Create new sections of Subtitle 17A of KRS Chapter 304 to define terms; require health plans to provide coverage for the diagnosis and treatment of feeding or eating disorders; prohibit insurers from using certain standards, including body mass index, to deny, limit, or restrict coverage; authorize insurers to consider certain factors when determining medical necessity or the appropriate level of care for an individual diagnosed with a feeding or eating disorder; amend KRS 304.17C-125, 304.38A-115, 205.522, 205.6485, 164.2871, and 18A.225 to require limited health services benefit plans, limited health service organizations, Medicaid, KCHIP, self-insured employer group plans provided by the governing board of a state postsecondary education institution, and the state employee health plan to comply with the coverage requirements for feeding or eating disorders; provide that various sections apply to health plans issued or renewed on or after January 1, 2027; require the Cabinet for Health and Family Services or the Department for Medicaid Services to seek federal approval if it is determined that such approval is necessary; provide authorization from the General Assembly to make changes in the Medicaid program as required under KRS 205.5372(1); EFFECTIVE, in part, January 1, 2027.

Administrative Regulations And Proceedings - Immunity, waiver, applicability, establishment Administrative Regulations And Proceedings - Religious freedom, government action, substantially burden, definition Administrative Regulations And Proceedings - Religious freedom, violation, appropriate relief, establishment Charter County Government - Religious freedom, government action, substantially burden, definition Charter County Government - Religious freedom, violation, appropriate relief, establishment Cities - Immunity, waiver, applicability, establishment Cities - Religious freedom, government action, substantially burden, definition Cities - Religious freedom, violation, appropriate relief, establishment Consolidated Local Governments - Immunity, waiver, applicability, establishment Consolidated Local Governments - Religious freedom, government action, substantially burden, definition Consolidated Local Governments - Religious freedom, violation, appropriate relief, establishment Counties - Immunity, waiver, applicability, establishment Counties - Religious freedom, government action, substantially burden, definition Counties - Religious freedom, violation, appropriate relief, establishment Counties, Urban - Immunity, waiver, applicability, establishment Counties, Urban - Religious freedom, government action, substantially burden, definition Counties, Urban - Religious freedom, violation, appropriate relief, establishment Courts - Religious freedom, violation, appropriate relief, establishment Local Government - Immunity, waiver, applicability, establishment Local Government - Religious freedom, government action, substantially burden, definition Local Government - Religious freedom, violation, appropriate relief, establishment Religion - Immunity, waiver, applicability, establishment Religion - Religious freedom, government action, substantially burden, definition Religion - Religious freedom, violation, appropriate relief, establishment State Agencies - Immunity, waiver, applicability, establishment State Agencies - Religious freedom, government action, substantially burden, definition State Agencies - Religious freedom, violation, appropriate relief, establishment Unified Local Governments - Immunity, waiver, applicability, establishment Unified Local Governments - Religious freedom, government action, substantially burden, definition Unified Local Governments - Religious freedom, violation, appropriate relief, establishment

Campaign Finance - Expenditures, definition Campaign Finance - Expenditures, intermediaries, prohibition Elections And Voting - Expenditures, intermediaries, prohibition State Agencies - Registry of Election Finance, expenditures, intermediaries, prohibition

Agriculture - Veterinary technician, rabies vaccination, administration Diseases - Rabies vaccination, administration, veterinary technician Public Health - Veterinary technician under supervision of a veterinarian, rabies vaccination, administration Veterinarians - Veterinary technician under supervision of a veterinarian, rabies vaccination, administration

Children And Minors - Marriage, prohibition Civil Actions - Marriage, minors, prohibition County Clerks - Marriage licenses, minors, prohibition Courts - Marriage, minors, void Courts, Circuit - Marriage, minors, prohibition Courts, District - Marriage, minors, prohibition Courts, Family - Marriage, minors, prohibition Domestic Relations - Marriage, minors, prohibition Parental Rights - Marriage, minors, prohibition

Create new sections of KRS 304.17A-600 to 304.17A-633 to define terms; prohibit insurers of health benefit plans from requiring prior authorization for a health care service for which the provider has an exemption; require insurers of health benefit plans to establish a program under which participating providers may qualify for exemptions from prior authorization; establish mandatory and permitted provisions of an insurer's prior authorization exemption program; establish requirements for sending forms and notices; require the commissioner of the Department of Insurance to submit an annual report relating to prior authorization, provide a detailed briefing upon request, and promulgate administrative regulations; amend KRS 304.17A-605 to conform; amend KRS 304.17A-611 to prohibit conducting a retrospective review that is based solely on a participating provider having a prior authorization exemption; provide that certain utilization review time frames do not apply to retrospective reviews conducted for the purposes of determining eligibility for a prior authorization exemption; create a new section of KRS Chapter 205 to require the commissioner of the Department for Medicaid Services to submit an annual report relating to prior authorization, provide a detailed briefing upon request, and promulgate administrative regulations; amend KRS 205.536 to conform; apply the provisions to contracts delivered, entered, renewed, extended, or amended on or after January 1, 2028; EFFECTIVE, in part, January 1, 2027, and January 1, 2028.

Aged Persons And Aging - Accessible housing, new construction, income tax credit Taxation - Accessible housing, new construction, income tax credit Taxation, Income--Corporate - Accessible housing, new construction, tax credit Taxation, Income--Individual - Accessible housing, new construction, tax credit Housing, Building, And Construction - Accessible housing, new construction, income tax credit

Amend KRS 121.015 to define "campaign consultant"; create new sections of KRS Chapter 121 to establish the registration process for campaign consultants; set penalty for failure to register; require employers of campaign consultants to pay a registration fee.

Administrative Regulations And Proceedings - Board of Education, academic standards for African and Native American instruction Boards And Commissions - Board of Education, academic standards for African and Native American instruction Children And Minors - Historical instruction, African and Native American history, requirements Education, Elementary And Secondary - Historical instruction, African and Native American history requirements Historical Affairs - Instruction in African and Native American history State Agencies - Department of Education, elective course offerings in African and Native American history State Agencies - Department of Education, recommended curricula for African and Native American instruction

Amend KRS 304.17-316 to define "breast examination"; provide for annual mammogram coverage for persons ages 40 to 49 years; eliminate cost sharing for any covered breast examination; provide for construction of section; create a new section of Subtitle 17A of KRS Chapter 304 to define terms; require health benefit plans to provide coverage of preventive screenings for the detection of breast cancer for certain individuals; establish requirements for coverage; provide for construction of section; amend KRS 164.2871 and 18A.225 to require self-insured state postsecondary education institution group health plans and the state employee health plan to comply with breast examination coverage requirements; apply sections to health insurance policies, plans, certificates, and contracts issued, renewed, or delivered on or after January 1, 2027; EFFECTIVE January 1, 2027.

Campaign Finance - Funds, allowable expenditures, security measures Elections And Voting - Campaign funds, allowable expenditures, security measures State Agencies - Registry of Election Finance, allowable expenditures, security measures Safety - Campaign funds, allowable expenditures, security measures

Propose to create a new section of the Constitution of Kentucky to enshrine Medicaid expansion coverage; direct the Secretary of State to advertise the proposed constitutional amendment prior to a general election vote; provide ballot language; submit to voters for ratification or rejection.

Amend KRS 235.240 to require that when a motorboat or vessel is involved in an accident that results in a fatality or serious physical injury, the investigating law enforcement officer shall seek a search warrant for blood testing of the operator of the motorboat or vessel unless the test has already been done by consent; apply the penalties for driving under the influence to boating under the influence; require that in addition to all other penalties, a person found guilty of boating under the influence shall complete a safe-boating course and pay $100 to the Department of Fish and Wildlife Resources to cover the costs of materials and instruction for the course; amend KRS 235.990 to conform; create a new section of KRS Chapter 15 to require a public safety telecommunicator who receives a report of an accident involving a motorboat or vessel on any waters of the Commonwealth to report the accident to the Kentucky State Police post covering where the accident occurred; provide that the Act may be cited as Keegan's Law.

Create new sections of KRS Chapter 198B to define terms; establish licensing for roofing contractors under the Department of Housing, Buildings and Construction; prohibit any persons not licensed under the department from holding himself or herself out as a roofing contractor; allow the department to issue roofing contractor licenses, promulgate administrative regulations, and implement disciplinary actions; establish applicant requirements and fee limitations; establish a fine and potential misdemeanor incarceration for violations; create the roofing contractors fund.

Budget And Financial Administration - Individual income tax, graduated tax rates Taxation - Individual income tax, graduated tax rates Taxation, Income--Individual - Graduated tax rates