Kentucky 2026 Regular Session Status: Enacted 5 R cosponsors

HB 2 — AN ACT relating to Medicaid, making an appropriation therefor, and declaring an emergency.

Last action — delivered to Secretary of State (Acts Ch. 179)

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

This bill has been enacted into law. Introduced January 21, 2026. Enacted.

Signed by Governor Andy Beshear (Democratic) on April 14, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 64% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 5 sponsors

    5 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (5 R).

  • Mixed recorded votes

    6 passed, 1 failed in recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

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to continue to condition eligibility on demonstrated community engagement if federal requirements are abolished, repealed, or otherwise diminished; amend KRS 205.6312 to require the cabinet and any contracted Medicaid managed care organization to impose cost-sharing requirements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.

Bill Text

What changed in the latest version

1525 added · 2109 removed

1525 line(s) added, 2109 removed.

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UNOFFICIAL COPY 26 RS HB 2/VO AN ACT relating to Medicaid, making an appropriation therefor, and declaring an emergency.
CHAPTER 179 1 CHAPTER 179 ( HB 2 ) AN ACT relating to Medicaid, making an appropriation therefor, and declaring an emergency.
1396a(xx) or subsection (1) of this section that may be available to the state under Page 1 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO 42 U.S.C.
1396a(xx) or subsection (1) of this section that may be available to the state under 42 U.S.C.
(b) As required in KRS 205.525, the cabinet shall provide a copy and summary of the waiver application submitted pursuant to this section to the Legislative Research Commission for referral to the Medicaid Oversight and Advisory Board, the Interim Joint Committee on Appropriations and Revenue, and the Interim Joint Committee on Health Services concurrent with submitting the Page 2 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO application to the Centers for Medicare and Medicaid Services and shall provide an update on the status of the application at least quarterly].
(b) As required in KRS 205.525, the cabinet shall provide a copy and summary of the waiver application submitted pursuant to this section to the Legislative Research Commission for referral to the Medicaid Oversight and Advisory Board, the Interim Joint Committee on Appropriations and Revenue, and the Interim Joint Committee on Health Services concurrent with submitting the application to the Centers for Medicare and Medicaid Services and shall provide an update on the status of the application at least quarterly].
(a) Immediately prepare and submit a waiver application to the federal Centers for Medicare and Medicaid Services seeking authorization to condition the eligibility of applicable individuals, as defined in subsection (5) of this section, to enroll or continue to be enrolled in the Medicaid program on demonstrated community engagement, as defined in subsection (5) of this section;
(a) Immediately prepare and submit a waiver application to the federal Centers for Medicare and Medicaid Services seeking authorization to condition the eligibility of applicable individuals, as Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY defined in subsection (5) of this section, to enroll or continue to be enrolled in the Medicaid program on demonstrated community engagement, as defined in subsection (5) of this section;
1396a(a)(10)(A)(i)(VIII) or a waiver that provides coverage that is equivalent to minimum essential coverage as described in Section 5000A(f)(1)(A) of the Internal Revenue Code of Page 3 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO 1986;
1396a(a)(10)(A)(i)(VIII) or a waiver that provides coverage that is equivalent to minimum essential coverage as described in Section 5000A(f)(1)(A) of the Internal Revenue Code of 1986;
115- 119, of a dependent child thirteen (13) years of age or under or a disabled individual;
115-119, of a dependent child thirteen (13) years of age or under or a disabled individual;
An individual participating in a drug addiction or alcohol addiction recovery program recognized by the secretary through Page 4 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO the promulgation of administrative regulations in accordance with KRS Chapter 13A;
An individual participating in a drug addiction or alcohol addiction recovery program recognized by the secretary through the promulgation of administrative regulations in accordance with KRS Chapter 13A;
3.
CHAPTER 179 3 3.
Having a verifiable average monthly income over the previous six (6) months that is not less than applicable state minimum wage established in KRS 337.275 multiplied by eighty (80) hours if the individual is a seasonal worker as described in Section 45R(d)(5)(B) of Page 5 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO the Internal Revenue Code of 1986[ (b) Physically and mentally able to work as determined by the cabinet;
Having a verifiable average monthly income over the previous six (6) months that is not less than applicable state minimum wage established in KRS 337.275 multiplied by eighty (80) hours if the individual is a seasonal worker as described in Section 45R(d)(5)(B) of the Internal Revenue Code of 1986[ (b) Physically and mentally able to work as determined by the cabinet;
1396o(k)(2)(B)(i), the following services shall not be subject to cost-sharing requirements established under this section unless otherwise required by federal law:
1396o(k)(2)(B)(i), the following services shall not be subject to cost- sharing requirements established under this section unless otherwise required by federal law:
Page 6 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO (d) Substance use disorder services;
(d) Substance use disorder services;
(5) The total aggregate amount of cost sharing imposed under this section for all individuals in a family shall not exceed five percent (5%) of the family's income on a monthly or quarterly basis, as determined by the secretary.
Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY (5) The total aggregate amount of cost sharing imposed under this section for all individuals in a family shall not exceed five percent (5%) of the family's income on a monthly or quarterly basis, as determined by the secretary.
(b) "In-home program" means a program offered by a health care facility or health care professional for the treatment of substance use disorder which the Page 7 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO insured accesses through telehealth or digital health service;
(b) "In-home program" means a program offered by a health care facility or health care professional for the treatment of substance use disorder which the insured accesses through telehealth or digital health service;
Page 8 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO (c) To pregnant and postpartum women for an in-home program;
(c) To pregnant and postpartum women for an in-home program;
1.
CHAPTER 179 5 1.
Group consultation, if the beneficiary requests group consultation in lieu of in-person, one-on-one consultation;
Group consultation, if the beneficiary requests group consultation in lieu of in-person, one-on- one consultation;
Two (2) breast pump kits as well as appropriately sized breast pump Page 9 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO flanges and other lactation accessories recommended by a health care provider.
Two (2) breast pump kits as well as appropriately sized breast pump flanges and other lactation accessories recommended by a health care provider.
or (c) Copayments or other out-of-pocket cost sharing, including deductibles, unless Page 10 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO otherwise required under federal law.
or (c) Copayments or other out-of-pocket cost sharing, including deductibles, unless otherwise required under federal law.
(a) Described in 42 U.S.C.
Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY (a) Described in 42 U.S.C.
(a) Access and review information from all available federal and state data systems that may contain information related to eligibility for enrollment or Page 11 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO continued enrollment in the Medicaid program, including but not limited to:
(a) Access and review information from all available federal and state data systems that may contain information related to eligibility for enrollment or continued enrollment in the Medicaid program, including but not limited to:
The Transformed Medicaid Statistical Information System, or T- MSIS;
The Transformed Medicaid Statistical Information System, or T-MSIS;
Page 12 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO (b) Identify individuals enrolled in the Kentucky Medicaid program who may be concurrently enrolled in one (1) or more other states' Medicaid programs;
(b) Identify individuals enrolled in the Kentucky Medicaid program who may be concurrently enrolled in one (1) or more other states' Medicaid programs;
That they must submit proof of current residency in the Page 13 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO Commonwealth within thirty (30) days;
That they must submit proof of current residency in the Commonwealth within thirty (30) days;
b.
CHAPTER 179 7 b.
Covered by, insured by, or enrolled with the managed care Page 14 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO organization, the managed care organization's parent company, or any subsidiary of the managed care organization or its parent company in another state, regardless of the type of coverage provided in the other state;
Covered by, insured by, or enrolled with the managed care organization, the managed care organization's parent company, or any subsidiary of the managed care organization or its parent company in another state, regardless of the type of coverage provided in the other state;
Page 15 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO (2) On at least a monthly basis, each enrollment or benefit tracking agency associated with the Medicaid program or the Supplemental Nutrition Assistance Program of the cabinet shall receive and review information from the Vital Statistics Branch concerning individuals enrolled in the Medicaid program or the Supplemental Nutrition Assistance Program that may indicate[indicates] a change in circumstances that would[may] affect eligibility.
(2) On at least a monthly basis, each enrollment or benefit tracking agency associated with the Medicaid program or the Supplemental Nutrition Assistance Program of the cabinet shall receive and review information from the Vital Statistics Branch concerning individuals enrolled in the Medicaid program or the Supplemental Nutrition Assistance Program that may indicate[indicates] a change in circumstances that would[may] affect eligibility.
(3) On at least a quarterly basis, each enrollment or benefit tracking agency associated with the Medicaid program or the Supplemental Nutrition Assistance Program of the cabinet shall receive and review information from the[ Kentucky] Office of Unemployment Insurance concerning individuals enrolled in the Medicaid program or the Supplemental Nutrition Assistance Program that may indicate[indicates] a change in circumstances that would[may] affect eligibility, including but not limited to changes in employment or wages.
(3) On at least a quarterly basis, each enrollment or benefit tracking agency associated with the Medicaid program or the Supplemental Nutrition Assistance Program of the cabinet shall receive and review information from the[ Kentucky] Office of Unemployment Insurance concerning individuals enrolled in the Medicaid program Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY or the Supplemental Nutrition Assistance Program that may indicate[indicates] a change in circumstances that would[may] affect eligibility, including but not limited to changes in employment or wages.
(4) On at least a quarterly basis, each enrollment or benefit tracking agency associated with the Medicaid program or the Supplemental Nutrition Assistance Program of the cabinet shall receive and review information, including information from the Kentucky Transitional Assistance Program, concerning individuals enrolled in the Medicaid program or the Supplemental Nutrition Assistance Program that may indicate[indicates] a change in circumstances that would[may] affect eligibility, including but not limited to potential changes in residency as identified by out-of- state electronic benefit transfer transactions.
(4) On at least a quarterly basis, each enrollment or benefit tracking agency associated with the Medicaid program or the Supplemental Nutrition Assistance Program of the cabinet shall receive and review information, including information from the Kentucky Transitional Assistance Program, concerning individuals enrolled in the Medicaid program or the Supplemental Nutrition Assistance Program that may indicate[indicates] a change in circumstances that would[may] affect eligibility, including but not limited to potential changes in residency as identified by out-of-state electronic benefit transfer transactions.
Page 16 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO (6) On at least an annual basis, each enrollment or benefit tracking agency associated with the Medicaid program shall receive and review information from the Department of Revenue concerning individuals enrolled in the Medicaid program that may indicate a change in circumstances that would affect eligibility for enrollment in the Medicaid program, including but not limited to changes in adjusted gross income or family composition.
(6) On at least an annual basis, each enrollment or benefit tracking agency associated with the Medicaid program shall receive and review information from the Department of Revenue concerning individuals enrolled in the Medicaid program that may indicate a change in circumstances that would affect eligibility for enrollment in the Medicaid program, including but not limited to changes in adjusted gross income or family composition.
and (b) Upon receipt of the full file of death information and any update to the file, disenroll from the Medicaid program any individual whose death is reported Page 17 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO in the full file of death information.
and (b) Upon receipt of the full file of death information and any update to the file, disenroll from the Medicaid program any individual whose death is reported in the full file of death information.
(13)[(7)] The cabinet and each enrollment or benefit tracking agency associated with the Medicaid program or the Supplemental Nutrition Assistance Program [of the cabinet ]shall explore joining any multistate cooperative to identify individuals who are also enrolled in public assistance programs outside of this state.
CHAPTER 179 9 (13)[(7)] The cabinet and each enrollment or benefit tracking agency associated with the Medicaid program or the Supplemental Nutrition Assistance Program [of the cabinet ]shall explore joining any multistate cooperative to identify individuals who are also enrolled in public assistance programs outside of this state.
(14)[(8)] If the cabinet or an enrollment or benefit tracking agency associated with the Medicaid program or the Supplemental Nutrition Assistance Program [of the Page 18 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO cabinet ]receives information concerning an individual enrolled in the Medicaid program or the Supplemental Nutrition Assistance Program that indicates a change in circumstances that would[may] affect eligibility, the cabinet or the enrollment or benefit tracking agency or other appropriate agency shall:
(14)[(8)] If the cabinet or an enrollment or benefit tracking agency associated with the Medicaid program or the Supplemental Nutrition Assistance Program [of the cabinet ]receives information concerning an individual enrolled in the Medicaid program or the Supplemental Nutrition Assistance Program that indicates a change in circumstances that would[may] affect eligibility, the cabinet or the enrollment or benefit tracking agency or other appropriate agency shall:
Page 19 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO 2015(o)(6).
2015(o)(6).
Page 20 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO 1.
1.
2.
Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY 2.
(b) Notification that the individual may file a full Medicaid application through the individual's local Department for Community Based Services office if the individual wishes to have a formal determination of eligibility made by the Page 21 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO department;
(b) Notification that the individual may file a full Medicaid application through the individual's local Department for Community Based Services office if the individual wishes to have a formal determination of eligibility made by the department;
(1) A needy aged person, a needy blind person, a needy child, a needy permanently and totally disabled person, or a person with whom a needy child lives shall be eligible to receive a public assistance grant only if he or she has made a proper application Page 22 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO or an application has been made on his or her behalf in the manner and form prescribed by administrative regulation.
(1) A needy aged person, a needy blind person, a needy child, a needy permanently and totally disabled person, or a person with whom a needy child lives shall be eligible to receive a public assistance grant only if he or she has made a proper application or an application has been made on his or her behalf in the manner and form prescribed by administrative regulation.
In no instance shall grants to families with no income be less than the appropriate grant maximum used for public assistance under Title IV-A of the Federal Social Security Act.
In no instance shall grants to families with no income be less than the appropriate grant maximum used for public assistance under Title IV- A of the Federal Social Security Act.
As used in this section, "ratable reduction" means the percentage reduction applied to the deficit between the family's countable income and the standard of need for the appropriate family size.
As used in this section, "ratable reduction" means the percentage CHAPTER 179 11 reduction applied to the deficit between the family's countable income and the standard of need for the appropriate family size.
(6) The cabinet shall promptly notify the appropriate law enforcement officials of the Page 23 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO furnishing of public assistance under Title IV-A of the Federal Social Security Act in respect to a child who has been deserted or abandoned by a parent.
(6) The cabinet shall promptly notify the appropriate law enforcement officials of the furnishing of public assistance under Title IV-A of the Federal Social Security Act in respect to a child who has been deserted or abandoned by a parent.
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1396a(xx) and Section 1 of this Act, unless otherwise required by federal law, the cabinet shall only accept self-attestation of income, residency, age, household composition, caretaker or relative status, or receipt of other coverage as verification of last resort prior to enrollment, and the cabinet shall Page 24 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO not request federal authorization or approval to waive or decline to periodically check any available income-related data source to verify eligibility.
1396a(xx) and Section 1 of this Act, unless otherwise required by federal law, the cabinet shall only accept self-attestation of income, residency, age, household composition, caretaker or relative status, or receipt of other coverage as verification of last resort prior to enrollment, and the cabinet shall not request federal authorization or approval to waive or decline to periodically check any available income-related data source to verify eligibility.
(a) Shall through any means practical, including but not limited to garnishment of future cash assistance benefits, seek recoupment from the individual of any cash benefits trafficked, sold, distributed, given, or otherwise transferred;
Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY (a) Shall through any means practical, including but not limited to garnishment of future cash assistance benefits, seek recoupment from the individual of any cash benefits trafficked, sold, distributed, given, or otherwise transferred;
Page 25 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO 2.
2.
Page 26 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO sec.
sec.
Page 27 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO (d) Advertising or otherwise marketing the Medicaid program except to indicate the managed care organization's participation in the Medicaid program;
CHAPTER 179 13 (d) Advertising or otherwise marketing the Medicaid program except to indicate the managed care organization's participation in the Medicaid program;
Page 28 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO 4.
4.
Attempting to obtain the beneficiary's current and correct address directly from the beneficiary by attempting to contact him or her Page 29 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO through at least two (2) of the following means of communication:
Attempting to obtain the beneficiary's current and correct address directly from the beneficiary by attempting to contact him or her through at least two (2) of the following means of communication:
(b) 1.
Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY (b) 1.
Page 30 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO and (5) (a) Penalties for violations of state and federal law related to the Medicaid program, including but not limited to this section, and any other contract requirements or prohibitions imposed upon the managed care organization by the cabinet, including but not limited to:
and (5) (a) Penalties for violations of state and federal law related to the Medicaid program, including but not limited to this section, and any other contract requirements or prohibitions imposed upon the managed care organization by the cabinet, including but not limited to:
(b) The fund shall consist of all penalties or fines imposed by the cabinet on a Page 31 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO managed care organization for violations of Section 10 of this Act, any other contract violation, or any violation of state or federal law related to the Medicaid program, regardless of the manner in which the penalty of fine is paid by a managed care organization, including but not limited to reductions in future capitation payments or any monies withheld by the Department for Medicaid Services for payment of penalties or fines.
(b) The fund shall consist of all penalties or fines imposed by the cabinet on a managed care organization for violations of Section 10 of this Act, any other contract violation, or any violation of state or federal law related to the Medicaid program, regardless of the manner in which the penalty of fine is paid by a managed care organization, including but not limited to reductions in future capitation payments or any monies withheld by the Department for Medicaid Services for payment of penalties or fines.
(f) Notwithstanding KRS 48.630, expenditures shall not be made from this fund unless expressly appropriated by the General Assembly.
CHAPTER 179 15 (f) Notwithstanding KRS 48.630, expenditures shall not be made from this fund unless expressly appropriated by the General Assembly.
(2) The cabinet shall submit specific recommendations for the use of monies in the Medicaid managed care organization compliance fund to increase certain Medicaid reimbursement rates to the Legislative Research Commission for referral to the Interim Joint Committees on Appropriations and Revenue and Health Services and the Medicaid Oversight and Advisory Board established in KRS 7A.273 by November 1, 2027, and November 1 of each following odd- numbered year.
(2) The cabinet shall submit specific recommendations for the use of monies in the Medicaid managed care organization compliance fund to increase certain Medicaid reimbursement rates to the Legislative Research Commission for referral to the Interim Joint Committees on Appropriations and Revenue and Health Services and the Medicaid Oversight and Advisory Board established in KRS 7A.273 by November 1, 2027, and November 1 of each following odd-numbered year.
(1) [By January 1, 2019, ]A managed care organization shall maintain[establish] an interactive website[Web site], operated by the managed care organization, that Page 32 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO allows providers to file grievances, appeals, and supporting documentation electronically in an encrypted format that complies with federal law and that allows a provider to review the current status of a matter relating to an appeal or a grievance filed concerning a submitted claim.
(1) [By January 1, 2019, ]A managed care organization shall maintain[establish] an interactive website[Web site], operated by the managed care organization, that allows providers to file grievances, appeals, and supporting documentation electronically in an encrypted format that complies with federal law and that allows a provider to review the current status of a matter relating to an appeal or a grievance filed concerning a submitted claim.
Page 33 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO 2.
2.
1.
Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY 1.
The reprocessing shall not require a provider to rebill Page 34 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO or resubmit claims to obtain correct payment.
The reprocessing shall not require a provider to rebill or resubmit claims to obtain correct payment.
Only recoup denied payments or issue a demand for payment from a Page 35 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO provider upon the final disposition of the audit, including the appeals process established in KRS 205.646;
Only recoup denied payments or issue a demand for payment from a provider upon the final disposition of the audit, including the appeals process established in KRS 205.646;
"Expedited authorization request" means a request for authorization or preauthorization where the provider determines that following the standard[ a] timeframe could seriously jeopardize an enrollee's life or health, or ability to attain, maintain, Page 36 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO or regain maximum function.[;
"Expedited authorization request" means a request for authorization or preauthorization where the provider determines that following the standard[ a] timeframe could seriously jeopardize an enrollee's life or health, or ability to attain, maintain, or regain maximum function.[;
and] b.
and] CHAPTER 179 17 b.
For each internal appeal or grievance not resolved within sixty (60) calendar days, the name of the provider who filed the unresolved internal appeal or grievance, the dollar amount of the claim that was denied if a denial is being appealed, the reason for the delay in Page 37 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO resolving the internal appeal or grievance, the current status of the internal appeal or grievance, and the outcome determination if rendered prior to the filing of the report;
For each internal appeal or grievance not resolved within sixty (60) calendar days, the name of the provider who filed the unresolved internal appeal or grievance, the dollar amount of the claim that was denied if a denial is being appealed, the reason for the delay in resolving the internal appeal or grievance, the current status of the internal appeal or grievance, and the outcome determination if rendered prior to the filing of the report;
Page 38 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO (c) The number of internal appeals and grievances filed by Medicaid enrollees and by providers, the types of services to which the internal appeals and grievances relate, the total dollar amount of denials that were appealed, the average length of time to resolution, the number of internal appeals and grievances where the initial denial was overturned, and the types of services and dollar amount of overturned denials;
(c) The number of internal appeals and grievances filed by Medicaid enrollees and by providers, the types of services to which the internal appeals and grievances relate, the total dollar amount of denials that were appealed, the average length of time to resolution, the number of internal appeals and grievances where the initial denial was overturned, and the types of services and dollar amount of overturned denials;
(6) Any Medicaid managed care organization that fails to comply with subsection (1)(d)2.
Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY (6) Any Medicaid managed care organization that fails to comply with subsection (1)(d)2.
Page 39 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO (b) 1.
(b) 1.
Ensure that all vehicles used to provide Medicaid-covered nonemergency medical transportation services are equipped with a global positioning system device that enables the broker to determine the precise location of the vehicle at all times when the vehicle is being operated to provide nonemergency medical Page 40 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO transportation services.
Ensure that all vehicles used to provide Medicaid-covered nonemergency medical transportation services are equipped with a global positioning system device that enables the broker to determine the precise location of the vehicle at all times when the vehicle is being operated to provide nonemergency medical transportation services.
Collaborate with the Department for Medicaid Services, or another agency in state government or a private entity with which the department has contracted for the administration of a nonemergency medical transportation service program, to implement and execute a performance-based payment model that aligns incentives for Medicaid enrollees, drivers, regional brokers, and the Commonwealth to improve quality, reliability,and cost-effectivenessin the nonemergency medical transportation service program.
Collaborate with the Department for Medicaid Services, or another agency in state government or a private entity with which the department has contracted for the administration of a nonemergency medical transportation service program, to implement and execute a performance-based payment model that aligns incentives for Medicaid enrollees, drivers, regional brokers, and the Commonwealth to improve quality, reliability, and cost- effectiveness in the nonemergency medical transportation service program.
The performance-based payment model required under this subparagraph shall include a two percent (2%) withhold from each regional broker's capitation amount that can be earned back in full or in part by the regional transportation broker through achievement of designated performance-based measures which shall:
The performance- based payment model required under this subparagraph shall include a two percent (2%) withhold from each regional broker's capitation amount that can be earned back in full or in part by the regional transportation broker through achievement of designated performance- based measures which shall:
and b.
and CHAPTER 179 19 b.
Page 41 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO iv.
iv.
(5) (a) A skilled nursing facility or hospital shall be permitted to provide nonemergency medical transportation services for residents of the skilled nursing facility or patients of the hospital if the transportation service would Page 42 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO be considered a Medicaid-covered service if provided by a driver contracted by a nonemergency medical transportation service regional broker.
(5) (a) A skilled nursing facility or hospital shall be permitted to provide nonemergency medical transportation services for residents of the skilled nursing facility or patients of the hospital if the transportation service would be considered a Medicaid-covered service if provided by a driver contracted by a nonemergency medical transportation service regional broker.
(b) The number of nonemergency medical transportation service trips Page 43 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO completed;
(b) The number of nonemergency medical transportation service trips completed;
(c) The number of nonemergency medical transportation service trips cancelled or rescheduled, including the reason for cancellation or rescheduling;
Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY (c) The number of nonemergency medical transportation service trips cancelled or rescheduled, including the reason for cancellation or rescheduling;
(2) (a) The department shall require any individual applying for waiver program Page 44 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO services, including any individuals applying for or requesting placement on a waiver waitlist, to submit a completed waiver program application that includes a provider's recommendation for waiver program services and provider attestation to the primary diagnosis for which the individual is seeking waiver program services.
(2) (a) The department shall require any individual applying for waiver program services, including any individuals applying for or requesting placement on a waiver waitlist, to submit a completed waiver program application that includes a provider's recommendation for waiver program services and provider attestation to the primary diagnosis for which the individual is seeking waiver program services.
The level of care assessment tools designated under this Page 45 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO subsection shall:
The level of care assessment tools designated under this subsection shall:
(5) Notwithstanding subsections (3) and (4) of this section, an individual who is eighteen (18) years of age or younger and currently receiving waiver services on the effective date of this Act shall not be reassessed using the level of care assessment tools designated under subsection (3) of this section and shall continue to be reassessed as required under state and federal law using the assessment tool in effect on the effective date of this Act until he or she reaches eighteen (18) years of age.
CHAPTER 179 21 (5) Notwithstanding subsections (3) and (4) of this section, an individual who is eighteen (18) years of age or younger and currently receiving waiver services on the effective date of this Act shall not be reassessed using the level of care assessment tools designated under subsection (3) of this section and shall continue to be reassessed as required under state and federal law using the assessment tool in effect on the effective date of this Act until he or she reaches eighteen (18) years of age.
Page 46 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO (c) This subsection shall not apply to:
(c) This subsection shall not apply to:
(9) (a) For the purposes of identifying and eliminating waste, fraud, and abuse in the 1915(c) waiver programs, any person who knows or has reasonable cause to believe that a violation of waiver program policy or law, including but not limited to this section, this chapter, any administrative regulation promulgated under this chapter, waiver program documents approved by the federal Centers for Medicare and Medicaid Services, federal Medicaid- related statutes or regulations, or contracts entered into by any agency of state government for administration of the waiver programs, has been or is being committed by any person, corporation, or entity, shall report or cause to be reported to the Office of Medicaid Fraud and Abuse Control in the Office of the Attorney General, or the Medicaid Fraud and Abuse hotline as Page 47 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO required under KRS 205.8465.
(9) (a) For the purposes of identifying and eliminating waste, fraud, and abuse in the 1915(c) waiver programs, any person who knows or has reasonable cause to believe that a violation of waiver program policy or law, including but not limited to this section, this chapter, any administrative regulation promulgated under this chapter, waiver program documents approved by the federal Centers for Medicare and Medicaid Services, federal Medicaid-related statutes or regulations, or contracts entered into by any agency of state government for administration of the waiver programs, has been or is being committed by any person, corporation, or entity, shall report or cause to be reported to the Office of Medicaid Fraud and Abuse Control in the Office of the Attorney General, or the Medicaid Fraud and Abuse hotline as required under KRS 205.8465.
(b) Chief among the General Assembly's legislative duties is the responsibility to engage in meaningful legislative oversight of state agencies and their various departments, divisions, and programs, including but not limited to the Cabinet for Health and Family Services, the Department for Medicaid Page 48 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO Services, and the Medicaid program;
Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY (b) Chief among the General Assembly's legislative duties is the responsibility to engage in meaningful legislative oversight of state agencies and their various departments, divisions, and programs, including but not limited to the Cabinet for Health and Family Services, the Department for Medicaid Services, and the Medicaid program;
(c) The General Assembly's legislative duties also include the responsibility to engage in effective, data-driven, and evidence-based policy making and the appropriation of funds to provide for the effective and efficient administration of the Medicaid program in a manner that is transparent, responsive to the health care needs of the Commonwealth's most vulnerable citizens, and representative of responsible stewardship of taxpayer dollars;
(c) The General Assembly's legislative duties also include the responsibility to engage in effective, data- driven, and evidence-based policy making and the appropriation of funds to provide for the effective and efficient administration of the Medicaid program in a manner that is transparent, responsive to the health care needs of the Commonwealth's most vulnerable citizens, and representative of responsible stewardship of taxpayer dollars;
(2) (a) No later than fourteen (14) calendar days after the effective date of this Act, Page 49 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO the cabinet shall provide the Commission with a comprehensive and exhaustive list of all databases, datasets, electronic records, and files pertaining to the Medicaid program or any aspect thereof that are maintained by or in the possession of the cabinet or any of its various departments and divisions.
(2) (a) No later than fourteen (14) calendar days after the effective date of this Act, the cabinet shall provide the Commission with a comprehensive and exhaustive list of all databases, datasets, electronic records, and files pertaining to the Medicaid program or any aspect thereof that are maintained by or in the possession of the cabinet or any of its various departments and divisions.
(a) Ensure that the director of the Commission and any nonpartisan employee thereof designated by the director have electronic, machine-readable, read- only, on-demand access at their regular workstations to all databases, datasets, electronic records, and files determined by the director of the Commission to be necessary for the meaningful and effective discharge of legislative duties by the General Assembly;
(a) Ensure that the director of the Commission and any nonpartisan employee thereof designated by the director have electronic, machine-readable, read-only, on-demand access at their regular workstations to all databases, datasets, electronic records, and files determined by the director of the Commission to be necessary for the meaningful and effective discharge of legislative duties by the General Assembly;
Page 50 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO (b) Consult with the director of the Commission and the Kentucky Office of Information Technology on the manner and method by which access is provided;
(b) Consult with the director of the Commission and the Kentucky Office of Information Technology on the manner and method by which access is provided;
(a) Shall not preclude or prohibit the Commission from providing information shared with the Commission under this section to any vendor or entity with which the Commission may contract for the purpose of analyzing, reviewing, studying, investigating, or evaluating the Medicaid program or any aspect thereof, including but not limited to any vendor with which the Commission may contract pursuant to Section 20 of this Act;
CHAPTER 179 23 (a) Shall not preclude or prohibit the Commission from providing information shared with the Commission under this section to any vendor or entity with which the Commission may contract for the purpose of analyzing, reviewing, studying, investigating, or evaluating the Medicaid program or any aspect thereof, including but not limited to any vendor with which the Commission may contract pursuant to Section 20 of this Act;
(5) The list of databases, datasets, electronic records, and files submitted by the director of the Commission pursuant to subsection (2)(b) of this section may be Page 51 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO amended by the director of the Commission as the needs of the General Assembly change.
(5) The list of databases, datasets, electronic records, and files submitted by the director of the Commission pursuant to subsection (2)(b) of this section may be amended by the director of the Commission as the needs of the General Assembly change.
Page 52 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO SECTION 17.
SECTION 17.
(d) Postpartum care;
Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY (d) Postpartum care;
(1) Require any of the following entities to provide any and all information necessary Page 53 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO to carry out the board's duties, including any contracts entered into by the department, the cabinet, or any other state agency related to the administration of any aspect of the Medicaid program or the delivery of Medicaid benefits or services:
(1) Require any of the following entities to provide any and all information necessary to carry out the board's duties, including any contracts entered into by the department, the cabinet, or any other state agency related to the administration of any aspect of the Medicaid program or the delivery of Medicaid benefits or services:
(5) Recommend that the Auditor of Public Accounts perform a financial or special Page 54 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO audit of the Medicaid program or any aspect thereof;
(5) Recommend that the Auditor of Public Accounts perform a financial or special audit of the Medicaid program or any aspect thereof;
(c) At the request of the Speaker of the House of Representatives or the President of the Senate, evaluate proposed changes to state laws affecting the Medicaid program and report to the Speaker or the President on the probable costs, possible budgetary implications, potential effect on healthcare outcomes, and overall desirability as a matter of public policy;
CHAPTER 179 25 (c) At the request of the Speaker of the House of Representatives or the President of the Senate, evaluate proposed changes to state laws affecting the Medicaid program and report to the Speaker or the President on the probable costs, possible budgetary implications, potential effect on healthcare outcomes, and overall desirability as a matter of public policy;
Page 55 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO 1.
1.
In any instance in which a program evaluation indicates inadequate operating or administrative system controls or procedures, inaccuracies, inefficiencies, waste, extravagance, unauthorized or unintended activities, or other deficiencies, the board shall report its findings to the Legislative Research Page 56 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO Commission.
In any instance in which a program evaluation indicates inadequate operating or administrative system controls or procedures, inaccuracies, inefficiencies, waste, extravagance, unauthorized or unintended activities, or other deficiencies, the board shall report its findings to the Legislative Research Commission.
(b) Make recommendations to the General Assembly, the Governor, the secretary of the cabinet, and the commissioner of the department regarding program Page 57 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO administration, including benefits and coverage policies, access to services and provider network adequacy, healthcare outcomes and disparities, reimbursement rates, payment methodologies, delivery system models, funding, and administrative regulations.
(b) Make recommendations to the General Assembly, the Governor, the secretary of the cabinet, and the commissioner of the department regarding program administration, including benefits and coverage policies, access to services and provider network adequacy, healthcare outcomes and disparities, reimbursement rates, payment methodologies, delivery system models, funding, and administrative Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY regulations.
18051;[ or ] (b) Make any change related to eligibility, coverage, or benefits in the Medicaid program, including by pursuing or applying for a waiver of federal Medicaid law under Title 42 of the United States Code, seeking to amend or renew an existing waiver granted under Title 42 of the United States Code, or pursuing Page 58 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO a state plan amendment, without first obtaining specific authorization from the General Assembly to do so;
18051;[ or ] (b) Make any change related to eligibility, coverage, or benefits in the Medicaid program, including by pursuing or applying for a waiver of federal Medicaid law under Title 42 of the United States Code, seeking to amend or renew an existing waiver granted under Title 42 of the United States Code, or pursuing a state plan amendment, without first obtaining specific authorization from the General Assembly to do so;
(3) If the cabinet seeks authorization from the General Assembly to renew an existing waiver granted under Title 42 of the United States Code, the cabinet shall be required to submit a fiscal impact assessment as described in subsection (2) of this section and an assessment of the efficacy and necessity of the existing waiver.
(3) If the cabinet seeks authorization from the General Assembly to renew an existing waiver granted under Title of the United States Code, the cabinet shall be required to submit a fiscal impact assessment as described in subsection (2) of this section and an assessment of the efficacy and necessity of the existing waiver.
The assessments required by this subsection shall be submitted to the Legislative Research Commission for referral to the Interim Joint Committee on Appropriations and Revenue, the Interim Joint Committee on Families and Children, the Interim Joint Committee on Health Services, and the Office of Budget Review at least twelve (12) calendar months prior to the date on which the existing waiver is set to Page 59 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO expire.
The assessments required by this subsection shall be submitted to the Legislative Research Commission for referral to the Interim Joint Committee on Appropriations and Revenue, the Interim Joint Committee on Families and Children, the Interim Joint Committee on Health Services, and the Office of Budget Review at least twelve (12) calendar months prior to the date on which the existing waiver is set to expire.
3.
CHAPTER 179 27 3.
Page 60 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO (c) If the cabinet determines that a change to the Medicaid program is necessary to respond to a national emergency declaration or federal disaster declaration issued by the President of the United States or a state of emergency declared by the Governor of the Commonwealth, any such change shall be temporary in nature and shall only be in effect for the duration of the emergency or disaster declaration.
(c) If the cabinet determines that a change to the Medicaid program is necessary to respond to a national emergency declaration or federal disaster declaration issued by the President of the United States or a state of emergency declared by the Governor of the Commonwealth, any such change shall be temporary in nature and shall only be in effect for the duration of the emergency or disaster declaration.
Page 61 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO (1) At least thirty (30) days before filing the administrative regulation with the regulations compiler, first submit the draft administrative regulation, a detailed implementation plan, and other documents required to be filed by this chapter to the Medicaid Oversight and Advisory Board established in KRS 7A.273 for review and comment;
(1) At least thirty (30) days before filing the administrative regulation with the regulations compiler, first submit the draft administrative regulation, a detailed implementation plan, and other documents required to be filed by this chapter to the Medicaid Oversight and Advisory Board established in KRS 7A.273 for review and comment;
SECTION 24.
Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY SECTION 24.
Page 62 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO (a) Effective management of Medicaid-covered dental services is essential for the overall health of Medicaid beneficiaries and that specialized administration of dental services may improve programmatic efficiency, oral health, and overall health outcomes in the Commonwealth;
(a) Effective management of Medicaid-covered dental services is essential for the overall health of Medicaid beneficiaries and that specialized administration of dental services may improve programmatic efficiency, oral health, and overall health outcomes in the Commonwealth;
(b) Consider any recommendations that may be made by the Medicaid Page 63 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO Oversight and Advisory Board, or a subcommittee thereof, regarding the transition of Medicaid-covered dental services from a managed care delivery model to an ASO delivery model;
(b) Consider any recommendations that may be made by the Medicaid Oversight and Advisory Board, or a subcommittee thereof, regarding the transition of Medicaid-covered dental services from a managed care delivery model to an ASO delivery model;
and (f) On January 1, 2029, begin utilizing an ASO delivery model for the administration of all Medicaid-covered dental services.
and (f) On January 1, 2029, begin utilizing an ASO delivery model for the administration of all Medicaid- covered dental services.
Page 64 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO (4) (a) The ASO contracted with pursuant to this section shall operate on an administrative-services-only basis.
CHAPTER 179 29 (4) (a) The ASO contracted with pursuant to this section shall operate on an administrative-services-only basis.
(5) (a) Notwithstanding any provision of law to the contrary including subsection (3)(c) of this section, the department shall not initiate a procurement Page 65 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO process to contract with a third-party ASO to administer Medicaid-covered dental services prior to January 1, 2028.
(5) (a) Notwithstanding any provision of law to the contrary including subsection (3)(c) of this section, the department shall not initiate a procurement process to contract with a third-party ASO to administer Medicaid-covered dental services prior to January 1, 2028.
and (b) Prepare and submit a report on the evaluation required under this subsection to the Legislative Research Commission for referral to the Interim Joint Committees on Appropriations and Revenue and Health Services, and the Medicaid Oversight and Advisory Board by August 1, 2029, and August 1 of each year thereafter.
and (b) Prepare and submit a report on the evaluation required under this subsection to the Legislative Research Commission for referral to the Interim Joint Committees on Appropriations and Revenue and Health Services, and the Medicaid Oversight and Advisory Board by August 1, 2029, and August of each year thereafter.
Page 66 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO (a) Review the current state of 1915(c) Home and Community Based Waiver program waitlists;
(a) Review the current state of 1915(c) Home and Community Based Waiver program waitlists;
(c) Assess the potential of a tier priority system for assigning waiver slots based on acuity of need to reduce the number of individuals on waiver waitlists;
Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY (c) Assess the potential of a tier priority system for assigning waiver slots based on acuity of need to reduce the number of individuals on waiver waitlists;
(d) Receive testimony and reports from the Cabinet for Health and Family Services related to waiver waitlist management strategies required under subsection (2) of this Section;
(d) Receive testimony and reports from the Cabinet for Health and Family Services related to waiver waitlist management strategies required under subsection (2) of this section;
Page 67 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO (1) Shall, within 90 days after the effective date of this section, request the necessary federal authorization or approval to implement Sections 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 13, 14, and 15 of this Act;
(1) Shall, within 90 days after the effective date of this section, request the necessary federal authorization or approval to implement Sections 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 13, 14, and 15 of this Act;
and (2) May only delay implementation of the provisions of Sections 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 13, 14, and 15 of this Act for which federal authorization or approval was deemed necessary until the federal authorization or approval is granted.
and (2) May only delay implementation of the provisions of Sections 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 13, 14, and of this Act for which federal authorization or approval was deemed necessary until the federal authorization or approval is granted.
Page 68 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO (b) Improve transportation service accessibility, availability, and reliability;
(b) Improve transportation service accessibility, availability, and reliability;
Section 30.
CHAPTER 179 31 Section 30.
(c) Be implemented through a proven community alliance model that operates at the local, county, level and integrate workforce, education, health, faith-based, nonprofit, Page 69 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO and social service partners;
(c) Be implemented through a proven community alliance model that operates at the local, county, level and integrate workforce, education, health, faith-based, nonprofit, and social service partners;
Whereas recently enacted federal changes to the Medicaid program Page 70 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden UNOFFICIAL COPY 26 RS HB 2/VO and significant increases in the Commonwealth's Medicaid budget over the last decade create an urgent need to bolster legislative oversight of the Medicaid program, take immediate steps to comply with new federal requirements, and ensure that Medicaid expenditures support the healthcare needs of only those individuals the program is intended to serve, an emergency is declared to exist, and this Act takes effect upon its passage and approval by the Governor or upon its otherwise becoming a law.
Whereas recently enacted federal changes to the Medicaid program and significant increases in the Commonwealth's Medicaid budget over the last decade create an urgent need to bolster legislative oversight of the Medicaid program, take immediate steps to comply with new federal requirements, and ensure that Medicaid expenditures support the healthcare needs of only those individuals the program is intended to serve, an emergency is declared to exist, and this Act takes effect upon its passage and approval by the Governor or upon its otherwise becoming a law.
Page 71 of 71 HB000290.100 - 1325 - XXXX 4/14/2026 2:36 PM Vetoed in Part and Overridden
Vetoed in Part and Overridden April 14, 2026.
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Action History

  1. delivered to Secretary of State (Acts Ch. 179)

  2. enrolled, signed by President of the Senate

  3. enrolled, signed by Speaker of the House

  4. received in House

  5. passed 32-6

  6. vetoes overridden

  7. posted for passage for consideration of Governor's line vetoes

  8. to Rules (S)

  9. received in Senate

  10. passed 80-18

  11. vetoes overridden

  12. posted for consideration of Governor's line vetoes

  13. taken from Rules

  14. to Rules (H)

  15. received in House

  16. line items vetoed

  17. delivered to Governor

  18. enrolled, signed by President of the Senate

  19. enrolled, signed by Speaker of the House

  20. passed 83-11

  21. Free Conference Committee report adopted in House

  22. posted for passage for consideration of Free Conference Committee Report

  23. taken from Rules

  24. to Rules (H)

  25. received in House

  26. passed 32-5

  27. Free Conference Committee report adopted in Senate

  28. posted for passage for consideration of Free Conference Committee Report

  29. Free Conference Committee report filed in House and Senate

  30. Free Conference Committee appointed in House and Senate

  31. Conference Committee report (1) filed in House and Senate

  32. Conference Committee report adopted in House and Senate

  33. Conference Committee appointed in House and Senate

  34. Senate refused to recede from Senate Committee Substitute (1) and Committee Amendment (1-title)

  35. posted for passage for receding from Senate Committee Substitute (1) and Committee Amendment (1-title)

  36. to Rules (S)

  37. received in Senate

  38. House refused to concur in Senate Committee Substitute (1) and Committee Amendment (1-title)

  39. posted for passage for concurrence in Senate Committee Substitute (1) and Committee Amendment (1-title)

  40. to Rules (H)

  41. received in House

  42. passed 32-5 with Committee Substitute (1) and Committee Amendment (1-title)

  43. floor amendment (1) withdrawn

  44. 3rd reading

  45. floor amendment (1) filed to Committee Substitute

  46. passed over and retained in the Orders of the Day

  47. posted for passage in the Regular Orders of the Day for Tuesday, March 31 2026

  48. reported favorably, to Rules with Committee Substitute (1) and Committee Amendment (1-title)

  49. reassigned to Health Services (S)

  50. returned to Appropriations & Revenue (S)

  51. 2nd reading

  52. taken from Appropriations & Revenue (S)

  53. returned to Appropriations & Revenue (S)

  54. 1st reading

  55. taken from Appropriations & Revenue (S)

  56. to Appropriations & Revenue (S)

  57. to Committee on Committees (S)

  58. received in Senate

  59. passed 77-21 with Committee Substitute (1) and Floor Amendment (18)

  60. Floor Amendments (1), (4), (6), (7), (10) and (16) defeated

  61. 3rd reading

  62. floor amendments (18) and (19) filed to Committee Substitute

  63. posted for passage in the Regular Orders of the Day for Thursday, February 26 2026

  64. 2nd reading, to Rules

  65. floor amendments (1), (4), (6), (7), (10), (11), (12), (13) and (16) filed to Committee Substitute, floor amendments (2), (3), (5), (8), (9), (14), (15) and (17) filed to bill

  66. reported favorably, 1st reading, to Calendar with Committee Substitute (1)

  67. to Appropriations & Revenue (H)

  68. to Committee on Committees (H)

  69. introduced in House

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

5 sponsors · 0 co-sponsors · 133 not signed on · 51 voted No

Sponsors (5)

Co-sponsors (0)

None.

Not signed on (133)

133 members have not signed on to this bill.

Show all 133 →

"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

Votes

Veto Override

Passed 80 Yea · 18 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 79000
Unaffiliated 1000
Democrat 01802
Total 801802
% of votes cast 80%18%0%2%
How each member voted (100)
Member Party Vote
Lewis C — Yea
Adam Moore Democrat Nay
Adrielle Camuel Democrat Nay
Al Gentry Democrat Nay
Anne Gay Donworth Democrat Nay
Ashley Tackett Laferty Democrat Not Voting
Beverly Chester-Burton Democrat Nay
Chad Aull Democrat Nay
Daniel Grossberg Democrat Nay
Erika Hancock Democrat Nay
George Brown Jr. Democrat Not Voting
Joshua Watkins Democrat Nay
Lindsey Burke Democrat Nay
Lisa Willner Democrat Nay
Mary Lou Marzian Democrat Nay
Matthew Lehman Democrat Nay
Nima Kulkarni Democrat Nay
Pamela Stevenson Democrat Nay
Rachel Roarx Democrat Nay
Sarah Stalker Democrat Nay
Tina Bojanowski Democrat Nay
Aaron Thompson Republican Yea
Adam Bowling Republican Yea
Amy Neighbors Republican Yea
Bill Wesley Republican Yea
Bobby McCool Republican Yea
Candy Massaroni Republican Yea
Chris Freeland Republican Yea
Chris Fugate Republican Yea
DJ Johnson Republican Yea
Daniel Elliott Republican Yea
Daniel Fister Republican Yea
David Hale Republican Yea
David Meade Republican Yea
David W. Osborne Republican Yea
Deanna Gordon Republican Yea
Derek Lewis Republican Yea
Emily Callaway Republican Yea
Felicia Rabourn Republican Yea
J.T. Payne Republican Yea
James Tipton Republican Yea
Jared Bauman Republican Yea
Jason Nemes Republican Yea
Jason Petrie Republican Yea
Jennifer Decker Republican Yea
Jim Gooch Jr. Republican Yea
John Blanton Republican Yea
John Hodgson Republican Yea
Josh Branscum Republican Yea
Josh Bray Republican Yea
Josh Calloway Republican Yea
Ken Fleming Republican Yea
Ken Upchurch Republican Yea
Kevin Jackson Republican Yea
Kim Banta Republican Yea
Kim Holloway Republican Yea
Kim King Republican Yea
Kimberly Poore Moser Republican Yea
Marianne Proctor Republican Yea
Mark Hart Republican Yea
Mary Beth Imes Republican Yea
Matt Lockett Republican Yea
Matthew Koch Republican Yea
Michael Meredith Republican Yea
Michael Sarge Pollock Republican Yea
Mike Clines Republican Yea
Mitch Whitaker Republican Yea
Myron Dossett Republican Yea
Nancy Tate Republican Yea
Nick Wilson Republican Yea
Patrick Flannery Republican Yea
Peyton Griffee Republican Yea
Randy Bridges Republican Yea
Rebecca Raymer Republican Yea
Richard White Republican Yea
Robert Duvall Republican Yea
Ryan Bivens Republican Yea
Ryan Dotson Republican Yea
Samara Heavrin Republican Yea
Savannah Maddox Republican Yea
Scott Lewis Republican Yea
Scott Sharp Republican Yea
Shane Baker Republican Yea
Shawn McPherson Republican Yea
Stephanie Dietz Republican Yea
Steve Bratcher Republican Yea
Steve Riley Republican Yea
Steven Doan Republican Yea
Steven Rudy Republican Yea
Susan Witten Republican Yea
Suzanne Miles Republican Yea
T.J. Roberts Republican Yea
Thomas Huff Republican Yea
Timmy Truett Republican Yea
Tom Smith Republican Yea
Tony Hampton Republican Yea
Vanessa Grossl Republican Yea
Wade Williams Republican Yea
Walker Thomas Republican Yea
William Lawrence Republican Yea

Official roll call →

OVERRIDE VETO FINAL PASSAGE HB 2

Passed 32 Yea · 6 Nay
Party YeaNayPresentNot Voting
Republican 32100
Democrat 0500
Total 32600
% of votes cast 84%16%0%0%
How each member voted (38)
Member Party Vote
Cassie Chambers Armstrong Democrat Nay
Gary Clemons Democrat Nay
Gerald A. Neal Democrat Nay
Karen Berg Democrat Nay
Keturah J. Herron Democrat Nay
Aaron Reed Republican Yea
Amanda Mays Bledsoe Republican Yea
Brandon J. Storm Republican Yea
Christian McDaniel Republican Yea
Craig Richardson Republican Yea
Danny Carroll Republican Yea
David P. Givens Republican Yea
Donald Douglas Republican Yea
Gary Boswell Republican Yea
Greg Elkins Republican Yea
Jared Carpenter Republican Yea
Jason Howell Republican Yea
Jason Nemes Republican Yea
Jimmy Higdon Republican Yea
Julie Raque Adams Republican Yea
Lindsey Tichenor Republican Yea
Matt Nunn Republican Yea
Matthew Deneen Republican Yea
Max Wise Republican Yea
Michael Meredith Republican Yea
Nick Wilson Republican Yea
Phillip Wheeler Republican Yea
Rick Girdler Republican Yea
Robby Mills Republican Yea
Robert Stivers Republican Yea
Robin L. Webb Republican Yea
Scott Madon Republican Yea
Shelley Funke Frommeyer Republican Yea
Stephen West Republican Yea
Steve Rawlings Republican Yea
Tom Smith Republican Yea
Wade Williams Republican Yea
Walker Thomas Republican Nay

Official roll call →

Final Passage

Passed 83 Yea · 11 Nay · 6 Other
Party YeaNayPresentNot Voting
Republican 74005
Democrat 81101
Unaffiliated 1000
Total 831106
% of votes cast 83%11%0%6%
How each member voted (100)
Member Party Vote
Lewis C — Yea
Adam Moore Democrat Yea
Adrielle Camuel Democrat Nay
Al Gentry Democrat Yea
Anne Gay Donworth Democrat Nay
Ashley Tackett Laferty Democrat Yea
Beverly Chester-Burton Democrat Not Voting
Chad Aull Democrat Nay
Daniel Grossberg Democrat Yea
Erika Hancock Democrat Nay
George Brown Jr. Democrat Nay
Joshua Watkins Democrat Nay
Lindsey Burke Democrat Nay
Lisa Willner Democrat Yea
Mary Lou Marzian Democrat Nay
Matthew Lehman Democrat Yea
Nima Kulkarni Democrat Yea
Pamela Stevenson Democrat Nay
Rachel Roarx Democrat Nay
Sarah Stalker Democrat Nay
Tina Bojanowski Democrat Yea
Aaron Thompson Republican Yea
Adam Bowling Republican Yea
Amy Neighbors Republican Yea
Bill Wesley Republican Yea
Bobby McCool Republican Yea
Candy Massaroni Republican Yea
Chris Freeland Republican Yea
Chris Fugate Republican Yea
DJ Johnson Republican Yea
Daniel Elliott Republican Not Voting
Daniel Fister Republican Yea
David Hale Republican Yea
David Meade Republican Yea
David W. Osborne Republican Yea
Deanna Gordon Republican Yea
Derek Lewis Republican Yea
Emily Callaway Republican Yea
Felicia Rabourn Republican Yea
J.T. Payne Republican Yea
James Tipton Republican Yea
Jared Bauman Republican Yea
Jason Nemes Republican Yea
Jason Petrie Republican Yea
Jennifer Decker Republican Yea
Jim Gooch Jr. Republican Yea
John Blanton Republican Yea
John Hodgson Republican Yea
Josh Branscum Republican Yea
Josh Bray Republican Yea
Josh Calloway Republican Yea
Ken Fleming Republican Yea
Ken Upchurch Republican Yea
Kevin Jackson Republican Yea
Kim Banta Republican Yea
Kim Holloway Republican Yea
Kim King Republican Yea
Kimberly Poore Moser Republican Yea
Marianne Proctor Republican Yea
Mark Hart Republican Yea
Mary Beth Imes Republican Yea
Matt Lockett Republican Yea
Matthew Koch Republican Yea
Michael Meredith Republican Yea
Michael Sarge Pollock Republican Yea
Mike Clines Republican Yea
Mitch Whitaker Republican Yea
Myron Dossett Republican Yea
Nancy Tate Republican Not Voting
Nick Wilson Republican Yea
Patrick Flannery Republican Yea
Peyton Griffee Republican Not Voting
Randy Bridges Republican Yea
Rebecca Raymer Republican Yea
Richard White Republican Yea
Robert Duvall Republican Yea
Ryan Bivens Republican Yea
Ryan Dotson Republican Yea
Samara Heavrin Republican Yea
Savannah Maddox Republican Yea
Scott Lewis Republican Yea
Scott Sharp Republican Yea
Shane Baker Republican Yea
Shawn McPherson Republican Yea
Stephanie Dietz Republican Yea
Steve Bratcher Republican Not Voting
Steve Riley Republican Yea
Steven Doan Republican Yea
Steven Rudy Republican Yea
Susan Witten Republican Yea
Suzanne Miles Republican Yea
T.J. Roberts Republican Yea
Thomas Huff Republican Yea
Timmy Truett Republican Yea
Tom Smith Republican Yea
Tony Hampton Republican Yea
Vanessa Grossl Republican Yea
Wade Williams Republican Yea
Walker Thomas Republican Yea
William Lawrence Republican Not Voting

Official roll call →

FINAL PASSAGE OF HB 2

Passed 32 Yea · 5 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 31200
Democrat 1301
Total 32501
% of votes cast 84%13%0%3%
How each member voted (38)
Member Party Vote
Cassie Chambers Armstrong Democrat Nay
Gary Clemons Democrat Nay
Gerald A. Neal Democrat Nay
Karen Berg Democrat Not Voting
Keturah J. Herron Democrat Yea
Aaron Reed Republican Yea
Amanda Mays Bledsoe Republican Yea
Brandon J. Storm Republican Yea
Christian McDaniel Republican Yea
Craig Richardson Republican Yea
Danny Carroll Republican Yea
David P. Givens Republican Yea
Donald Douglas Republican Yea
Gary Boswell Republican Yea
Greg Elkins Republican Yea
Jared Carpenter Republican Yea
Jason Howell Republican Yea
Jason Nemes Republican Yea
Jimmy Higdon Republican Yea
Julie Raque Adams Republican Yea
Lindsey Tichenor Republican Yea
Matt Nunn Republican Yea
Matthew Deneen Republican Yea
Max Wise Republican Yea
Michael Meredith Republican Yea
Nick Wilson Republican Yea
Phillip Wheeler Republican Yea
Rick Girdler Republican Yea
Robby Mills Republican Yea
Robert Stivers Republican Yea
Robin L. Webb Republican Yea
Scott Madon Republican Yea
Shelley Funke Frommeyer Republican Yea
Stephen West Republican Yea
Steve Rawlings Republican Nay
Tom Smith Republican Yea
Wade Williams Republican Yea
Walker Thomas Republican Nay

Official roll call →

PASS HB 2 w/ SCS 1, SCA 1 (T)

Passed 32 Yea · 5 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 2300
Republican 30201
Total 32501
% of votes cast 84%13%0%3%
How each member voted (38)
Member Party Vote
Cassie Chambers Armstrong Democrat Nay
Gary Clemons Democrat Nay
Gerald A. Neal Democrat Nay
Karen Berg Democrat Yea
Keturah J. Herron Democrat Yea
Aaron Reed Republican Yea
Amanda Mays Bledsoe Republican Yea
Brandon J. Storm Republican Yea
Christian McDaniel Republican Yea
Craig Richardson Republican Yea
Danny Carroll Republican Yea
David P. Givens Republican Yea
Donald Douglas Republican Yea
Gary Boswell Republican Yea
Greg Elkins Republican Yea
Jared Carpenter Republican Yea
Jason Howell Republican Yea
Jason Nemes Republican Yea
Jimmy Higdon Republican Yea
Julie Raque Adams Republican Yea
Lindsey Tichenor Republican Not Voting
Matt Nunn Republican Yea
Matthew Deneen Republican Yea
Max Wise Republican Yea
Michael Meredith Republican Yea
Nick Wilson Republican Yea
Phillip Wheeler Republican Yea
Rick Girdler Republican Yea
Robby Mills Republican Yea
Robert Stivers Republican Yea
Robin L. Webb Republican Yea
Scott Madon Republican Yea
Shelley Funke Frommeyer Republican Yea
Stephen West Republican Yea
Steve Rawlings Republican Yea
Tom Smith Republican Nay
Wade Williams Republican Yea
Walker Thomas Republican Nay

Official roll call →

Adopt

Failed 25 Yea · 25 Nay · 50 Other
Party YeaNayPresentNot Voting
Democrat 20000
Republican 525049
Unaffiliated 0004
Total 2525053
% of votes cast 24%24%0%51%
How each member voted (103)
Member Party Vote
Lewis C — Not Voting
Commonwealth of Kentucky — Not Voting
House of Representatives — Not Voting
2026 Regular Session — Not Voting
Adam Moore Democrat Yea
Adrielle Camuel Democrat Yea
Al Gentry Democrat Yea
Anne Gay Donworth Democrat Yea
Ashley Tackett Laferty Democrat Yea
Beverly Chester-Burton Democrat Yea
Chad Aull Democrat Yea
Daniel Grossberg Democrat Yea
Erika Hancock Democrat Yea
George Brown Jr. Democrat Yea
Joshua Watkins Democrat Yea
Lindsey Burke Democrat Yea
Lisa Willner Democrat Yea
Mary Lou Marzian Democrat Yea
Matthew Lehman Democrat Yea
Nima Kulkarni Democrat Yea
Pamela Stevenson Democrat Yea
Rachel Roarx Democrat Yea
Sarah Stalker Democrat Yea
Tina Bojanowski Democrat Yea
Aaron Thompson Republican Not Voting
Adam Bowling Republican Not Voting
Amy Neighbors Republican Not Voting
Bill Wesley Republican Not Voting
Bobby McCool Republican Not Voting
Candy Massaroni Republican Not Voting
Chris Freeland Republican Not Voting
Chris Fugate Republican Yea
DJ Johnson Republican Not Voting
Daniel Elliott Republican Not Voting
Daniel Fister Republican Not Voting
David Hale Republican Not Voting
David Meade Republican Nay
David W. Osborne Republican Nay
Deanna Gordon Republican Yea
Derek Lewis Republican Nay
Emily Callaway Republican Not Voting
Felicia Rabourn Republican Not Voting
J.T. Payne Republican Not Voting
James Tipton Republican Nay
Jared Bauman Republican Not Voting
Jason Nemes Republican Nay
Jason Petrie Republican Not Voting
Jennifer Decker Republican Not Voting
Jim Gooch Jr. Republican Nay
John Blanton Republican Not Voting
John Hodgson Republican Not Voting
Josh Branscum Republican Not Voting
Josh Bray Republican Nay
Josh Calloway Republican Nay
Ken Fleming Republican Nay
Ken Upchurch Republican Nay
Kevin Jackson Republican Not Voting
Kim Banta Republican Not Voting
Kim Holloway Republican Not Voting
Kim King Republican Nay
Kimberly Poore Moser Republican Not Voting
Marianne Proctor Republican Not Voting
Mark Hart Republican Nay
Mary Beth Imes Republican Not Voting
Matt Lockett Republican Not Voting
Matthew Koch Republican Not Voting
Michael Meredith Republican Yea
Michael Sarge Pollock Republican Not Voting
Mike Clines Republican Not Voting
Mitch Whitaker Republican Not Voting
Myron Dossett Republican Nay
Nancy Tate Republican Nay
Nick Wilson Republican Not Voting
Patrick Flannery Republican Nay
Peyton Griffee Republican Not Voting
Randy Bridges Republican Not Voting
Rebecca Raymer Republican Not Voting
Richard White Republican Not Voting
Robert Duvall Republican Nay
Ryan Bivens Republican Nay
Ryan Dotson Republican Not Voting
Samara Heavrin Republican Not Voting
Savannah Maddox Republican Nay
Scott Lewis Republican Not Voting
Scott Sharp Republican Nay
Shane Baker Republican Nay
Shawn McPherson Republican Not Voting
Stephanie Dietz Republican Not Voting
Steve Bratcher Republican Nay
Steve Riley Republican Not Voting
Steven Doan Republican Not Voting
Steven Rudy Republican Nay
Susan Witten Republican Not Voting
Suzanne Miles Republican Nay
T.J. Roberts Republican Not Voting
Thomas Huff Republican Not Voting
Timmy Truett Republican Yea
Tom Smith Republican Not Voting
Tony Hampton Republican Nay
Vanessa Grossl Republican Yea
Wade Williams Republican Nay
Walker Thomas Republican Not Voting
William Lawrence Republican Not Voting

Official roll call →

Pass

Passed 77 Yea · 21 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 76102
Unaffiliated 1000
Democrat 02000
Total 772102
% of votes cast 77%21%0%2%
How each member voted (100)
Member Party Vote
Lewis C — Yea
Adam Moore Democrat Nay
Adrielle Camuel Democrat Nay
Al Gentry Democrat Nay
Anne Gay Donworth Democrat Nay
Ashley Tackett Laferty Democrat Nay
Beverly Chester-Burton Democrat Nay
Chad Aull Democrat Nay
Daniel Grossberg Democrat Nay
Erika Hancock Democrat Nay
George Brown Jr. Democrat Nay
Joshua Watkins Democrat Nay
Lindsey Burke Democrat Nay
Lisa Willner Democrat Nay
Mary Lou Marzian Democrat Nay
Matthew Lehman Democrat Nay
Nima Kulkarni Democrat Nay
Pamela Stevenson Democrat Nay
Rachel Roarx Democrat Nay
Sarah Stalker Democrat Nay
Tina Bojanowski Democrat Nay
Aaron Thompson Republican Yea
Adam Bowling Republican Yea
Amy Neighbors Republican Yea
Bill Wesley Republican Yea
Bobby McCool Republican Yea
Candy Massaroni Republican Yea
Chris Freeland Republican Yea
Chris Fugate Republican Yea
DJ Johnson Republican Yea
Daniel Elliott Republican Yea
Daniel Fister Republican Yea
David Hale Republican Yea
David Meade Republican Yea
David W. Osborne Republican Yea
Deanna Gordon Republican Yea
Derek Lewis Republican Yea
Emily Callaway Republican Yea
Felicia Rabourn Republican Yea
J.T. Payne Republican Yea
James Tipton Republican Yea
Jared Bauman Republican Yea
Jason Nemes Republican Yea
Jason Petrie Republican Yea
Jennifer Decker Republican Yea
Jim Gooch Jr. Republican Yea
John Blanton Republican Yea
John Hodgson Republican Yea
Josh Branscum Republican Yea
Josh Bray Republican Yea
Josh Calloway Republican Yea
Ken Fleming Republican Yea
Ken Upchurch Republican Yea
Kevin Jackson Republican Yea
Kim Banta Republican Yea
Kim Holloway Republican Yea
Kim King Republican Yea
Kimberly Poore Moser Republican Yea
Marianne Proctor Republican Yea
Mark Hart Republican Yea
Mary Beth Imes Republican Yea
Matt Lockett Republican Yea
Matthew Koch Republican Not Voting
Michael Meredith Republican Yea
Michael Sarge Pollock Republican Yea
Mike Clines Republican Yea
Mitch Whitaker Republican Yea
Myron Dossett Republican Yea
Nancy Tate Republican Yea
Nick Wilson Republican Nay
Patrick Flannery Republican Yea
Peyton Griffee Republican Yea
Randy Bridges Republican Yea
Rebecca Raymer Republican Yea
Richard White Republican Yea
Robert Duvall Republican Yea
Ryan Bivens Republican Yea
Ryan Dotson Republican Yea
Samara Heavrin Republican Yea
Savannah Maddox Republican Yea
Scott Lewis Republican Yea
Scott Sharp Republican Yea
Shane Baker Republican Yea
Shawn McPherson Republican Yea
Stephanie Dietz Republican Yea
Steve Bratcher Republican Yea
Steve Riley Republican Yea
Steven Doan Republican Yea
Steven Rudy Republican Yea
Susan Witten Republican Yea
Suzanne Miles Republican Yea
T.J. Roberts Republican Yea
Thomas Huff Republican Yea
Timmy Truett Republican Yea
Tom Smith Republican Yea
Tony Hampton Republican Yea
Vanessa Grossl Republican Yea
Wade Williams Republican Yea
Walker Thomas Republican Yea
William Lawrence Republican Not Voting

Official roll call →

Subjects

healthcare labor health-insurance
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Frequently asked questions

What does HB 2 do?
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.
Who sponsors HB 2?
HB 2 is sponsored by David W. Osborne (Republican), John Hodgson (Republican), Tony Hampton (Republican), Vanessa Grossl (Republican), and Ken Fleming (Republican).
What is the current status of HB 2?
This bill has been enacted into law. Introduced January 21, 2026. Enacted.
Where can I track HB 2?
Track HB 2 free on One Click Politics — get push/email alerts when it moves.

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