Prohibited standards and permitted factors for coverage of feeding or eating disorder treatments. (Effective January 1, 2027)
KRS 304.17A-659
proposed304.17A-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 the 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.
Effective: January 1, 2027
History: Created 2026 Ky. Acts ch. 101, sec. 3, effective January 1, 2027. Legislative Research Commission Note (1/1/2027). 2026 Ky. Acts ch. 101, sec. 10, provides that this statute applies to health plans issued or renewed on or after January 1, 2027.
Source: Kentucky Legislative Research Commission (legislature.ky.gov)URL: https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=58251Fetched: 10/20/2026