AN ACT relating to maternal health and declaring an emergency.
Summary
Create a new section of KRS Chapter 216B to define "freestanding birthing center"; require the Cabinet for Health and Family Services to promulgate administrative regulations to establish licensure standards for freestanding birthing centers; establish criteria for a medical director; establish requirements for obtaining written informed consent; require a written patient transfer agreement with a hospital that provides obstetric services; require a written patient transfer agreement with an emergency medical transportation service; exempt a center with no more than four beds from certificate-of-need requirements for establishing and licensing a freestanding birthing center; state intent not to limit or expand liability of a center or health care provider or facility; require medical malpractice insurance for freestanding birthing centers; prohibit abortions in freestanding birthing centers; amend KRS 216B.015 to include freestanding birthing centers in the definition of "health facility"; amend KRS 216B.020, 196.173, 211.122, 211.647, 211.660, 213.046, 214.155, 214.565, 214.567, 214.569, 216.2920, 216.2921, 216.2923, 216.2925, 216.2927, and 216.2970 to conform; require the cabinet to promulgate updated administrative regulations by December 1, 2025; provide that the Act may be cited as the Mary Carol Akers Birth Centers Act.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
House Passage
Mar 2025
Senate Passage
Mar 2025
Signed into Law
Mar 2025
Introduced Jan 7, 2025
Signed Mar 28, 2025
Maddy AI version diff · 1 comparison
What changed between versions
Introduced
→
Current/Final
·
5 edits
MODERATE
The bill was completely rewritten from a regulation on freestanding birthing centers to a maternal health bill that declares an emergency and establishes perinatal palliative care standards. The original text focused on licensing and operational requirements for birthing centers, while the new version emphasizes maternal health rights, emergency provisions, and palliative care protocols.
Scope change
The bill's scope shifted from regulating freestanding birthing center operations to establishing comprehensive maternal health standards and palliative care requirements.
SCOPE
Removed all specific regulations about freestanding birthing center licensing, accreditation, and operational requirements.
Added comprehensive maternal health provisions including perinatal palliative care standards and emergency declarations.
DEFINITION
Changed the bill title from relating to freestanding birthing centers to relating to maternal health.
REQUIREMENT
Added WHEREAS clauses establishing maternal health rights, emergency provisions, and palliative care standards.
Removed detailed requirements for medical director qualifications, patient transfer agreements, and informed consent procedures.
Floor votes · House Mar 6, 2025
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
49
Key actions
16
Committee
13
Mar 28, 2025
Upper · Passed
enrolled, signed by President of the Senate
upper
Mar 28, 2025
Lower · Passed
enrolled, signed by Speaker of the House
lower
Mar 27, 2025
Lower · Passed
passed 31-7
lower
Mar 27, 2025
Vetoed
posted for passage for consideration of Governor's veto
lower
Mar 27, 2025
Committee
to Rules (S)
upper
Mar 27, 2025
Lower · Passed
passed 77-20
lower
Mar 27, 2025
Vetoed
veto overridden
lower
Mar 27, 2025
Vetoed
posted for consideration of Governor's veto
lower
Mar 27, 2025
Committee
to Rules (H)
lower
Mar 25, 2025
Vetoed
Vetoed
lower
Mar 13, 2025
Upper · Passed
enrolled, signed by President of the Senate
upper
Mar 13, 2025
Lower · Passed
enrolled, signed by Speaker of the House
lower
Mar 13, 2025
Lower · Passed
passed 74-17
lower
Mar 13, 2025
Lower · Passed
House concurred in Senate Committee Substitute (1) and Committee Amendment (1-title)
lower
Mar 13, 2025
Lower · Passed
posted for passage for concurrence in Senate Committee Substitute (1) and Committee Amendment (1-title)
lower
Mar 13, 2025
Committee
to Rules (H)
lower
Mar 13, 2025
Lower · Passed
3rd reading, passed 29-0-5 with Committee Substitute (1) and Committee Amendment (1-title)
lower
Mar 13, 2025
Lower · Passed
reported favorably, to Rules with Committee Substitute (1) and Committee Amendment (1-title)
lower
Mar 7, 2025
Committee
to Licensing & Occupations (S)
upper
Mar 6, 2025
Upper · Passed
returned to Committee on Committees (S)
upper
Mar 6, 2025
Upper · Passed
taken from Committee on Committees (S)
upper
Mar 6, 2025
Committee
to Committee on Committees (S)
upper
Mar 6, 2025
Lower · Passed
3rd reading, passed 82-9
lower
Mar 5, 2025
Lower · Passed
reported favorably, to Rules
lower
Feb 4, 2025
Committee
to Licensing, Occupations, & Administrative Regulations (H)
lower
Jan 7, 2025
Committee
to Committee on Committees (H)
lower
Jan 7, 2025
Introduced
introduced in House
lower
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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