blood for transfusions, prohibits healthcare providers and insurers from refusing s based on vaccination status or personal choices, and mandates that health benefit plans cover directed and autologous blood transfusions without cost-sharing starting January 1, 2027.
Residents gain explicit legal protections to choose their blood donors and mandate insurance coverage for autologous and directed transfusions, while blood establishments and health facilities face fines up to $250,000 per violation for obstructing these rights.
- The Kentucky General Assembly is the state legislature responsible for enacting statutes governing health and public safety. context
- Directed and autologous blood donations involve patients choosing specific donors or donating their own blood ahead of planned medical procedures. 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.
Patients receiving blood transfusions
Patients gain the legal right to select willing blood donors, request autologous donations, and receive insurance coverage without cost-sharing starting January 1, 2027.
Blood establishments and health facilities
Blood establishments and health facilities are prohibited from refusing directed donations based on vaccination status, must cap surcharges at 20%, and face fines up to $250,000 for violations.
Health insurers and managed care organizations
Insurers must provide zero-cost-sharing coverage for directed and autologous blood transfusions across health benefit plans beginning January 1, 2027.
Physicians and health care providers
Physicians are protected from professional disciplinary actions by the Kentucky Board of Medical Licensure for prescribing directed or autologous donations.
Key Facts
- Individuals are granted the right to select a willing blood donor for their own transfusion, provided FDA minimum standards are met.
- Blood establishments, health facilities, and providers are prohibited from denying or imposing undue burdens on directed or autologous donations when ordered by a licensed physician.
- Refusing directed donations based on a donor's or recipient's vaccination status, medical history, or religious beliefs is prohibited if FDA safety standards are met.
- Surcharges for autologous or directed blood donations are capped at twenty percent (20%) of the charge for a regular unit of blood.
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- Violations by a blood establishment or health facility subject them to fines up to $250,000 per violation as determined by the Cabinet for Health and Family Services.
- Individuals may bring a civil action against entities for injunctive relief and damages for violations of directed and autologous donation rights.
- Health benefit plans, including state employee plans and Medicaid managed care, must provide coverage for directed or autologous blood transfusions without cost-sharing, effective January 1, 2027.
- Emergency transfusions using non-directed or non-autologous blood are permitted when a patient is in imminent danger of death or serious physical injury and directed blood is unavailable, shielding providers from civil or criminal liability.
- The Department of Insurance must identify within 90 days if coverage requirements exceed essential health benefits and apply for federal waivers if necessary.
- Sections 2 and 6 of the Act may be cited as the Medical Autonomy and Directed Donation Act.
Frequently Asked Questions
Can health insurance charge copays or deductibles for directed blood transfusions?
Can a blood establishment refuse a directed donation because of a donor's vaccination status?
What happens if a directed blood donation is urgently needed in an emergency but not available?
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- Mar 4, 2026HouseCommitteeto Health Services (H)
- Feb 25, 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.
Mandatory Coverage Expansion for Blood Transfusions
The bill shifts health benefit plan regulations by requiring zero-cost-sharing coverage for directed and autologous blood transfusions starting in 2027.
Connected Entities
Sources
apps.legislature.ky.gov
Analysis Score
0–100- Significance20Lowered because this bill did not pass (its text scored 75)
- Controversy65Intensity of disagreement among stakeholders
- Entertainment10Compellingness for a non-policy-wonk reader
- Buzz35Current news / social attention level
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