KRS 304.17A-168: Coverage for tobacco cessation medications and services.

(1) Notwithstanding any provision of law to the contrary, a health benefit plan shall, at

a minimum, provide coverage for all United States Food and Drug Administration -

approved tob acco cessation medications, all forms of tobacco cessation services

recommended by the United States Preventive Services Task Force, including but

not limited to individual, group, and telephone counseling, and any combination

thereof.

(2) The following co nditions shall not be imposed on any tobacco cessation services

provided pursuant to this section:

(a) Counseling requirements for medication;

(b) Limits on the duration of services, including but not limited to annual or

lifetime limits on the number of covered attempts to quit; or

(c) Copayments or other out-of-pocket cost sharing, including deductibles.

(3) Utilization management requirements, including prior authorization and step

therapy protocol, shall not be imposed on any tobacco cessation services provided

pursuant to this section, except in the following circumstances where prior

authorization may be required:

(a) For a treatment that exceeds the duration recommended by the most recently

published United States Public Health Service clinical practi ce guidelines on

treating tobacco use and dependence; or

(b) For services associated with more than two (2) attempts to quit within a

twelve (12) month period.

(4) Nothing in this section shall be construed to prohibit a plan or issuer from providing

coverage for tobacco cessation services in addition to those recommended or to

deny coverage for services that are not recommended by the United States

Preventive Services Task Force.