Amend KRS 304.17A-132 to modify coverage requirements for hearing aids and related services; amend KRS 304.17A-131 to modify coverage requirements for cochlear implants; amend KRS 205.522, 205.6485, 164.2871, and 18A.225 to require 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 hearing aids and related services and cochlear implants; provide that various sections apply to health benefit plans issued or renewed on or after January 1, 2026; establish construction of certain provisions for purposes of federal law and require state officials to comply; require the Department of Insurance to determine whether the coverage requirements for hearing aids and related services or cochlear implants would be in addition to essential health benefits required under federal law; require the Department of Insurance and the Cabinet for Health and Family Services to obtain federal waivers or approval, if necessary; EFFECTIVE, January 1, 2026.

Create a new section of KRS Chapter 216 to define terms; direct the Cabinet for Health and Family Services (cabinet) to prohibit the direct or indirect use of state and federal funds for the practice of conversion therapy on minors; require state agencies to report providers engaged in conversion therapy efforts with a minor to the appropriate professional certification or licensing board; require the cabinet to update relevant policies and procedures to reflect the prohibition of conversion therapy on minors and to convey the dangers of conversion therapy to minors; require state agencies that regulate or pay for medical and mental health services to explore actions they can take to protect minors from conversion therapy; allow professional certification and licensing boards to discipline practitioners that engage in or refer minors for conversion therapy.

Create a new section of KRS Chapter 600 to enumerate the rights of incarcerated children; provide that the Act may be cited as the Incarcerated Children's Bill of Rights.

Amend KRS 216.313 to add gender-neutral language.

Create a new section of KRS Chapter 65 to authorize local governments regulating short-term rentals.

Amend KRS 222.504 and 222.506 to require that recovery residences be inspected at least annually by state or local officials capable of ensuring compliance with all state and local zoning, building code, and fire safety laws, administrative regulations, and ordinances and establish maximum occupancy standards for recovery residences; amend KRS 222.510 to permit local governments to require an individual or entity seeking to establish a recovery residence to provide notice up to six months in advance to all property owners within 1,000 feet of the property on which the recovery residence will be located; EMERGENCY.

Amend KRS 247.552 to increase the assessment on soybeans from one-fourth to one-half of one percent of the net market price per bushel.

Amend KRS 140.070 and 140.080 to include a foster child as a Class A beneficiary and to delete language that only applies to deaths occurring prior to July 1, 1995, or between July 1, 1995, and June 30, 1998; apply to estates of decedents who die on or after July 1, 2025.

Amend KRS 121.015, relating to the Kentucky Registry of Election Finance, 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.

Amend KRS 527.010 to define "assault weapon" and "large capacity ammunition feeding device"; create new sections of KRS Chapter 527 to criminalize possession and transfer of large capacity ammunition feeding devices; criminalize the possession and transfer of assault weapons; provide exceptions for large capacity ammunition feeding devices and assault weapons lawfully owned prior to the effective date of this Act; amend KRS 237.104 to conform.

Create a new section of KRS Chapter 158 to allow school districts to implement a wearable panic alert system; establish system criteria; require the Department of Education to provide a list of approved wearable panic alert systems; require the Center for School Safety to establish the Wearable Panic Alert Grant Program; amend KRS 158.446 to allow the Center for School Safety to distribute wearable panic alert grants using funds appropriated in the biennial budget to support school safety.

Amend KRS 64.5277 to define "excess credit hours"; amend KRS 64.5278 to allow a city to establish different base incentive amounts for different types of city officers by ordinance, remove minimum and maximum payment amounts.

Create new sections of KRS Chapter 311 to define terms; establish a qualified terminally ill patient's right to voluntarily request medication to self-administer to cause death; establish conditions required to make request; permit patient to rescind request at any time; permit an attending physician to provide medication; establish requirements for attending physician to inform patients and document request; require disposal of unused medications; establish residency requirements for qualified patients; require report by the Cabinet for Health and Family Services; establish provisions for contracts, insurance policies, and beneficiaries; prohibit applicability of provisions to ending a patient's life by lethal injection, mercy killing, or active euthanasia; establish that a health care provider is not required to provide medication to a qualified patient; permit health care providers to prohibit persons or entities from participating in a qualified patient's request during or on the premises of employment; prohibit reporting a health care provider to a licensing board for participating in a qualified patient's request; state that actions under this Act do not authorize lethal injection, mercy killing or active euthanasia; establish that actions under this Act do not constitute suicide or homicide; create a form for a qualified patient to make a request; create a form for an interpreter for a qualified patient making a request; create a new section of Subtitle 12 of KRS Chapter 304 to establish provisions for insurance policies and beneficiaries of qualified patients; amend KRS 507.020 and 507.030 to create an affirmative defense to a charge of murder and manslaughter in the first degree; provide that the Act may be cited as the Kentucky Death with Dignity Act.

Amend KRS 304.17A-164 to establish cost-sharing requirements for prescription drugs; require rebates to be passed through; establish confidentiality requirements for the rebate information; create a new section of KRS 365.880 to 365.900 to provide that the actual amount of rebates received is a trade secret; provide that compliance with prescription drug cost-sharing and rebate requirements shall not be in violation of the Uniform Trade Secrets Act; amend KRS 304.17C-125, 304.38A-115, 18A.225, and 164.2871 to apply the cost-sharing and rebate requirements for prescription drugs to limited health service benefit plans, limited health service organizations, the state employee health plan, and self-insured employer group health plans provided by the governing board of a state postsecondary education institution; apply provisions to health plans issued or renewed on or after January 1, 2026; EFFECTIVE January 1, 2026.

Create a new section of KRS Chapter 18A to define "rapid whole genome sequencing"; require any health plan offered to public employees provide coverage and reimbursement for rapid whole genome sequencing; establish conditions for coverage.