All Roll Calls
Yes: 135 • No: 0
KentuckyHB 4212025 Regular SessionHouseWALLET
AN ACT relating to colorectal cancer screenings.
Sponsored By: Amy Neighbors (Republican)
Signed by Governor
Drugs and MedicinesEffective Dates, DelayedHealth and Medical ServicesInsurance, HealthPublic Medical AssistanceState AgenciesMedicaid
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Lower colorectal screening costs for Kentuckians
Beginning January 1, 2026, covered Kentucky health plans must cover complete colorectal cancer screening when issued or renewed. Coverage serves people without symptoms who are 45 or older, plus younger people at high risk. Covered exams, lab tests, and screening frequency follow the latest American Cancer Society guidelines for those 45 or older. For younger high-risk patients, they follow the latest U.S. Multi-Society Task Force guidelines. Coverage includes prescribed, FDA-approved bowel preparation. Participating-provider services require no prior approval, deductible, coinsurance, or other patient cost-sharing. An HSA-qualified high-deductible plan can retain cost-sharing until its federal minimum deductible is met, but only to preserve HSA eligibility. Existing coverage duties under other laws remain. For Medicaid, the cabinet can seek needed federal approval within 90 days of the act’s effective date. Implementation can wait until that approval arrives; state agencies must share requests with lawmakers and provide updates on request. Separately, pre-2026 screening benefits count as state requirements adopted before December 31, 2011, not added essential health benefits.
Sponsors & Cosponsors
Sponsor
Amy Neighbors
Republican • House
Cosponsors
Beverly Chester-Burton
Democrat • House
Daniel Grossberg
Democrat • House
Kim Banta
Republican • House
Kimberly Poore Moser
Republican • House
Roll Call Votes
Senate vote • 3/28/2025
3rd reading, passed
Yes: 37 • No: 0
House vote • 3/5/2025
3rd reading, passed
Yes: 98 • No: 0
Actions Timeline
signed by Governor (Acts Ch. 158)
4/2/2025delivered to Governor
3/28/2025enrolled, signed by President of the Senate
3/28/2025Houseenrolled, signed by Speaker of the House
3/28/2025Housereceived in House
3/28/2025House3rd reading, passed 37-0
3/28/2025Senateposted for passage in the Regular Orders of the Day for Friday, March 28, 2025
3/28/2025Senatereported favorably, 2nd reading, to Rules
3/11/2025Senatereturned to Banking & Insurance (S)
3/7/2025Senate1st reading
3/7/2025Senatetaken from Banking & Insurance (S)
3/7/2025Senateto Banking & Insurance (S)
3/7/2025Senateto Committee on Committees (S)
3/6/2025Senatereceived in Senate
3/6/2025Senate3rd reading, passed 98-0 with Committee Substitute (1)
3/5/2025Houseplaced in the Orders of the Day for Wednesday, March 5, 2025
3/5/2025Housetaken from Rules
3/5/2025Housereported favorably, to Rules with Committee Substitute (1)
3/5/2025Housereturned to Banking & Insurance (H)
2/28/2025House2nd reading
2/28/2025Housetaken from Banking & Insurance (H)
2/28/2025Housereturned to Banking & Insurance (H)
2/27/2025House1st reading
2/27/2025Housetaken from Banking & Insurance (H)
2/27/2025Houseto Banking & Insurance (H)
2/14/2025House
Bill Text
Current
3/5/2025
Introduced
2/10/2025
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