Updated: 09/14/2010 
List of major changes and updates regarding this site and implementation of health care reform.
Recent Updates

$182,707,738 Awarded to the Cabinet for Health and Family Services

Thursday, January 17, 2013

The Affordable Care Act creates new competitive private health insurance markets called Exchanges providing access to affordable insurance coverage for individuals and small businesses. Exchanges will help individuals and small employers shop for, select and enroll in high-quality, affordable health plans that specifically meet their needs. Exchanges will also determine eligibility for premium tax credits and cost sharing reductions. In accordance with the law, Exchanges must be certified by Jan. 1, 2013, fully operational by Jan. 1, 2014 and self- sustaining after Jan. 1, 2015.

On November 15, 2012, the Office of the Kentucky Health Benefit Exchange submitted a Level Two Establishment grant to achieve the activities necessary to meet certification requirements, delivery of coverage to participants by January 1, 2014, and self-sustainability by January 2015. Level Two Establishment grants provide funding for up to three years after the date of award. Additionally, states must demonstrate legal authority to operate an Exchange, establish a governance structure and submit an initial plan for long-term operational costs.

Kentucky's Grant Application

Kentucky's Budget Narrative

$4,423,000 Awarded to the Cabinet for Health and Family Services

Thursday, September 27, 2012

The Affordable Care Act creates new competitive private health insurance markets called Exchanges providing access to affordable insurance coverage for individuals and small businesses. Exchanges will help individuals and small employers shop for, select and enroll in high-quality, affordable health plans that specifically meet their needs. Exchanges will also determine eligibility for premium tax credits and cost sharing reductions. In accordance with the law, Exchanges must be certified by Jan. 1, 2013, fully operational by Jan. 1, 2014 and self sustaining after Jan. 1, 2015.

On August 15, 2012, the Office of the Kentucky Health Benefit Exchange submitted a Level One Establishment grant for additional funding to develop a Navigator program and conduct a comprehensive study of our current health care workforce and the future needs to maintain an adequate workforce.

Kentucky's Grant Application

Kentucky's Budget Narrative

Health Benefit Exchange Advisory Board Meeting

Monday, September 24, 2012

 

The Health Benefit Exchange Advisory Board meeting will be held on September 27, 2012 at 1:30 p.m. in the Hearing Room at the Department of Insurance (215 West Main St., Frankfort). Contact: Karen Cantrell, (502)564-7940

Essential Health Benefits

Monday, August 13, 2012

 

One of the goals of the Affordable Care Act (ACA) is to ensure that Americans will have access to quality, affordable health insurance.  To achieve this goal, the law ensures health plans offered in the individual and small group markets offer a comprehensive package of items and services, known as Essential Health Benefits (EHB).  The ACA provides that EHB’s include items and services within at least the following 10 categories: ambulatory patient services; emergency services; hospitalization; maternity and newborn care; mental health and substance use disorder services, including behavioral health treatment; prescription drugs; rehabilitative and habilitative services and devices; laboratory services; preventive and wellness services and chronic disease management; and pediatric services, including oral and vision care (See 42 USC §18022).

For plans sold in calendar years 2014 and 2015, the US Department of Health and Human Services (HHS) has provided Kentucky with the flexibility to recommend its EHBs from 10 benchmark plans which HHS has determined reflect the scope of services offered by a “typical employer plan.” This approach will give the Commonwealth the flexibility to select a plan that would best meet the needs of Kentuckians.  HHS has issued some guidance regarding this flexibility (See materials dated December 16, 2011, February 17, 2012, and July 2, 2012).  In addition, federal regulations regarding data collection for Essential Health Benefits were released in July 2012 (see applicable sections of 45 CFR Part 156). Additional regulations are expected soon. 

Kentucky Essential Health Benefits

 

Public forums information available

Tuesday, July 31, 2012

Visit our Public Forums page to view a presentation and download fact sheets, news releases and other information resources about insurance reforms and health benefit exchanges.