KRS 304.17A-659: Prohibited standards and permitted factors for coverage of feeding or

eating disorder treatments. (Effective January 1, 2027)

An insurer that offers or provides coverage for the treatment of a diagnosed feeding or

eating disorder under a health plan:

(1) Shall not utilize any of the following standards as the sole reason for denying,

limiting, or restricting the coverage:

(a) Body mass index;

(b) Ideal body weight; or

(c) Any other standard requiring an achieved weight; and

(2) May consider t he following factors when determining the medical necessity of a

treatment, or the appropriate level of care, for an individual with a diagnosed

feeding or eating disorder:

(a) Eating behaviors;

(b) The need for supervised meals and support interventions;

(c) Laboratory results of heart rate, renal or cardiovascular activity, and blood

pressure;

(d) Recovery environment; and

(e) Co-occurring disorders.