Kentucky 2026 Regular Session Status: In Committee 2 R cosponsors

HB 488 — AN ACT relating to the Medicaid home and community based waiver program.

Last action — to Health Services (H)

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced January 27, 2026. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Prognosis

Stalled 18% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 2 sponsors

    2 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (2 R).

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Create a new section of KRS Chapter 205 to define terms; direct the Cabinet for Health and Family Services to prepare and submit a waiver amendment application to the federal Centers for Medicare and Medicaid Services to amend the 1915(c) HCB waiver program to include coverage for assisted living services; establish coverage limits; require the cabinet to promulgate administrative regulations; 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).

Bill Text

Action History

  1. to Health Services (H)

  2. to Committee on Committees (H)

  3. introduced in House

Sponsors

Sponsorship breakdown

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2 sponsors · 0 co-sponsors · 136 not signed on

Sponsors (2)

Co-sponsors (0)

None.

Not signed on (136)

136 members have not signed on to this bill.

Show all 136 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB 488 do?
Create a new section of KRS Chapter 205 to define terms; direct the Cabinet for Health and Family Services to prepare and submit a waiver amendment application to the federal Centers for Medicare and Medicaid Services to amend the 1915(c) HCB waiver program to include coverage for assisted living services; establish coverage limits; require the cabinet to promulgate administrative regulations; 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).
Who sponsors HB 488?
HB 488 is sponsored by Nancy Tate (Republican) and Deanna Gordon (Republican).
What is the current status of HB 488?
This bill is in committee in the House. Introduced January 27, 2026. It must pass committee before a floor vote.
Where can I track HB 488?
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Last checked for changes about 2 months ago · updated continuously

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