Amend KRS 229.011 to redefine "exhibition"; amend KRS 229.045 to require sanctioning bodies to provide notice to the Boxing and Wrestling Commission of all combat sports exhibitions not covered under this chapter.

Create a new section of Subtitle 12 of KRS Chapter 304 to require insurers to replace the roofing materials on the entire roof when uniformity of appearance cannot be achieved due to the age, condition, or discontinued manufacture of the existing roofing materials; prohibit the application of line of sight rules to exclude coverage for the replacement of roofing materials for any portion of the roof; provide that the Act applies to insurance policies, certificates, and contracts issued or renewed on or after the effective date of the Act.

Amend KRS 164.360, 164.230, and 164.830 to require the boards of each state university and the Kentucky Community and Technical College System to approve a performance and productivity evaluation process for presidents and all faculty members by January 1, 2026; require faculty evaluations to be completed at least once every four years; permit removal of certain employees for failure to meet performance and productivity requirements regardless of status; permit a board to delegate appointment and removal of faculty to the college or university president; require that each board of regents of the six state comprehensive universities appoint a university president; specify employment contract duration limits for employees of comprehensive universities and the Kentucky Community and Technical College System.

Amend KRS 164.2951 to require the Council on Postsecondary Education to create statewide transfer pathways between the public postsecondary institutions in the high-demand baccalaureate programs; require the council to define, identify, and publish on its website a list of the high-demand baccalaureate programs and the available transfer pathways; require the council to maintain transfer pathways once created; require postsecondary institutions to accept transfer credit, earned or accepted at the prior institution within pathways as general education or program general education credit before applying credit as elective.

Create new sections of KRS 304.17A-600 to 304.17A-633 to define terms; prohibit insurers of health benefit plans from requiring prior authorization for a health care service for which the provider has an exemption; require insurers of health benefit plans to establish a program under which participating providers may qualify for exemptions from prior authorization; establish mandatory and permitted provisions of an insurer's prior authorization exemption program; establish requirements for sending forms and notices; require the commissioner of the Department of Insurance to submit an annual report relating to prior authorization, provide a detailed briefing upon request, and promulgate administrative regulations; amend KRS 304.17A-605 to conform; amend KRS 304.17A-611 to prohibit conducting a retrospective review that is based solely on a participating provider having a prior authorization exemption; provide that certain utilization review timeframes do not apply to retrospective reviews conducted for the purposes of determining eligibility for a prior authorization exemption; create a new section of KRS Chapter 205 to require the commissioner of the Department for Medicaid Services to submit an annual report relating to prior authorization, provide a detailed briefing upon request, and promulgate administrative regulations; apply the provisions to contracts delivered, entered, renewed, extended, or amended on or after January 1, 2027; EFFECTIVE, in part, January 1, 2026, and January 1, 2027.

Create a new section of KRS Chapter 258 to define terms; prohibit retail pet shops from selling dogs or cats unless the animal was obtained from an animal shelter or qualified breeder; prohibit retail pet shops from selling a dog or cat that is less than eight weeks old, or selling a dog or cat to anyone under the age of eighteen; prohibit local governments from passing ordinances that conflict with this Act; amend KRS 258.990 to establish a penalty for a violation.

Amend KRS 324.115 to adjust the license reciprocity agreement requirements; amend KRS 324.141 to establish education requirements for reciprocal license applicants.

Create new sections of KRS Chapter 344 to ensure federal law relating to emergency medical treatment and the collection of evidence is not overridden; define terms; prohibit discrimination against health care professionals who decline to perform procedures that violate their conscience; grant health care professionals the right not to participate in services that violate their conscience; exempt health care professionals from liability for exercising these rights; prohibit hiring or licensing authorities from reprimanding health care professionals; require hiring or licensing authorities to provide complaints it has received to health care professionals; establish a civil cause of action for persons injured by violations; provide that the Act may be cited as the Health Care Heroes Recruitment and Retention Act; EMERGENCY.

Amend KRS 342.0011, relating to workers' compensation, to expand the definition of "injury" to include psychological injuries for police officers, firefighters, emergency medical services personnel, front-line staff members, or members of the National Guard; create a new section of KRS Chapter 342 to establish when psychological injuries are valid workers' compensation claims when not a direct result of a physical injury.

Create a new section of Subtitle 17A of KRS Chapter 304 to establish application of the subtitle to types of insurance, coverages, and benefits; authorize the insurance commissioner to exempt other types of similar or limited insurance, coverage, or benefits from the subtitle.

Create new sections of KRS Chapter 525 to define terms; require peace officers and animal control officers to serve notice of seizure of an animal subjected to cruelty; create procedure for seizing agencies to petition a court to order owner to pay cost of care for a seized animal; establish penalties; amend KRS 258.215 to require owners to be responsible for cost of care of an impounded animal; repeal, reenact, and amend KRS 258.117 to reduce the number of board appointees from each nominating organization from two to one; add one member to be selected from a list submitted by Kentucky Animal Action; add a member from a list submitted by the Kentucky Veterinary Medical Association representing registered nonprofit organizations whose missions prioritize spay and neuter advocacy for companion animals to the Animal Control Advisory Board; provide that on the effective date of the Act, the Animal Control Advisory Board shall be dissolved and reconstituted and all new members be appointed; provide for the staggering of initial appointments.

Amend KRS 304.39-020 to modify requirements for medical expenses submitted pursuant to the Motor Vehicle Reparations Act; amend KRS 304.39-210 to establish requirements for reparations obligors paying medical expenses and persons submitting and collecting on medical expenses.

Amend KRS 6.691 to allow Legislative Ethics Commission to increase the potential penalty imposed from $2,000 to $10,000.

Amend KRS 160.350 to require a majority vote instead of a four-fifths vote of board members to remove the superintendent; delete requirements for approval from the commissioner of education to remove a superintendent; amend KRS 160.180 to remove the relative employee eligibility requirement for candidates for the local board of education; require a local board member obtain at least one hour of open records and open meetings training per term; amend KRS 160.160 to establish a one-year term for chair and vice chair of the local board of education; require superintendents to submit reports on closed personnel investigations to the local board of education for the purposes of policy oversight and evaluation of the superintendent's performance; amend KRS 160.210 to establish new numbers for membership of a local board of education based on district enrollment; require the Kentucky Board of Education to determine the required number of members every 10 years; provide for the election of additional members and for the reduction of membership; require local boards of education to report new electoral divisions to the Kentucky Board of Education and the Legislative Research Commission; amend KRS 160.200 and 116.200 to conform; require the Kentucky Board to make initial determinations of board size by December 31, 2025 and local boards to conduct required division changes; require superintendents to submit reports on previous investigations closed during the superintendent's contract to the local board of education within 30 days of the effective date of this Act.

Create a new section of KRS Chapter 210 to define terms; prohibit mental health professionals from engaging in sexual orientation and gender identity change efforts with a person under 18 years of age, a person who is 18 years or older who is an adult as defined in KRS 209.020, or a ward as defined in KRS 387.510; require violations to be subject to board discipline; prohibit public funds from being used for sexual orientation and gender identity change efforts; create a new section of KRS Chapter 211 to require the Department for Public Health and the Department for Behavioral Health, Developmental and Intellectual Disabilities to develop, produce, and disseminate educational materials regarding sexual orientation and gender identity change efforts; permit the cabinet to contract for the educational materials; provide that the Act may be cited as the Youth Mental Health Protection Act; EMERGENCY.