The State/Executive Branch Budget: Details Part I, Operating Budget; details Part II, Capital Projects Budget; details Part III, General Provisions; details Part IV, State Salary/Compensation, Benefit, and Employment Policy; details Part V, Funds Transfer; details Part VI, General Fund Budget Reduction Plan; details Part VII, General Fund Surplus Expenditure Plan; details Part VIII, Road Fund Budget Reduction Plan; details Part IX, Road Fund Surplus Expenditure Plan; details Part X, Phase I Tobacco Settlement; and details Part XI, Executive Branch Budget Summary; APPROPRIATION.
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.
The Judicial Branch Budget: Detail Part I, Operating Budget; detail Part II, Capital Projects Budget; detail Part III, General Provisions; detail Part IV, Budget Reduction or Surplus Expenditure Plan; 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to continue to condition eligibility on demonstrated community engagement if federal requirements are abolished, repealed, or otherwise diminished; amend KRS 205.6312 to require the cabinet and any contracted Medicaid managed care organization to impose cost-sharing requirements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.
This joint resolution establishes the final four years of Kentucky's Six-Year Road Plan, working alongside related bills from the 2026 Regular Session. It directly affects road construction projects across multiple counties by specifying detailed funding allocations and project scopes for various highway improvements. The bill lists specific road segments, including bypasses, intersections, and multi-mode transportation projects, with associated costs and funding sources for each location. By codifying these projects into state law, the resolution provides a formal framework for implementing infrastructure development through fiscal year 2032.
Appropriate General Fund moneys from the budget reserve trust fund account in each fiscal year of the 2026-2028 fiscal biennium to various state agencies for miscellaneous projects and programs; APPROPRIATION; EMERGENCY.
This bill establishes Kentucky's official 2026-2028 Biennial Highway Construction Plan, authorizing specific road projects across the state. It grants the Transportation Cabinet authority to spend funds on these projects with flexibility for bid variations or unexpected circumstances. The bill also requires the Transportation Secretary to create a single document detailing both the 2026-2028 construction program and the 2028-2032 preconstruction program. An emergency declaration ensures the bill takes effect immediately upon becoming law, allowing the state to proceed with planned road improvements without delay.
This bill establishes the official list of county road projects included in Kentucky's Six-Year Road Plan. It works alongside two other bills to define which local road improvements will receive state funding assistance over the next six years. The resolution specifically outlines the County Priority Projects portion of the plan, determining which roads qualify for financial support from the Local Assistance Road Program. Once signed into law, it guides state transportation funding decisions for county road maintenance and construction projects.
This bill authorizes the Kentucky state government to pay specific outstanding claims that were previously approved but not paid due to expired or insufficient funding or missing procurement documents. It directly affects various businesses, healthcare providers, and state employees by providing funds from the general, transportation, and federal funds to settle these debts. The legislation includes a detailed list of individual vendors and employees along with exact payment amounts, ranging from small fees to larger contracts totaling tens of thousands of dollars. By declaring an emergency, the bill allows for immediate payment of these claims without waiting for the regular legislative budget cycle.
SB 185 requires all branches of Kentucky government (executive, legislative, judicial) to include supporting budget documents when preparing their budget recommendations for the General Assembly. The bill amends Kentucky Revised Statute 48.030 to mandate that branches provide these supporting materials alongside their budget statements and estimates. This change applies to the budget preparation process before submissions to the legislature, ensuring more detailed documentation accompanies each branch's financial requests. The bill is currently in the Senate Committee on Committees following its introduction on February 11, 2026.
