Kentucky Legislative Analysis

Amend KRS 61.315 to include additional cancers which, when they are the cause of death of a firefighter, would make the firefighter eligible for death benefits; make a technical correction.

Key Points

• Sponsored by Kimberly Banta (Republican)
• Voted 92-0 in the House
• Review the full bill text for complete details before taking action

Amend KRS 205.5371 to require the Cabinet for Health and Family Services to condition eligibility for enrollment or continued enrollment in the Medicaid program on demonstrated community engagement as required under federal law; require the cabinet to continue to condition eligibility on demonstrated community engagement if federal requirements are abolished, repealed, or otherwise diminished; amend KRS 205.6312 to require the cabinet and any contracted Medicaid managed care organization to impose cost-sharing requirements for Medicaid enrollees as required under federal law no later than January 1, 2027; establish minimum cost-sharing amounts; amend KRS 205.556 and 205.618 to conform; create new sections of KRS Chapter 205 to require the cabinet to, no later than July 1, 2026, begin conducting Medicaid eligibility redeterminations once every 6 months as required under federal law; require the cabinet to access and review certain data when conducting eligibility redeterminations; establish a process for identifying and, when appropriate, disenrolling individuals who are concurrently enrolled in the Kentucky Medicaid program and a Medicaid program administered by another state or states; amend KRS 205.178 to require the cabinet to receive and review information from the Kentucky Lottery Corporation, Department of Corrections, and the Kentucky Horse Racing and Gaming Corporation on at least a monthly basis, the Kentucky Department of Revenue on at least an annual basis, and the Kentucky Transportation Cabinet on a quarterly basis; require the Department for Medicaid Services to enter into a data sharing agreement with the Social Security Administration to receive the full file of death information on at least a quarterly basis; prohibit the cabinet from seeking or requesting an exemption or waiver from federal community engagement requirements related to county unemployment rates unless specifically authorized by the General Assembly to do so; amend KRS 205.5375 to require hospitals to assist presumptively eligible individuals in submitting a full Medicaid application; amend KRS 205.200 to prohibit the cabinet from accepting self-attestation of income, residency, or age for the purpose of determining eligibility for Medicaid or compliance with community engagement requirements; create new sections of KRS Chapter 205 to establish Medicaid managed care organization contracting requirements and penalties; establish the Medicaid managed care organization compliance fund within the State Treasury; establish that amounts in the fund not appropriated at the close of a fiscal year shall not lapse and shall be carried forward; prohibit the expenditure of funds in the account unless expressly appropriated by the General Assembly; require the Department for Medicaid Services to submit recommendations for use of monies in the fund to the Legislative Research Commission by November 1, 2027, and November 1, of each following odd-numbered year; amend KRS 205.533 to require Medicaid managed care organizations to include certain information for providers on their websites; amend KRS 205.534 to require managed care organizations to allow providers 120 days to file an appeal or grievance related to a reduction of denial of a claim; establish penalties for a managed care organization's failure to ensure the timely disposition of any appeal or grievance; require payment of any amount owed to a provider following an appeal to be paid within 30 days; require payments made following an appeal to include interest and reasonable attorney's fees; establish standards and requirements for provider audits; require the inclusion of additional information in the monthly report filed by managed care organizations; require the Department for Medicaid Services to submit an annual report to the Legislative Research Commission related to Medicaid claims, appeals, and grievances; authorize the Department for Medicaid Services to promulgate administrative regulations; create new sections of KRS Chapter 205 to establish requirements for administration of the Medicaid-covered nonemergency medical transportation services; establish requirements for the administration of 1915(c) Medicaid waiver programs; require the Department for Medicaid Services to develop and implement a tiered priority system for assigning 1915(c) Medicaid waiver program slots by January 1, 2027; require administration of Medicaid-covered dental services by an administrative service organization; establish that the administrative service organization shall not assume any financial or insurance risk; limit compensation paid to the administrative service organization to no more than 2% of the actual Medicaid-covered dental service claims paid on an annual basis; require the Department for Medicaid Services to establish a Dental Program Advisory Panel; require the Department for Medicaid Services to employ a dental director; require the Department for Medicaid Services to submit an annual report on the Medicaid dental program to the Legislative Research Commission; create new sections of KRS 7A.270 to 7A.290 to establish legislative findings; require the cabinet to provide the Legislative Research Commission with access to all databases, datasets, electronic records, and files pertaining to any aspect of the Medicaid program determined by the director of the Legislative Research Commission to be necessary for the meaningful and effective discharge of the General Assembly's legislative duties; require the Legislative Research Commission, the University of Kentucky, and the University of Louisville to enter into a partnership to design and develop a web-based healthcare transparency dashboard; require the dashboard be overseen by a subcommittee of the Medicaid Oversight and Advisory Board; require the dashboard be maintained and operated by the Legislative Research Commission; amend KRS 7A.283 to allow the appointment of individuals who are not members of the board to advisory committees or subcommittees upon approval of the Legislative Research Commission; create a new section of KRS Chapter 43 to require the Auditor of Public Accounts to conduct an examination of the state's Medicaid program and Kentucky Children's Health Insurance Program; establish audit reporting requirements; require the Auditor to conduct a review of the Medicaid program and Kentucky Children's Health Insurance Program to assess progress in addressing issues identified in previous examinations; establish that the Office of Program Performance in the Commonwealth Office of the Ombudsman shall conduct all quality control reviews of the Department for Community Based Services for the Medicaid program, Supplemental Nutrition Assistance Program, and Temporary Assistance for Needy Families to comply with federal law and regulations; establish that no other state agency shall conduct these quality control reviews unless otherwise authorized by the General Assembly; amend KRS 7A.286 to establish that examinations conducted by the Auditor may constitute fulfillment of certain duties assigned to the Medicaid Oversight and Advisory Board at the discretion of the Legislative Review Commission; repeal KRS 205.515 related to administration of the Medicaid program; repeal KRS 311A.172 related to nonemergency medical transportation services; appropriate $500,000 in General Fund moneys in fiscal year 2025-2026 for staffing and technology needs in the Office of the Auditor of Public Accounts; create a new section of KRS Chapter 6 to establish a Medicaid impact statement; require any legislation that makes or directs a change to the Medicaid program to be accompanied by a Medicaid impact statement; require certain factors to be analyzed and included in a Medicaid impact statement; require Medicaid impact statements to be completed by an economic consulting firm retained by the Legislative Research Commission; create a new section of KRS Chapter 13A to require the cabinet to provide a draft copy of certain administrative regulations related to the Medicaid program to the Medicaid Oversight and Advisory Board for comment at least 30 days before filing the administrative regulation with the regulations compiler; direct the Medicaid Oversight and Advisory Board to establish a Dental Services Transition Subcommittee; establish membership and duties of the Dental Services Subcommittee; require any contract between the Department for Medicaid Services and a Medicaid managed care organization entered into, renewed, or extended after the effective date of this Act to include notice to the managed care organization of the department's intent to transition to an administrative service organization delivery model for Medicaid-covered dental services; require the cabinet or the Department for Medicaid Services to seek federal approval if it is determined that such approval is necessary; provide authorization from the General Assembly to make changes in the Medicaid program as required under KRS 205.5372(1); direct the Medicaid Oversight and Advisory Board to evaluate the nonemergency medical transportation program and submit findings and recommendations to the Legislative Research Commission by December 31, 2026; APPROPRIATION; EMERGENCY.

Key Points

• This bill has been introduced and is in early stages of consideration
• Sponsored by Ken Fleming (Republican)
• Review the full bill text for complete details before taking action

Amend KRS 15.020 to define "entity of the executive branch"; require the Attorney General, in consultation with the Finance and Administration Cabinet, to review and approve or disapprove any settlement of pending or threatened litigation within 180 days before a gubernatorial inauguration that exceeds $1,000,000; amend KRS 18A.111 to require a 24-month probationary period to any person who at any time in 18 months prior to a gubernatorial inauguration is appointed to a position in the classified service and who held a position that was unclassified under KRS 18A.115; deny that person any preferences in hiring or reemployment; amend KRS 45A.095 to define "executive branch agency"; require any contract executed or renewed through noncompetitive negotiation within 180 days preceding a gubernatorial inauguration be certified as necessary due to an emergency condition by the State Treasurer and secretary of the Finance and Administration Cabinet; amend KRS 171.530 to require certain records be preserved in the 12 months preceding a gubernatorial inauguration for the Governor-elect and his or her transition team; amend KRS 171.990 to find any person who violates KRS 171.530 be guilty of a Class A misdemeanor; grant the Attorney General concurrent original jurisdiction to enforce.

Key Points

• This bill has been introduced and is in early stages of consideration
• Sponsored by John Hodgson (Republican)
• Review the full bill text for complete details before taking action

Create new sections of KRS Chapter 158 to define terms; allow the use of camera monitoring systems on school buses operated by a school district and allow the enforcement of a civil penalty for stop arm camera violations recorded by a camera monitoring system; establish the amount of the civil penalty; require that the revenue generated from a civil penalty be retained by the school district; allow a law enforcement agency to charge a fee of $25 from every civil penalty enforced by the law enforcement agency; require specific notice for a stop arm camera violation; establish defenses to a violation; establish procedures for a contest to a violation; allow for suspension of motor vehicle registration for failure to timely pay a penalty; require a school district or law enforcement agency to notify the Transportation Cabinet of the need to release a motor vehicle registration suspension within 1 business day of payment; amend KRS 189.370 to require traffic in the opposite direction of a school or church bus to stop for the bus on a highway that is not divided by an elevated barrier or unpaved median;amend KRS 189.990 to increase the maximum fines for failing to stop for a school or church bus that is receiving or discharging passengers.

Key Points

• This bill has been introduced and is in early stages of consideration
• Sponsored by David Hale (Republican)
• Review the full bill text for complete details before taking action

Propose to create a new section of the Constitution of Kentucky to enshrine Medicaid expansion coverage; direct the Secretary of State to advertise the proposed constitutional amendment prior to a general election vote; provide ballot language; submit to voters for ratification or rejection.

Key Points

• This bill has been signed into law and is now in effect
• Sponsored by Lindsey Burke (Democrat)
• Review the full bill text for complete details before taking action

Amend KRS 205.522 and 205.6485 to require Medicaid and KCHIP to comply with pharmacy reimbursement requirements established in KRS 304.12-237; require the Cabinet for Health and Family Services or the Department for Medicaid to seek federal approval if it is determined that such approval is necessary; provide authorization from the General Assembly to make changes to the Medicaid program as required under KRS 205.5372(1).

Key Points

• This bill has been introduced and is in early stages of consideration
• Sponsored by Amy Neighbors (Republican)
• Voted 93-0 in the House
• Review the full bill text for complete details before taking action

­Create a new section of KRS Chapter 510 to establish the offense of grooming a minor; amend KRS 510.010 to define "course of conduct," "grooming behavior," and "sexual conduct"; amend various sections to conform; make technical corrections.

Key Points

• This bill has been introduced and is in early stages of consideration
• Sponsored by Marianne Proctor (Republican)
• Review the full bill text for complete details before taking action

Create a new section of KRS Chapter 16 to define "Task Force Model Program"; require Kentucky State Police posts to enter into agreements with the United States Immigration and Customs Enforcement to participate in the Task Force Model Program; require Kentucky State Police officers who participate in the Task Force Model Program to complete Immigration and Customs Enforcement training; amend KRS 15.404 to provide that any peace officer who completes Immigration and Customs Enforcement training will be deemed to have completed annual in-service training; require the Kentucky Law Enforcement Council to certify the Immigration Authority Delegation Program as an approved in-service training program.

Key Points

• This bill has been introduced and is in early stages of consideration
• Sponsored by T.J. Roberts (Republican)
• Review the full bill text for complete details before taking action

Amend KRS 164.786 to include a proprietary school in the definition of "participating institution" for the purpose of the Dual Credit Scholarship Program; amend KRS 164.787 to include a proprietary school in the definition of "eligible institution" for the purpose of the Work Ready Kentucky Scholarship Program.

Key Points

• This bill has been introduced and is in early stages of consideration
• Sponsored by Kimberly Banta (Republican)
• Review the full bill text for complete details before taking action

Create a new section of KRS Chapter 314A to enact and enter into the Respiratory Care Interstate Compact with all other jurisdictions that legally join in the compact; declare the purpose of the compact; define terms; establish participation requirements; recognize a licensure privilege and establish requirements; designate home state licensure for active military members; establish penalties and adverse actions against a licensee; establish the Respiratory Care Interstate Compact Commission; create membership rules, establish voting requirements, and permit the commission to establish rules and perform duties; require the compact commission to create a data system and outline the requirements; permit the executive and judicial branches within each state to enforce the compact; establish dispute resolution and outline termination procedures.

Key Points

• This bill has been introduced and is in early stages of consideration
• Sponsored by Steve Bratcher (Republican)
• Review the full bill text for complete details before taking action