# Kentucky HB 169: AN ACT relating to coverage for feeding or eating disorders. Kentucky HB 169, AN ACT relating to coverage for feeding or eating disorders., is a 2026 Regular Session House bill sponsored by Ken Fleming (Republican); status signed, last action 2026-04-13 (signed by Governor (Acts Ch. 101)); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/KY-HB169-2026RS - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Kentucky HB 169 - State: Kentucky - Session: 2026 Regular Session - Title: AN ACT relating to coverage for feeding or eating disorders. - Status: signed - Chamber: House - Introduced: 2026-01-07 - Last action: 2026-04-13, signed by Governor (Acts Ch. 101) - Sponsor: Ken Fleming (Republican) - Cosponsors: 7 - Subjects: State Agencies, State Employees, Actuarial Analysis, Health Benefit Plan Mandate, Local Mandate, State Employee Health Plan Mandate, Children And Minors, Education, Higher, Effective Dates, Delayed, Federal Laws And Regulations, Insurance, Health, Medicaid, Mental Health - Touches household money: yes - Roll calls: 2 (133 yes, 0 no in all) - Economic provisions PRIA read: 6 ## Summary No summary available. ## Bill overview: provisions PRIA read - Health plans must cover eating disorders: benefit, high. The law requires Kentucky-licensed health plans and student plans to cover diagnosis and treatment of feeding or eating disorders. The law uses the current Diagnostic and Statistical Manual (DSM). It includes anorexia, bulimia, atypical anorexia, binge-eating, and other listed disorders. Insurers c… - Medicaid and KCHIP cover eating disorders: benefit, high. Medicaid and the Kentucky Children’s Health Insurance Program (KCHIP) must follow the eating-disorder coverage rules. They must cover diagnosis and treatment as defined by the current DSM. Coverage uses the law’s ban on weight-only denials and its clinical review factors. This expands access and ca… - Rules for state employee health plans: benefit, medium. Public employee health plans must follow the named Kentucky laws and the eating-disorder coverage rules. Pregnant women who are eligible get a special enrollment window, and workers get notice of this right. Plans must pay optometrists the same as physicians for services in the optometrist’s scope.… - University employee plans must cover eating disorders: benefit, medium. State universities that run self-insured employee health plans must follow the eating-disorder coverage rules. Employees in these plans get the same definitions, coverage, and insurer conduct rules. - Most changes start January 1, 2027: mixed, low. Sections 1 through 10 take effect January 1, 2027. Sections 1, 2, 3, 4, 5, 8, and 9 apply to health plans issued or renewed on or after January 1, 2027. You may see changes when your plan renews in 2027. - Federal approval steps for program changes: mixed, low. If the Cabinet or the Medicaid department needs federal approval to carry out parts of Sections 6 or 7, they must ask within 90 days after this section’s effective date. They may delay only those parts until approval is granted. The law names Sections 6, 7, and 11 as the specific legal authority un… ## Sponsors and cosponsors - Sponsor: Ken Fleming (Republican), House - Cosponsor: Beverly Chester-Burton (Democrat), House - Cosponsor: Daniel Grossberg (Democrat), House - Cosponsor: Kim King (Republican), House - Cosponsor: Lisa Willner (Democrat), House - Cosponsor: Mary Beth Imes (Republican), House - Cosponsor: Nancy Tate (Republican), House - Cosponsor: Vanessa Grossl (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-03-31 | Senate | 3rd reading, passed | pass | 38 | 0 | | | 2026-02-03 | House | 3rd reading, passed | pass | 95 | 0 | | ## Actions (19) - 2026-04-13: signed by Governor (Acts Ch. 101) - 2026-04-01: delivered to Governor - 2026-04-01: enrolled, signed by President of the Senate (House) - 2026-04-01: enrolled, signed by Speaker of the House (House) - 2026-03-31: received in House (House) - 2026-03-31: 3rd reading, passed 38-0 (Senate) - 2026-03-26: posted for passage in the Consent Orders of the Day for Friday, March 27 2026 (Senate) - 2026-03-25: 2nd reading, to Rules as a consent bill (Senate) - 2026-03-24: reported favorably, 1st reading, to Consent Calendar (Senate) - 2026-03-20: to Banking & Insurance (S) (Senate) - 2026-02-04: to Committee on Committees (S) (Senate) - 2026-02-04: received in Senate (Senate) - 2026-02-03: 3rd reading, passed 95-0 with Committee Substitute (1) (House) - 2026-01-30: posted for passage in the Regular Orders of the Day for Monday, February 02 2026 (House) - 2026-01-29: 2nd reading, to Rules (House) - 2026-01-28: reported favorably, 1st reading, to Calendar with Committee Substitute (1) (House) - 2026-01-14: to Banking & Insurance (H) (House) - 2026-01-07: to Committee on Committees (H) (House) - 2026-01-07: introduced in House (House) ## Bill text - Current, 2026-02-03: [PDF](https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb169/bill.pdf) - Introduced, 2025-12-23: [PDF](https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb169/orig_bill.pdf) ## Related bills - SB 197: AN ACT providing funding and establishing conditions for state government agencies and institutions, making an appropriation therefor, and declaring an emergen… (became law) - SB 133: AN ACT relating to the fiscal reporting of local entities. (signed) - HB 869: AN ACT relating to fiscal matters and declaring an emergency. (signed) - SB 324: AN ACT relating to the entertainment industry. (signed) - SB 66: AN ACT relating to the operation of a motor vehicle. (signed) - HB 826: AN ACT relating to education. (signed) ## Sources - [Current (PDF)](https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb169/bill.pdf) - [Introduced (PDF)](https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb169/orig_bill.pdf) ## Related - [SB 197: AN ACT providing funding and establishing conditions for state government agenc…](https://policyrisk.com/state-bill/KY-SB197-2026RS) - [SB 133: AN ACT relating to the fiscal reporting of local entities.](https://policyrisk.com/state-bill/KY-SB133-2026RS) - [HB 869: AN ACT relating to fiscal matters and declaring an emergency.](https://policyrisk.com/state-bill/KY-HB869-2026RS) - [SB 324: AN ACT relating to the entertainment industry.](https://policyrisk.com/state-bill/KY-SB324-2026RS) - [SB 66: AN ACT relating to the operation of a motor vehicle.](https://policyrisk.com/state-bill/KY-SB66-2026RS) - [HB 826: AN ACT relating to education.](https://policyrisk.com/state-bill/KY-HB826-2026RS) - [Kentucky bills](https://policyrisk.com/states/kentucky/bills) - [Kentucky state hub](https://policyrisk.com/states/kentucky) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/KY-HB169-2026RS (as of 2026-11-01).