Kentucky 2020 Regular Session Status: Enacted

HB 8 — AN ACT relating to ground ambulance service providers and making an appropriation therefor.

Last action — signed by Governor (Acts Ch. 110)

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  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 May 09, 2019. Enacted.

Prognosis

Likely to advance 68% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

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

Bill Text

What changed in the latest version

286 added · 129 removed

286 line(s) added, 129 removed.

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UNOFFICIAL COPY 20 RS BR 83 AN ACT relating to ground ambulance service providers and making an appropriation therefor.
UNOFFICIAL COPY 20 RS HB 8/GA AN ACT relating to ground ambulance service providers and making an appropriation therefor.
SECTION 1.
Section 1.
A NEW SECTION OF KRS CHAPTER 205 IS CREATED TO READ AS FOLLOWS:
KRS 142.301 is amended to read as follows:
For the purposes of Sections 1 to 6 of this Act, unless the context otherwise requires:
As used in KRS 142.301 to 142.363:
(1) "Ambulance service provider" means a Class I, II, or III ground ambulance provider licensed under KRS Chapter 311A;
(1) "Ground ambulance provider" means a Class I, II, or III ground ambulance provider described in KRS 311A.030;
(2) "Assessment" means the Medicaid ambulance service provider assessment established in Section 3 of this Act;
(2) "Assessment" means the Medicaid ambulance service provider assessment established in Section 2 of this Act;
(3) "Board" means the Kentucky Board of Emergency Medical Services;
(3) "Department" means the Department of Revenue;
(4) "Cabinet" means the Cabinet for Health and Family Services;
(4)[(2)] "Charitable provider" means any provider which does not charge its patients for health-care items or services, and which does not seek or accept Medicare, Medicaid, or other financial support from the federal government or any state government.
(5) "Commissioner" means the commissioner for Medicaid services;
The collaboration with public hospitals, agencies, or other providers in the delivery of patient care;
and (6) "Non-federal portion" means the state general fund dollars required to pay the fee-for-service ambulance service provider rates as described in Section 4 of this Act.
affiliation with public institutions to provide health-care education;
SECTION 2.
or the pursuit of research in cooperation with public institutions or agencies shall not be considered as the receipt of government support by a charitable provider;
A NEW SECTION OF KRS CHAPTER 205 IS CREATED TO READ AS FOLLOWS:
(5)[(3)] "Dispensing" means to deliver one (1) or more doses of a prescription drug in a suitable container, appropriately labeled for subsequent administration or use by a patient or other individual entitled to receive the prescription drug;
(1) An ambulance service provider shall pay an assessment to the cabinet in the amount designated in Section 3 of this Act.
(6)[(4)] "Entity" means any firm, partnership, joint venture, association, corporation, company, joint stock association, trust, business trust, syndicate, cooperative, or other group or combination acting as a unit;
Payment to the cabinet shall be due quarterly, on a day determined by the board through the promulgation of administrative regulations, or no more than thirty (30) days after the day on which the board issues the ambulance service provider notice of assessment, whichever is later.
(7)[(5)] "Gross revenues" means the total amount received in money or otherwise by a provider for the provision of health-care items or services in Kentucky, less the following:
(2) An ambulance service provider shall not increase charges or add a surcharge to ground transport fees based on, or as a result of, the assessment established in Sections 1 to 6 of this Act.
Page 1 of 10 HB000810.100 - 83 - XXXX GA UNOFFICIAL COPY 20 RS HB 8/GA (a) Amounts received by any provider as an employee or independent contractor from another provider for the provision of health-care items or services if:
Page 1 of 5 BR008300.100 - 83 - XXXX Jacketed UNOFFICIAL COPY 20 RS BR 83 (3) No more than one hundred eighty (180) days after the end of each calendar year, the board shall submit to the cabinet transport data for all ambulance service providers licensed in Kentucky.
1.
That data shall include the number of emergency ground transports completed during the previous calendar year.
The employing or contracting provider receives revenue attributable to health-care items or services provided by the employee or independent contractor receiving payment;
SECTION 3.
and 2.
A NEW SECTION OF KRS CHAPTER 205 IS CREATED TO READ AS FOLLOWS:
The employing or contracting provider is subject to the tax imposed by KRS 142.303, 142.307, 142.309, 142.311, 142.314, 142.315, 142.316, 142.361, or 142.363 on the receipt of that revenue;
(1) The cabinet shall:
(b) Amounts received as a grant or donation by any provider from federal, state, or local government or from an organization recognized as exempt from federal income taxation under Section 501(c)(3) of the Internal Revenue Code for:
(a) Promulgate administrative regulations to establish the standards and procedures necessary to implement the provisions of Sections 1 to 6 of this Act;
1.
(b) Calculate a uniform assessment per ground transport pursuant to subsection (2) of this section;
Research;
(c) Transfer assessment proceeds to the Finance and Administration Cabinet;
or 2.
and (d) Apply any annual changes to the assessment rate described in subsection (2) of this section uniformly to all assessed ambulance service providers.
Administrative or operating costs associated with the implementation and operation of an experimental program;
(2) The assessment due from an ambulance service provider shall equal the non- federal portion divided by the total number of statewide emergency ground transports, multiplied by the number of emergency ground transports completed by the ambulance service provider.
(c) Salaries or wages received by an individual provider as an employee of a charitable provider, the federal government, or any state or local governmental entity;
(3) The assessment shall not generate more than the sum of:
(d) Salaries or wages received by an individual provider as an employee of a public university for the provision of services at a student health facility;
(a) An annual amount of two hundred thousand dollars ($200,000) to offset the Medicaid administration expenses;
and (e) Amounts received by an HMO on a fixed, prepayment basis as premium payments.
and (b) The non-federal portion.
(8)[(6)] "Health-care items or services" means:
(4) For each fiscal year, the cabinet shall calculate the total number of emergency ground transports using data from the board as follows:
(a) Inpatient hospital services;
(a) For the fiscal year 2020-2021, the cabinet shall use ambulance service Page 2 of 5 BR008300.100 - 83 - XXXX Jacketed UNOFFICIAL COPY 20 RS BR 83 transport data for the 2019 calendar year;
(b) Outpatient hospital services;
and (b) For each fiscal year after fiscal year 2020-2021, the cabinet shall use ambulance service transport data for the calendar year ending eighteen (18) months prior to the end of the respective fiscal year.
(c) Nursing-facility services;
(5) The cabinet shall require an ambulance service provider that fails to pay an assessment due under this section to pay a penalty fee to the cabinet in addition to the assessment.
(d) Services of intermediate-care facilities for individuals with intellectual Page 2 of 10 HB000810.100 - 83 - XXXX GA UNOFFICIAL COPY 20 RS HB 8/GA disabilities;
The cabinet shall promulgate administrative regulations to establish the penalty fee.
(e) Physicians' services provided prior to July 1, 1999;
(f) Licensed home-health-care-agency services;
(g) Outpatient prescription drugs;
(h) HMO services;
(i) Regional community services for mental health and individuals with intellectual disabilities;
(j) Psychiatric residential treatment facility services;
(k) Medicaid managed care organization services;
and (l) Supports for community living waiver program services;
Show all 125 changed rows (85 more)
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(9)[(7)] "Health-maintenance organization" or "HMO" means an organization established and operated pursuant to the provisions of Subtitle 38 of KRS Chapter 304;
(10)[(8)] "Hospital" means an acute-care, rehabilitation, or psychiatric hospital licensed under KRS Chapter 216B;
(11)[(9)] "Hospital services" means all inpatient and outpatient services provided by a hospital.
"Hospital services" does not include services provided by a noncontracted, university-operated hospital, or any freestanding psychiatric hospital, if necessary waivers are obtained by the Cabinet for Human Resources, Cabinet for Health Services, or Cabinet for Health and Family Services from the Health Care Financing Administration or Centers for Medicare and Medicaid Services, or hospitals operated by the federal government;
(12)[(10)] "Health and family services secretary" means the secretary of the Cabinet for Health and Family Services or that person's authorized representative;
(13)[(11)] "Inpatient hospital services," "outpatient hospital services," "intermediate- care-facility services for individuals with intellectual disabilities," "physician services," "licensed home-health-care-agency services," and "outpatient prescription Page 3 of 10 HB000810.100 - 83 - XXXX GA UNOFFICIAL COPY 20 RS HB 8/GA drugs" have the same meaning as set forth in regulations promulgated by the Secretary of the Department of Health and Human Services and codified at 42 C.F.R.
pt.
440, as in effect on December 31, 1993;
(14)[(12)] "Medicaid" means the state program of medical assistance as administered by the Cabinet for Health and Family Services in compliance with 42 U.S.C.
sec.
1396;
(15)[(13)] "Nursing-facility services" means services provided by a licensed skilled-care facility, nursing facility, nursing home, or intermediate-care facility, excluding services provided by intermediate-care facilities for individuals with intellectual disabilities and services provided through licensed personal care beds;
(16)[(14)] "Person" means any individual, firm, partnership, joint venture, association, corporation, company, joint stock association, estate, trust, business trust, receiver, trustee, syndicate, cooperative, assignee, governmental unit or agency, or any other group or combination acting as a unit and the legal successor thereof;
(17)[(15)] "Provider" means any person receiving gross revenues for the provision of health-care items or services in Kentucky, excluding any facility operated by the federal government;
(18)[(16)] "Commissioner" means the commissioner of the Department of Revenue or that person's authorized representative;
(19)[(17)] "Total bed capacity" means the combination of licensed nursing home beds, licensed nursing facility beds, and licensed intermediate-care facility beds;
(20)[(18)] "Regional community services programs for mental health and individuals with an intellectual disability" means programs created under the provisions of KRS 210.370 to 210.480;
(21)[(19)] "Psychiatric residential treatment facility" has the same meaning as provided in KRS 216B.450;
and (22)[(20)] "Supports for Community Living Waiver Program" has the same meaning as provided in KRS 205.6317.
Page 4 of 10 HB000810.100 - 83 - XXXX GA UNOFFICIAL COPY 20 RS HB 8/GA SECTION 2.
A NEW SECTION OF KRS CHAPTER 142 IS CREATED TO READ AS FOLLOWS:
(1) A ground ambulance provider shall pay an assessment to the department in an amount established by the Department for Medicaid Services under Section 5 of this Act.
(2) The payment of the assessment shall be made at the same time and in the same manner as in Section 3 of this Act.
(3) (a) In addition to any penalty assessed under KRS 131.180 and the interest assessed under KRS 131.183, the department, in coordination with the Cabinet for Health and Family Services, may require a ground ambulance provider that fails to pay an assessment required by this section to pay an additional penalty to the department.
(b) The department, in consultation with the Cabinet for Health and Family Services, may promulgate administrative regulations to establish the additional penalty.
(4) The assessment shall not be implemented until after the Department for Medicaid Services receives notice of federal matching funds approval from the Centers for Medicare and Medicaid Services.
(5) All assessments and all penalties and fees related to those assessments shall be deposited in the ambulance service assessment fund established in Section 6 of this Act.
(6) A ground ambulance provider shall not increase charges or add a surcharge to ground transport fees based on, or as a result of, the assessment paid to the department.
Section 3.
KRS 142.323 is amended to read as follows:
The taxes and assessment imposed by KRS 142.303, 142.307, 142.309, 142.311, 142.314, 142.315, 142.316, Section 2 of this Act, 142.361, and 142.363 are due and Page 5 of 10 HB000810.100 - 83 - XXXX GA UNOFFICIAL COPY 20 RS HB 8/GA payable to the department monthly and shall be remitted on or before the twentieth day of the next succeeding calendar month.
Upon approval by the Centers for Medicare and Medicaid Services of the assessment imposed under Sections 1 to 6 of this Act for fee-for-service rates effective on or after July 1, 2020, the cabinet shall reimburse each ambulance service provider that provided qualifying ground ambulance service transports during the relevant assessment period an amount not to exceed the emergency medical services ambulance rates adopted annually by the cabinet.
Upon approval by the Centers for Medicare and Medicaid Services of the assessment imposed under Section 2 of this Act for fee-for-service rates effective on or after July 1, 2020, the cabinet shall reimburse each ground ambulance provider that provided qualifying ground ambulance service transports during the relevant assessment period an amount not to exceed the emergency medical services ambulance rates adopted by the cabinet.
(1) The assessment shall not be implemented until after the commissioner receives notice of federal matching fund approval from the Centers for Medicaid and Medicare Services.
(1) For purposes of this section and Sections 4 and 6 of this Act:
(2) The commissioner shall implement Sections 1 to 6 of this Act to the extent that it is not inconsistent with the state Medicaid plan or any Kentucky federal Medicaid waivers.
(a) "Ground ambulance provider" means a Class I, II, or III ground ambulance provider described in KRS 311A.030;
(3) Within ninety (90) days after the effective date of this Act, the commissioner shall determine whether an amendment to any Kentucky federal Medicaid waiver is required to implement Sections 1 to 6 of this Act.
(b) "Assessment" means the Medicaid ambulance service provider assessment imposed in Section 2 of this Act;
If the commissioner determines Page 3 of 5 BR008300.100 - 83 - XXXX Jacketed UNOFFICIAL COPY 20 RS BR 83 that an amendment to a Kentucky federal waiver is necessary, the commissioner is authorized to seek any necessary waiver amendment, and the assessment shall not take effect until the waiver amendment is approved.
(c) "Board" means the Kentucky Board of Emergency Medical Services;
(d) "Commissioner" means the commissioner of the Department for Medicaid Services;
and (e) "Department" means the Department for Medicaid Services.
(2) The department shall:
(a) Promulgate administrative regulations to establish the standards and procedures necessary to implement the provisions of this section and Sections 4 and 6 of this Act;
(b) Calculate an assessment on emergency ground transport collections pursuant to subsection (3) of this section;
Page 6 of 10 HB000810.100 - 83 - XXXX GA UNOFFICIAL COPY 20 RS HB 8/GA (c) Administer assessment proceeds according to subsection (6) of this section;
(d) Apply uniformly to all assessed ground ambulance providers any annual changes to the assessment rate according to the process described in subsection (3) of this section;
and (e) Evaluate current ground ambulance provider reimbursement rates paid by managed care organizations and require increases consistent with:
1.
Sections 4 and 5 of this Act;
2.
Current fee-for-service reimbursement rates;
and 3.
An adequate network of ambulance service providers.
(3) (a) The assessment due from a ground ambulance provider on emergency ground transport collections shall be not less than one-half of one percent (0.5%) lower than the maximum limit for a provider assessment as approved by the Centers for Medicare and Medicaid Services.
(b) For illustrative purposes only, if the maximum limit for a provider assessment as approved by the Centers for Medicare and Medicaid Services is six percent (6%) of the emergency revenues collected by the ground ambulance provider, the minimum taxable limit under this section would be five and one-half percent (5.5%) of the emergency revenues collected.
(4) The assessment shall not generate more than the maximum amount as approved by the Centers for Medicare and Medicaid Services.
(5) (a) 1.
Within ninety (90) days after the effective date of this Act, the commissioner shall determine whether a state plan amendment or an amendment to any Kentucky federal Medicaid waiver is required to implement this section.
2.
If the commissioner determines that a state plan amendment or an amendment to a Kentucky federal waiver is necessary, the commissioner is authorized to seek any necessary state plan or waiver Page 7 of 10 HB000810.100 - 83 - XXXX GA UNOFFICIAL COPY 20 RS HB 8/GA amendment, and the assessment shall not take effect until the state plan or waiver amendment is approved.
(b) The assessment shall not be implemented until the first day of the calendar quarter after the Department for Medicaid Services receives notice of federal matching funds approval from the Centers for Medicare and Medicaid Services and has notified the Department of Revenue of that approval.
(c) The commissioner shall implement this section to the extent that it is not inconsistent with the state Medicaid plan or any Kentucky federal Medicaid waivers.
(d) Payments to ground ambulance providers shall begin within ninety (90) days of the later of the approval of federal matching funds, the state plan, or waiver amendment.
The first monthly assessment payment shall be due sixty (60) days after the implementation of the enhanced fee schedule.
(6) The assessment shall be administered as follows:
(a) An annual amount of two hundred thousand dollars ($200,000) shall be returned to the department to offset the Medicaid administration expenses;
(b) The remaining portion of the assessment shall:
1.
Be utilized to increase the rates paid by a managed care organization for emergency ambulance services up to the amount paid by the fee- for-service Medicaid program for emergency ambulance services;
or 2.
Be paid as supplemental payments to ground ambulance providers in a proportional amount according to the total Medicaid ambulance transports;
and (c) If any funds are remaining after the department's duties have been completed under paragraph (b) of this subsection, the remaining funds shall be utilized by the department to increase non-emergency medical Page 8 of 10 HB000810.100 - 83 - XXXX GA UNOFFICIAL COPY 20 RS HB 8/GA transport rates.
(7) Each ground ambulance provider shall report to the board, at the time and in the manner required by the board, ground emergency revenue collected to accomplish the purposes of this section and Section 6 of this Act.
(8) (a) No more than one hundred eighty (180) days after the end of each calendar year, the board shall submit to the cabinet transport data for all ground ambulance providers licensed in Kentucky.
(b) The data required by paragraph (a) of this subsection shall, at a minimum, include the number of emergency ground transports completed during the previous calendar year and the emergency revenue collected.
(1) The ambulance service assessment revenue fund is hereby created as a trust fund within the State Treasury.
(1) There is established in the State Treasury the ambulance service assessment fund for the purpose of depositing assessments imposed under Section 2 of this Act.
The fund shall consist of the assessments and any related penalties collected by the cabinet under Sections 1 to 6 of this Act, donations made to the fund from private sources, and appropriations by the General Assembly.
(2) The fund shall consist of the assessments and any related penalties collected by the Department of Revenue, donations made to the fund from private sources, and appropriations made by the General Assembly.
(2) The ambulance service assessment revenue fund shall be administered by the Finance and Administration Cabinet.
(3) Moneys deposited into the fund are appropriated for the purpose of administering Section 5 of this Act and shall be transferred to the Department for Medicaid Services on a monthly basis for that purpose.
(3) Moneys in the fund shall not be diverted to the general fund or any other public fund.
(4) Moneys in the fund shall not be diverted to the general fund or any other public fund.
(b) Reimburse money to an ambulance service that is erroneously collected by the cabinet from an ambulance service provider under Sections 1 to 6 of this Act;
(b) Reimburse money to a ground ambulance provider that is erroneously collected from that provider;
or (c) Reimburse the cabinet in the amount of two hundred thousand dollars ($200,000) annually for the purpose of administrative expenses.
or (c) Reimburse the cabinet in the amount of two hundred thousand dollars Page 9 of 10 HB000810.100 - 83 - XXXX GA UNOFFICIAL COPY 20 RS HB 8/GA ($200,000) annually for the purpose of administrative expenses.
(4) In the event that Sections 1 to 6 of this Act are rendered invalid and void:
(5) If Section 5 of this Act is rendered invalid and void:
(a) To the extent that federal matching is not reduced due to the impermissibility of the assessments, the cabinet shall disburse the moneys remaining in the fund that were derived from the assessment imposed by Sections 1 to 6 of this Act pursuant to subsection (3) of this section;
(a) To the extent that federal matching funds are not reduced due to the impermissibility of the assessments, the cabinet shall disburse the moneys remaining in the fund that were derived from the assessment imposed by Section 2 of this Act pursuant to subsection (4) of this section;
and (b) Following disbursement of moneys in the fund pursuant to paragraph (a) of Page 4 of 5 BR008300.100 - 83 - XXXX Jacketed UNOFFICIAL COPY 20 RS BR 83 this subsection, the cabinet shall refund any remaining moneys to each ambulance service provider in proportion to the amount paid by each provider during the most recently completed quarterly payment period.
and (b) Following disbursement of moneys in the fund pursuant to paragraph (a) of this subsection, the cabinet shall refund any remaining moneys to each ground ambulance provider in proportion to the amount paid by each provider during the most recently completed quarterly payment period.
(5) Notwithstanding KRS 45.229, moneys in the fund not expended at the close of the fiscal year shall not lapse but shall be carried forward to the next fiscal year.
(6) Notwithstanding KRS 45.229, moneys in the fund not expended at the close of the fiscal year shall not lapse but shall be carried forward to the next fiscal year.
(6) Any interest earnings of the trust fund shall become part of the fund and shall not lapse.
(7) Any interest earnings of the trust fund shall become part of the fund and shall not lapse.
(7) Moneys transferred to this fund are hereby appropriated for the purposes set forth in this section.
(8) Moneys transferred to this fund are hereby appropriated for the purposes set forth in this section.
Page 5 of 5 BR008300.100 - 83 - XXXX Jacketed
Page 10 of 10 HB000810.100 - 83 - XXXX GA
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Action History

  1. signed by Governor (Acts Ch. 110)

  2. delivered to Governor

  3. enrolled, signed by President of the Senate

  4. enrolled, signed by Speaker of the House

  5. received in House

  6. 3rd reading, passed 34-0

  7. posted for passage in the Consent Orders of the Day for Tuesday, April 14, 2020

  8. 2nd reading, to Rules

  9. reported favorably, 1st reading, to Consent Calendar

  10. to Appropriations & Revenue (S)

  11. received in Senate

  12. 3rd reading, passed 91-0 with Committee Substitute (1)

  13. posted for passage in the Regular Orders of the Day for Thursday, February 27, 2020

  14. reported favorably, to Rules with Committee Substitute (1)

  15. posted in committee

  16. recommitted to Appropriations & Revenue (H)

  17. 2nd reading, to Rules

  18. reported favorably, 1st reading, to Calendar

  19. posted in committee

  20. to Health and Family Services (H)

  21. introduced in House

  22. Prefiled by the sponsor(s).

Sponsorship breakdown

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0 sponsors · 0 co-sponsors · 138 not signed on

Sponsors (0)

None.

Co-sponsors (0)

None.

Not signed on (138)

138 members have not signed on to this bill.

Show all 138 →

"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

PASS HB 8

Passed 34 Yea · 0 Nay · 4 Other
Party YeaNayPresentNot Voting
Unaffiliated 19004
Republican 14000
Democrat 1000
Total 34004
% of votes cast 89%0%0%11%
How each member voted (38)
Member Party Vote
Harris — Yea
Nemes — Yea
Clark — Not Voting
Kerr — Not Voting
Alvarado — Yea
Parrett — Yea
Thomas — Yea
Buford — Yea
Hornback — Yea
Turner — Yea
Humphries — Yea
Robinson — Yea
Carroll D — Yea
Schickel — Yea
Castlen — Yea
McGarvey — Yea
Schroder — Yea
Westerfield — Yea
Embry — Yea
Meredith — Yea
Thayer — Yea
Harper Angel — Not Voting
Miller J — Not Voting
Gerald A. Neal Democrat Yea
Brandon Smith Republican Yea
Christian McDaniel Republican Yea
David P. Givens Republican Yea
Jared Carpenter Republican Yea
Jimmy Higdon Republican Yea
Julie Raque Adams Republican Yea
Max Wise Republican Yea
Mike Wilson Republican Yea
Phillip Wheeler Republican Yea
Rick Girdler Republican Yea
Robby Mills Republican Yea
Robert Stivers Republican Yea
Robin L. Webb Republican Yea
Stephen West Republican Yea

Official roll call →

Pass

Passed 91 Yea · 0 Nay · 7 Other
Party YeaNayPresentNot Voting
Republican 28001
Unaffiliated 56006
Democrat 7000
Total 91007
% of votes cast 93%0%0%7%
How each member voted (98)
Member Party Vote
Flood — Yea
Scott — Yea
Bechler — Yea
Frazier — Yea
Huff T — Yea
Minter — Yea
Sheldon — Yea
Bentley — Yea
Jenkins — Yea
Sims — Yea
Nemes — Yea
Sorolis — Yea
Booker — Yea
Glenn — Yea
Koenig — Yea
Palumbo — Yea
Stewart — Yea
Goforth — Yea
Stone — Yea
Branham Clark — Yea
Lee — Yea
Pratt — Yea
Graham — Yea
Lewis S — Yea
Prunty — Yea
Brenda — Yea
Graviss — Yea
Rand — Yea
Thomas — Yea
Raymond — Yea
Brown G — Yea
Massey — Yea
Turner — Yea
Burch — Yea
Hatton — Yea
Cantrell — Yea
Heath — Yea
McCoy — Yea
Rothenburger — Yea
Webber — Yea
Donohue — Yea
Rowland — Yea
Westrom — Yea
Hinkle — Yea
Meredith — Yea
Wheatley — Yea
DuPlessis — Yea
Hoover — Yea
Santoro — Yea
Howard — Yea
Schamore — Yea
Yates — Yea
Fischer — Yea
Carney — Not Voting
Harris — Not Voting
Meeks — Not Voting
Meyer — Not Voting
Wiederstein — Not Voting
Lewis D — Not Voting
Huff R — Yea
Miller C — Yea
Miller J — Yea
Al Gentry Democrat Yea
Ashley Tackett Laferty Democrat Yea
Lisa Willner Democrat Yea
Mary Lou Marzian Democrat Yea
Nima Kulkarni Democrat Yea
Pamela Stevenson Democrat Yea
Tina Bojanowski Democrat Yea
Aaron Reed Republican Yea
Adam Bowling Republican Yea
Bobby McCool Republican Yea
Chris Freeland Republican Yea
Chris Fugate Republican Yea
Daniel Elliott Republican Yea
David Hale Republican Yea
David Meade Republican Yea
David W. Osborne Republican Yea
Greg Elkins Republican Not Voting
James Tipton Republican Yea
Jason Petrie Republican Yea
Jim Gooch Jr. Republican Yea
John Blanton Republican Yea
Ken Upchurch Republican Yea
Kim Banta Republican Yea
Kim King Republican Yea
Kimberly Poore Moser Republican Yea
Mark Hart Republican Yea
Matthew Koch Republican Yea
Myron Dossett Republican Yea
Nancy Tate Republican Yea
Randy Bridges Republican Yea
Samara Heavrin Republican Yea
Savannah Maddox Republican Yea
Steve Bratcher Republican Yea
Steve Riley Republican Yea
Steven Rudy Republican Yea
Suzanne Miles Republican Yea

Official roll call →

Subjects

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

Frequently asked questions

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This bill has been enacted into law. Introduced May 09, 2019. Enacted.
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