{"data":{"id":"us-ky/krs-304.17a-129","jurisdiction":"us-ky","citation":"KRS 304.17A-129","heading":"Coverage for stuttering.","body":"(1) As used in this section:\n(a) \"Habilitative services\" means health care services that help a person keep,\nlearn, or improve skills and functioning for daily living;\n(b) \"Habilitative speech therapy\" means speech therapy that helps a person keep,\nlearn, or improve skills and functioning for daily living;\n(c) \"Rehabilitative services\" means health care services that help a person restore\nor improve skills and functioning for daily living that have been lost or\nimpaired; and\n(d) \"Rehabilitative speech therapy\" means speech therapy that hel ps a person\nrestore or improve skills and functioning for daily living that have been lost or\nimpaired.\n(2) Except as provided in subsection (4) of this section, any health insurance policy,\ncertificate, plan, or contract, including but not limited to a he alth benefit plan, that\nprovides coverage for:\n(a) Habilitative services, shall provide coverage for habilitative speech therapy as\na treatment for stuttering, regardless of whether the stuttering is classified as\ndevelopmental;\n(b) Rehabilitative services , shall provide coverage for rehabilitative speech\ntherapy as a treatment for stuttering; or\n(c) Both habilitative services and rehabilitative services, shall provide the\ncoverage required under paragraphs (a) and (b) of this subsection.\n(3) The coverage required under subsection (2) of this section shall:\n(a) Not be:\n1. Subject to any maximum annual benefit limit, including any limits on\nthe number of visits an insured may make to a speech -language\npathologist;\n2. Limited based on the type of disease, injury, disorder, or other medical\ncondition that resulted in the stuttering; or\n3. Subject to utilization review or utilization management requirements,\nincluding prior authorization or a determination that the speech therapy\nservices are medically necessary; and\n(b) 1. Include coverage for speech therapy provided in person and via\ntelehealth.\n2. The telehealth coverage required under this paragraph shall:\na. Not be less than the coverage required for health benefit plans\nunder KRS 304.17A-138; and\nb. Include the use of any communication technology, application, or\nplatform t o deliver telehealth services, except coverage may be\nrestricted to technology, applications, or platforms that are\ncompliant with any applicable privacy provisions of the federal\nHealth Insurance Portability and Accountability Act of 1996, 42\nU.S.C. sec. 1320d et seq., as amended.\n(4) If the application of any requirement of this section to a qualified health plan as\ndefined in 42 U.S.C. sec. 18021(a)(1), as amended, would result in a determination\nthat the state must make payments to defray the cost of th e requirement under 42\nU.S.C. sec. 18031(d)(3) and 45 C.F.R. sec. 155.170, as amended, then the\nrequirement shall not apply to the qualified health plan until the cost defrayal\nrequirement is no longer applicable.","path":[],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=55744","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:57:46Z","sha256":"d115c11b234b73765df5a9d9359653dd71d992e0fc295f2ec6c2ed8f5fa6901c","source_id":"us-ky","stale":false,"prev":"us-ky/krs-304.17a-128","next":"us-ky/krs-304.17a-130"},"notice":"GroundRules: Original legal text. Not legal advice."}