KRS 304.17A-139: Family or dependents coverage to apply to newly born child from

moment of birth and to include inherited metabolic diseases -- Requirement

for notification and payment of premium -- Coverage for milk fortifiers to

prevent enterocolitis.

(1) A health benefit plan that provides coverage for a family or dependent shall provide

coverage of a newly born child of the insured from the moment of birth.

(2) Coverage for a newly born child shall consist of coverage of injury or sickness,

including the nece ssary care and treatment of medically diagnosed congenital

defects and birth abnormalities.

(3) If payment of a specific premium or fee is required to provide coverage for a child,

the policy or contract may require that notification of birth of a newly bo rn child

and payment of the required premium or fees must be furnished to the insurer

within thirty -one (31) days after the date of birth in order to have the coverage

continue beyond that thirty-one (31) day period.

(4) (a) For the purposes of this subsection:

1. "Milk fortifier" means a commercially prepared human milk fortifier

made from concentrated one hundred percent (100%) human milk; and

2. "One hundred percent (100%) human diet" means the supplementation

of a mother's expressed breast milk or donor milk with a milk fortifier.

(b) A health benefit plan that provides prescription drug coverage shall provide

that coverage for a one hundred percent (100%) human diet, if the one

hundred percent (100%) human diet and supplemented milk fortifier products

are prescribed for the prevention of necrotizing enterocolitis and associated

comorbidities, and are administered under the direction of a physician.

Coverage under this subsection may be subject to a cap of fifteen thousand

dollars ($15,000) per infant, fo r each plan year, subject to annual inflation

adjustments.

(5) The requirements of this section shall apply to all health benefit plans delivered or

issued for delivery on or after June 25, 2013.