Kentucky Bills

Create a new section of KRS Chapter 205 to define terms; establish an annual Medicaid state plan and Kentucky Children's Health Insurance Program state plan legislative review process; EMERGENCY.

Amend KRS 164.321 to increase the membership of the Kentucky Community and Technical College System (KCTCS) board of regents to a total of 17; reduce the terms of membership on a board of regents to 4 years; reduce the number of members allowed to reside in 1 county to 1 member; specify that the nonteaching member of a board of regents shall not be an employee who supervises more than 2 employees or reports directly to the president; specify that a member of a board of regents may be removed if the member does not attend 3 consecutive regularly scheduled meetings and the president requests the member's removal; amend KRS 164.350 to authorize the board of the KCTCS review the president's biennial budget and the budget planning and implementation processes; amend KRS164.365 to make technical corrections; amend KRS 164.580 to distinguish the responsibilities of the president of the KCTCS; create a new section of KRS Chapter 164 to require the president of the KCTCS to employ a chief financial officer and to specify the responsibilities of the chief financial officer; amend KRS 164.583 to make technical corrections; amend KRS 164.591 to require the president of the KCTCS to present a plan for review by the board of regents when considering the reduction, expansion, or creation of colleges, campuses, or programs, allow the president to conditionally implement the plan upon approval of the Council on Postsecondary Education; require KCTCS to submit a report to the appropriate committees of the General Assembly regarding the plan; require final approval of the plan by the General Assembly; require the KCTCS to submit a report to the Legislative Research Commission for referral to the appropriate committees regarding the properties utilized by the KCTCS; amend KRS 164.600 to define "campus" and "chancellor"; create a board of advisors for the KCTCS made up of the chancellor of each college of the system and others as appointed by the president; specify the responsibilities of the chancellor of each college; amend other sections of KRS Chapter 164 to conform; repeal KRS 164.586, 164.587, 164.594, 164.602, and 164.5833; provide for staggering of initial appointments.

Amend KRS 150.170 to require the Kentucky Department of Fish and Wildlife Resources to issue a minimum of 5 deer destruction permits to any landowner, spouse, dependent child, or their designee whose lands or personal property have been damaged by wildlife; establish provisions for the renewal of deer destruction permits; require the department to issue a deer permit for the taking of 1 additional antlered deer during a hunting season to any requesting individual; amend KRS 150.390 to allow any licensed or permitted person to take antlerless deer for a period of 10 days following the conclusion of a muzzle-loading gun season; EMERGENCY.

Amend KRS 65.013 to define terms; expand the prohibition on using tax dollars to advocate for or against a public question on the ballot to prohibit using any resources, and to explicitly apply prohibition to school districts, regional educational cooperatives, and recalls on a ballot; establish a criminal penalty and a prohibition against holding a position of public trust or profit for 10 years for a person found guilty of violating the prohibition; create a cause of action for a citizen aggrieved by a violation of the prohibition; establish a statute of limitations to commence suit and the appropriate venue; provide when the suit accrues; specify damages recoverable per violation; allow for class action; include a prohibition against holding a position of public trust or profit for 10 years for a person held civilly liable; amend KRS 48.025 and 132.017 to conform.

Direct the Cabinet for Health and Family Services to withdraw the 1115(a) demonstration waiver application that was submitted on June 25, 2025, to the federal Centers for Medicare and Medicaid Services to implement a mandatory community engagement program; EMERGENCY

Amend KRS 218A.025 to remove 1 physician and 1 nurse from the Controlled Substances Prescribing Council and to add 1 livestock veterinarian and 1 equine veterinarian.

Amend KRS 15.020 to define "entity of the executive branch"; require the Attorney General, in consultation with the Finance and Administration Cabinet, to review and approve or disapprove any settlement of pending or threatened litigation within 180 days before a gubernatorial inauguration that exceeds $1,000,000; amend KRS 18A.111 to require a 24-month probationary period to any person who at any time in 18 months prior to a gubernatorial inauguration is appointed to a position in the classified service and who held a position that was unclassified under KRS 18A.115; deny that person any preferences in hiring or reemployment; amend KRS 45A.095 to define "executive branch agency"; require any contract executed or renewed through noncompetitive negotiation within 180 days preceding a gubernatorial inauguration be certified as necessary due to an emergency condition by the State Treasurer and secretary of the Finance and Administration Cabinet; amend KRS 171.530 to require certain records be preserved in the 12 months preceding a gubernatorial inauguration for the Governor-elect and his or her transition team; amend KRS 171.990 to find any person who violates KRS 171.530 be guilty of a Class A misdemeanor; grant the Attorney General concurrent original jurisdiction to enforce.

The Legislative Branch Budget: Detail Part I, Operating Budget; detail Part II, General Provisions; detail Part III, Budget Reduction or Surplus Expenditure Plan; APPROPRIATION.

Amend KRS 164.001 to remove the definition of "committee," "P-16 council," and "remedial education"; amend KRS 164.013 to conform; amend KRS 164.0211 to attach the Board of Student Body Presidents to the Council on Postsecondary Education for administration and organization purposes; create a new section of KRS Chapter 164 to codify the existing Commonwealth Education Continuum; establish governance and membership of the continuum; establish the duties of the continuum; provide that the administrative and support staff of the continuum shall be provided by the council; direct the continuum to submit an annual report and establish the contents of the report; amend KRS 164.330 to remove requirement for board of regents meetings to be held within 30 days of an appointment; amend various KRS sections to conform; repeal KRS 164.003, 164.004, 164.0285, 164.0286, 164.0287, 164.0268, and 164.033.

The Transportation Cabinet Budget: Detail Part I, Operating Budget; detail Part II, Capital Projects Budget; detail Part III, Funds Transfer; detail Part IV, Transportation Cabinet Budget Summary; APPROPRIATION.

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.

Amend KRS 15.460 to allow Department of Fish and Wildlife Resources game wardens to receive annual supplements from the Kentucky Law Enforcement Foundation Program fund; remove the requirement that a game warden's annual training stipend be paid from the game and fish fund; amend KRS 150.010 to remove the definitions for "administrative regulation," "navigable waters," and "public roadway"; add definitions for "exotic wildlife," "native wildlife," and "roadway" and amend the definition for "livestock"; amend KRS 150.021 to remove the requirement that the department pay a fee equal to 5% of the debt service for the 2-way radio system utilized by the Kentucky State Police; amend KRS 150.025 to allow the department or the commissioner, with the approval of the commission, to promulgate administrative regulations to carry out the purposes of KRS Chapter 150; amend KRS 150.027 to require the department to file a statement of consideration at the same time as it files an administrative regulation that affects property that is adjacent to department-owned or controlled lakes; amend KRS 150.061 to require the commissioner of the department to establish a salary structure for the department's Division of Law Enforcement that is adequate to meet the department's recruitment and retention goals; amend KRS 150.090 to provide that waters bordering the Commonwealth are included in the jurisdiction of game wardens; amend KRS 150.120 to provide that native and exotic wildlife that are taken, possessed, or transported in violation of the provisions of KRS Chapter 150 or the administrative regulations promulgated thereunder shall be seized; require that upon seizure, native wildlife or any hybrid thereof shall be declared contraband and disposed of as determined by the commissioner; amend KRS 150.150 to conform and to provide that the $25,000 set aside annually for hunger relief is not required to be taken from the game and fish fund; amend KRS 150.170 to change the reference from "disposal" tag to "carcass tag" for the taking of depredating wildlife; amend KRS 150.172 to allow a person to use a firearm at any time to take a mortally wounded animal instead of an injured animal; amend KRS 150.360 to allow the taking of wildlife at night instead of only coyotes and to conform; amend KRS 150.660 to allow the department to revoke a pay lake operator's license at all of his or her licensed locations for failure to comply with the laws or regulations governing pay lakes; amend KRS 150.690 to change the references from "buffalo" to "American bison"; amend KRS 150.990 double all fines for violations of KRS Chapter 150 and to establish replacement costs for certain wildlife; amend KRS 150.995 to provide that any restitution amount to be paid to the department for the illegal taking of wildlife that would exceed $10,000 shall be panel scored by 2 official scorers; allow the commissioner or a designee to seek an order from the court for payment of restitution costs in any action in which a person is found guilty for a violation of KRS Chapter 150 and for which restitution costs are owed; amend KRS 235.250 to increase the property damage threshold for the mandatory reporting requirement for boating accidents.