Kentucky 2025 Regular Session Status: Enacted

HB 90 — AN ACT relating to maternal health and declaring an emergency.

Last action — delivered to Secretary of State (Acts Ch. 121)

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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 January 07, 2025. Enacted.

Signed by Governor Andy Beshear (Democratic) on March 28, 2025.

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 5 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.

Summary

Create a new section of KRS Chapter 216B to define "freestanding birthing center"; require the Cabinet for Health and Family Services to promulgate administrative regulations to establish licensure standards for freestanding birthing centers; establish criteria for a medical director; establish requirements for obtaining written informed consent; require a written patient transfer agreement with a hospital that provides obstetric services; require a written patient transfer agreement with an emergency medical transportation service; exempt a center with no more than four beds from certificate-of-need requirements for establishing and licensing a freestanding birthing center; state intent not to limit or expand liability of a center or health care provider or facility; require medical malpractice insurance for freestanding birthing centers; prohibit abortions in freestanding birthing centers; amend KRS 216B.015 to include freestanding birthing centers in the definition of "health facility"; amend KRS 216B.020, 196.173, 211.122, 211.647, 211.660, 213.046, 214.155, 214.565, 214.567, 214.569, 216.2920, 216.2921, 216.2923, 216.2925, 216.2927, and 216.2970 to conform; require the cabinet to promulgate updated administrative regulations by December 1, 2025; provide that the Act may be cited as the Mary Carol Akers Birth Centers Act.

Bill Text

We don't have the full text on file for this bill yet.

Read HB 90 on the official Kentucky source →

Action History

  1. delivered to Secretary of State (Acts Ch. 121)

  2. enrolled, signed by President of the Senate

  3. enrolled, signed by Speaker of the House

  4. received in House

  5. passed 31-7

  6. veto overridden

  7. posted for passage for consideration of Governor's veto

  8. to Rules (S)

  9. received in Senate

  10. passed 77-20

  11. veto overridden

  12. posted for consideration of Governor's veto

  13. taken from Rules

  14. to Rules (H)

  15. received in House

  16. Vetoed

  17. delivered to Governor

  18. enrolled, signed by President of the Senate

  19. enrolled, signed by Speaker of the House

  20. passed 74-17

  21. House concurred in Senate Committee Substitute (1) and Committee Amendment (1-title)

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

  23. taken from Rules (H)

  24. to Rules (H)

  25. received in House

  26. 3rd reading, passed 29-0-5 with Committee Substitute (1) and Committee Amendment (1-title)

  27. posted for passage in the Regular Orders of the Day for Thursday, March 13, 2025

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

  29. returned to Licensing & Occupations (S)

  30. 2nd reading

  31. taken from Licensing & Occupations (S)

  32. to Licensing & Occupations (S)

  33. returned to Committee on Committees (S)

  34. 1st reading

  35. taken from Committee on Committees (S)

  36. to Committee on Committees (S)

  37. received in Senate

  38. 3rd reading, passed 82-9

  39. placed in the Orders of the Day

  40. taken from Rules

  41. reported favorably, to Rules

  42. returned to Licensing, Occupations, & Administrative Regulations (H)

  43. 2nd reading

  44. taken from Licensing, Occupations, & Administrative Regulations (H)

  45. returned to Licensing, Occupations, & Administrative Regulations (H)

  46. 1st reading

  47. taken from Licensing, Occupations, & Administrative Regulations (H)

  48. to Licensing, Occupations, & Administrative Regulations (H)

  49. to Committee on Committees (H)

  50. introduced in House

Sponsorship breakdown

Export CSV (upgrade) →

0 sponsors · 0 co-sponsors · 138 not signed on · 31 voted No

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

Final Passage

Passed 77 Yea · 20 Nay · 3 Other
Party YeaNayPresentNot Voting
Republican 70202
Unaffiliated 5100
Democrat 21701
Total 772003
% of votes cast 77%20%0%3%
How each member voted (100)
Member Party Vote
Huff T — Yea
Bratcher S. — Yea
Lewis — Yea
Lewis D — Yea
Lewis S — Yea
Stevenson P — Nay
Adam Moore Democrat Not Voting
Adrielle Camuel Democrat Nay
Al Gentry Democrat Nay
Anne Gay Donworth Democrat Nay
Ashley Tackett Laferty Democrat Yea
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
Rachel Roarx Democrat Nay
Reginald L. Thomas Democrat Yea
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
Brandon Smith 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
Emily Callaway Republican Yea
Felicia Rabourn Republican Yea
Gex Williams Republican Yea
J.T. Payne Republican Yea
James Tipton Republican Yea
Jared Bauman 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 Nay
Kimberly Poore Moser Republican Yea
Marianne Proctor Republican Yea
Mark Hart Republican Not Voting
Mary Beth Imes Republican Yea
Matt Lockett Republican Yea
Matthew Koch Republican Yea
Michael J. Nemes Republican Yea
Michael Sarge Pollock Republican Yea
Mike Clines Republican Yea
Mike Wilson Republican Not Voting
Mitch Whitaker Republican Yea
Myron Dossett Republican Yea
Nancy Tate 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 Sharp Republican Yea
Shane Baker Republican Yea
Shawn McPherson Republican Yea
Stephanie Dietz Republican Yea
Stephen Meredith 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
Timmy Truett Republican Yea
Tony Hampton Republican Yea
Vanessa Grossl Republican Nay
William Lawrence Republican Yea

Official roll call →

Passed 31 Yea · 7 Nay
Party YeaNayPresentNot Voting
Republican 31100
Democrat 0400
Unaffiliated 0200
Total 31700
% of votes cast 82%18%0%0%
How each member voted (38)
Member Party Vote
Yates — Nay
ChambersArmstrong — Nay
Gerald A. Neal Democrat Nay
Karen Berg Democrat Nay
Keturah J. Herron Democrat Nay
Reginald L. Thomas Democrat Nay
Aaron Reed Republican Yea
Amanda Mays Bledsoe Republican Yea
Brandon J. Storm Republican Yea
Brandon Smith 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
Gex Williams Republican Yea
Greg Elkins Republican Yea
Jared Carpenter Republican Yea
Jason Howell 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 J. Nemes 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 Nay
Scott Madon Republican Yea
Shelley Funke Frommeyer Republican Yea
Stephen Meredith Republican Yea
Stephen West Republican Yea
Steve Rawlings Republican Yea

Official roll call →

PASS HB 90 W/ scs1 scta1

Passed 29 Yea · 0 Nay · 13 Other
Party YeaNayPresentNot Voting
Republican 29003
Democrat 0007
Unaffiliated 0003
Total 290013
% of votes cast 69%0%0%31%
How each member voted (42)
Member Party Vote
Yates — Not Voting
Yates — Not Voting
ChambersArmstrong — Not Voting
Gerald A. Neal Democrat Not Voting
Karen Berg Democrat Not Voting
Karen Berg Democrat Not Voting
Keturah J. Herron Democrat Not Voting
Keturah J. Herron Democrat Not Voting
Reginald L. Thomas Democrat Not Voting
Reginald L. Thomas Democrat Not Voting
Aaron Reed Republican Yea
Amanda Mays Bledsoe Republican Yea
Brandon J. Storm Republican Yea
Brandon Smith Republican Not Voting
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
Gex Williams Republican Yea
Greg Elkins Republican Yea
Jared Carpenter Republican Not Voting
Jason Howell 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 J. Nemes 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 Not Voting
Scott Madon Republican Yea
Shelley Funke Frommeyer Republican Yea
Stephen Meredith Republican Yea
Stephen West Republican Yea
Steve Rawlings Republican Yea

Official roll call →

Final Passage

Passed 74 Yea · 17 Nay · 10 Other
Party YeaNayPresentNot Voting
Republican 65207
Unaffiliated 5101
Democrat 41402
Total 7417010
% of votes cast 73%17%0%10%
How each member voted (101)
Member Party Vote
Huff T — Yea
Bratcher S. — Yea
Lewis — Yea
Lewis D — Yea
Lewis S — Yea
Stevenson P — Nay
Commonwealth of Kentucky — Not Voting
Adam Moore Democrat Yea
Adrielle Camuel Democrat Nay
Al Gentry Democrat Nay
Anne Gay Donworth Democrat Nay
Ashley Tackett Laferty Democrat Yea
Beverly Chester-Burton Democrat Not Voting
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 Not Voting
Matthew Lehman Democrat Nay
Nima Kulkarni Democrat Nay
Rachel Roarx Democrat Yea
Reginald L. Thomas Democrat Yea
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
Brandon Smith 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
Emily Callaway Republican Yea
Felicia Rabourn Republican Not Voting
Gex Williams Republican Yea
J.T. Payne Republican Yea
James Tipton Republican Yea
Jared Bauman 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 Not Voting
Ken Fleming Republican Yea
Ken Upchurch Republican Yea
Kevin Jackson Republican Yea
Kim Banta Republican Yea
Kim Holloway Republican Yea
Kim King Republican Nay
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 J. Nemes Republican Yea
Michael Sarge Pollock Republican Yea
Mike Clines Republican Yea
Mike Wilson Republican Not Voting
Mitch Whitaker Republican Yea
Myron Dossett Republican Yea
Nancy Tate Republican Yea
Patrick Flannery Republican Yea
Peyton Griffee Republican Yea
Randy Bridges Republican Yea
Rebecca Raymer Republican Yea
Richard White Republican Not Voting
Robert Duvall Republican Yea
Ryan Bivens Republican Yea
Ryan Dotson Republican Not Voting
Samara Heavrin Republican Yea
Savannah Maddox Republican Not Voting
Scott Sharp Republican Yea
Shane Baker Republican Yea
Shawn McPherson Republican Yea
Stephanie Dietz Republican Yea
Stephen Meredith Republican Yea
Steve Riley Republican Yea
Steven Doan Republican Not Voting
Steven Rudy Republican Yea
Susan Witten Republican Yea
Suzanne Miles Republican Yea
T.J. Roberts Republican Yea
Timmy Truett Republican Yea
Tony Hampton Republican Yea
Vanessa Grossl Republican Nay
William Lawrence Republican Yea

Official roll call →

Pass

Passed 82 Yea · 9 Nay · 10 Other
Party YeaNayPresentNot Voting
Democrat 19001
Republican 58808
Unaffiliated 5101
Total 829010
% of votes cast 81%9%0%10%
How each member voted (101)
Member Party Vote
Huff T — Yea
Stevenson P — Yea
Bratcher S. — Yea
Lewis — Yea
Lewis S — Yea
Lewis D — Nay
COMMONWEALTH OF KENTUCKY SENATE — 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 Not Voting
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
Rachel Roarx Democrat Yea
Reginald L. Thomas Democrat Yea
Sarah Stalker Democrat Yea
Tina Bojanowski Democrat Yea
Aaron Thompson Republican Yea
Adam Bowling Republican Yea
Amy Neighbors Republican Yea
Bill Wesley Republican Yea
Bobby McCool Republican Yea
Brandon Smith 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 Nay
David Meade Republican Not Voting
David W. Osborne Republican Yea
Deanna Gordon Republican Yea
Emily Callaway Republican Yea
Felicia Rabourn Republican Yea
Gex Williams Republican Nay
J.T. Payne Republican Yea
James Tipton Republican Yea
Jared Bauman Republican Yea
Jason Petrie Republican Not Voting
Jennifer Decker Republican Yea
Jim Gooch Jr. Republican Yea
John Blanton Republican Not Voting
John Hodgson Republican Yea
Josh Branscum Republican Not Voting
Josh Bray Republican Nay
Josh Calloway Republican Yea
Ken Fleming Republican Yea
Ken Upchurch Republican Yea
Kevin Jackson Republican Nay
Kim Banta Republican Yea
Kim Holloway Republican Yea
Kim King Republican Nay
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 J. Nemes Republican Yea
Michael Sarge Pollock Republican Yea
Mike Clines Republican Not Voting
Mike Wilson Republican Yea
Mitch Whitaker Republican Yea
Myron Dossett Republican Yea
Nancy Tate Republican Yea
Patrick Flannery Republican Yea
Peyton Griffee Republican Yea
Randy Bridges Republican Yea
Rebecca Raymer Republican Yea
Richard White Republican Not Voting
Robert Duvall Republican Yea
Ryan Bivens Republican Yea
Ryan Dotson Republican Yea
Samara Heavrin Republican Yea
Savannah Maddox Republican Yea
Scott Sharp Republican Yea
Shane Baker Republican Nay
Shawn McPherson Republican Nay
Stephanie Dietz Republican Yea
Stephen Meredith Republican Yea
Steve Riley Republican Yea
Steven Doan Republican Yea
Steven Rudy Republican Yea
Susan Witten Republican Yea
Suzanne Miles Republican Not Voting
T.J. Roberts Republican Yea
Timmy Truett Republican Nay
Tony Hampton Republican Yea
Vanessa Grossl Republican Not Voting
William Lawrence Republican Yea

Official roll call →

Subjects

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Frequently asked questions

What does HB 90 do?
Create a new section of KRS Chapter 216B to define "freestanding birthing center"; require the Cabinet for Health and Family Services to promulgate administrative regulations to establish licensure standards for freestanding birthing centers; establish criteria for a medical director; establish requirements for obtaining written informed consent; require a written patient transfer agreement with a hospital that provides obstetric services; require a written patient transfer agreement with an emergency medical transportation service; exempt a center with no more than four beds from certificate-of-need requirements for establishing and licensing a freestanding birthing center; state intent not to limit or expand liability of a center or health care provider or facility; require medical malpractice insurance for freestanding birthing centers; prohibit abortions in freestanding birthing centers; amend KRS 216B.015 to include freestanding birthing centers in the definition of "health facility"; amend KRS 216B.020, 196.173, 211.122, 211.647, 211.660, 213.046, 214.155, 214.565, 214.567, 214.569, 216.2920, 216.2921, 216.2923, 216.2925, 216.2927, and 216.2970 to conform; require the cabinet to promulgate updated administrative regulations by December 1, 2025; provide that the Act may be cited as the Mary Carol Akers Birth Centers Act.
What is the current status of HB 90?
This bill has been enacted into law. Introduced January 07, 2025. Enacted.
Where can I track HB 90?
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