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Did Not Advance

Kentucky House Bill 279 mandates mental health insurance parity, establishes advisory council, and expands enforcement powers

Original title: AN ACT relating to coverage for mental health or substance use disorders.

Last action · January 15, 2026: to Banking & Insurance (H)Sponsors: Vanessa Grossl and 3 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

Kentucky HB 279 requires health benefit plans to cover mental health and substance use disorder treatments under terms no more restrictive than physical health conditions, effective January 1, 2027. The bill mandates annual compliance reporting by insurers, authorizes enforcement actions by the Attorney General and private citizens, creates the Advisory Council on Mental Health and Substance Use Disorder , and sets initial staggering terms for its members.

Why it matters

Insurers and health plans must align mental health and substance use coverage standards with physical health benefits, while policyholders gain expanded legal avenues, including a private cause of action and Attorney General enforcement, to contest coverage denials beginning in 2027.

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

Health benefit plan enrollees

Enrollees receive guaranteed parity between mental health and physical health coverage, combined deductible limits, and the right to bring private legal actions for violations.

Directly affected

Insurers

Insurers must adjust mental health coverage terms to match physical health standards, submit detailed annual compliance reports, and face potential civil penalties, Attorney General enforcement, and private lawsuits for noncompliance.

Directly affected

Health care professionals and facilities

Providers are granted the ability to bring private causes of action for unfulfilled mental health benefits and must follow standardized claim rules.

Directly affected

State employees

State employee health plans managed under KRS 18A.225 must comply with the mental health parity mandates and reporting rules.

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

What does HB 279 require health insurance plans to do regarding mental health?
It requires health benefit plans to cover mental health and substance use disorder treatments under terms and conditions that are no more restrictive than those applied to physical health conditions.
Are small businesses exempt from these requirements?
Yes, group health benefit plans covering fewer than 51 employees that are not otherwise required to provide under federal law are exempt from the provisions.
Can individuals sue if an insurer violates mental health parity laws?
Yes, any person or health professional directly injured by a violation may bring a private cause of action in Circuit Court after attempting to provide 14 days' notice to cure.

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 15, 2026HouseCommittee
    to Banking & Insurance (H)
  2. Jan 8, 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 shift99% confidence

Expansion of Enforcement to the Attorney General and Private Citizens

The bill shifts enforcement beyond insurance commissioner oversight by expressly authorizing civil actions by the Attorney General and private causes of action for injured policyholders and providers.

Connected Entities

Kentucky Psychiatric Medical Association, People Advocating Recovery, Legislative Research Commission and 10 more
OrganizationKentucky Psychiatric Medical Association“Appoints a representative to the advisory council”Map →
OrganizationPeople Advocating Recovery“Appoints a representative to the advisory council”Map →
OrganizationLegislative Research Commission“Receives annual reports and referrals”Map →
OrganizationGeneral Assembly“Legislative body enacting the bill”Map →
OrganizationKentucky Society for Clinical Social Work“Appoints a representative to the advisory council”Map →
OrganizationKentucky Psychological Association“Appoints a representative to the advisory council”Map →
OrganizationNational Alliance on Mental Illness Kentucky“Appoints a representative to the advisory council”Map →
OrganizationBuild Better Health“Appoints a representative to the advisory council”Map →
PersonAttorney General“Enforces provisions and chairs the advisory council”Map →
OrganizationAdvisory Council on Mental Health and Substance Use Disorder Parity“Newly created council to advise the Attorney General”Map →
OrganizationKentucky Mental Health Coalition“Appoints a representative to the advisory council”Map →
OrganizationDepartment of Insurance“Receives reports and enforces insurance regulations”Map →
OrganizationKentucky Association of Regional Programs“Appoints a representative to the advisory council”Map →

Sources

Open source document

apps.legislature.ky.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 85)
  • Controversy45
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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