AN ACT relating to the Kentucky statewide health data utility.
Summary
Create new sections of KRS Chapter 194A to establish the Kentucky statewide health data utility; define terms; establish purposes and a restricted fund for the utility; require the executive director of the Office of Data Analytics to be responsible for the development, implementation, operation, and maintenance of the utility, contract with a consortium of public health colleges to operate and govern the utility, and promulgate administrative regulations to carry out those duties; establish functions and content of utility; create a consortium of public health colleges; establish duties of consortium in operating and governing the utility; establish administration and operation requirements for the consortium; establish the Kentucky Health Information Technology Board; require the board to establish policies and procedures for the sharing and submission of health information, approve data control, governance, and privacy practices, and advise the executive director and the consortium; require the utility's participants to comply with health information sharing and submission requirements within certain timeframes; require the secretary of the Cabinet for Health and Family Services to enforce the mandatory reporting requirements for the utility's participants; establish enforcement powers of secretary including civil penalty assessment; require the consortium and the executive director to make annual reports relating to the utility; amend KRS 194A.030, 194A.101, 194A.103, 194A.095, 205.640, 205.6489, 211.474, 214.375, and 311A.190 to conform; repeal KRS 216.2920, 216.2921, 216.2923, 216.2925, 216.2927, and 216.2929, relating to health data collection; establish timeframe for making initial appointments, and provide for staggered appointments to the board; require the Cabinet for Health and Family Services 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); EFFECTIVE, in part, July 1, 2028.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
House Passage
Apr 2026
Senate Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Feb 19, 2026
Signed Apr 14, 2026
Maddy AI version diff · 1 comparison
What changed between versions
Introduced
→
Current/Final
·
4 edits
MODERATE
The bill was completely rewritten to shift from immediately establishing a statewide health data utility to instead directing the Legislative Research Commission to conduct a study on how to create one. The original text, which defined the utility's powers and established a governing board, was removed and replaced with a mandate to analyze policy options and provide recommendations by December 1, 2026.
Scope change
The bill's scope changed from an operational mandate to create a health data network to a research and planning phase. The utility is no longer being established by this bill; rather, the bill now authorizes a study to determine the best way to establish it in the future.
REQUIREMENT
Removed the immediate creation of a statewide health data utility and the specific duties of that utility, including data sharing protocols and governance structures.
Added authority for the Legislative Research Commission to consult with officials, retain consultants, and convene a working group to inform the study.
TIMELINE
Added a requirement for the Legislative Research Commission to submit a report with policy options and strategies by December 1, 2026.
DEFINITION
Removed detailed definitions for terms like 'Authorized recipient', 'Board', 'Electronic longitudinal health record', and 'Executive director' that were necessary for the utility's operation.
Floor votes · House Mar 19, 2026
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
23
Key actions
6
Committee
6
Amendments
3
Apr 13, 2026
Introduced
filed without Governor's signature with the Secretary of State
lower
Apr 1, 2026
Upper · Passed
enrolled, signed by President of the Senate
upper
Apr 1, 2026
Lower · Passed
enrolled, signed by Speaker of the House
lower
Mar 31, 2026
Lower · Passed
3rd reading, passed 37-1
lower
Mar 25, 2026
Lower · Passed
reported favorably, 1st reading, to Consent Calendar
lower
Mar 24, 2026
Committee
to Health Services (S)
upper
Mar 20, 2026
Committee
to Committee on Committees (S)
upper
Mar 19, 2026
Lower · Passed
3rd reading, passed 93-0 with Floor Amendment (3)
lower
Mar 18, 2026
Introduced
floor amendment (3) filed
lower
Mar 16, 2026
Introduced
floor amendment (2) filed to Committee Substitute
lower
Mar 10, 2026
Introduced
floor amendment (1) filed to Committee Substitute
lower
Mar 5, 2026
Lower · Passed
reported favorably, 1st reading, to Calendar with Committee Substitute (1)
lower
Feb 26, 2026
Committee
to Health Services (H)
lower
Feb 19, 2026
Committee
to Committee on Committees (H)
lower
Feb 19, 2026
Introduced
introduced in House
lower
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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