Amend KRS 216B.015 to redefine "capital expenditure minimum" and define "major medical equipment expenditure minimum"; amend KRS 216B.061 to modify conditions under which a person is prohibited from taking actions without a certificate of need.
Appropriate $96 million from the Kentucky Permanent Pension Fund in fiscal year 2026-2027 to the Kentucky Public Pensions Authority to fund 1-time supplemental payments on July 1, 2026, to recipients of a retirement allowance who have been retired for at least 12 months from the Kentucky Employees Retirement System (KERS) and the State Police Retirement System (SPRS); allow the Board of Trustees of the County Employees Retirement System to, by board decision, provide a one-time supplemental payment to recipients of a retirement allowance who have been retired at least 12 months by increasing employer contribution rates over a one-year or two-year period; specify that the 1-time supplemental payment shall be equal to the monthly payment received by the recipient in the month of June 2026; APPROPRIATION; EMERGENCY.
Create a new section of KRS Chapter 16 to define "Task Force Model Program"; require Kentucky State Police posts to enter into agreements with the United States Immigration and Customs Enforcement to participate in the Task Force Model Program; require Kentucky State Police officers who participate in the Task Force Model Program to complete Immigration and Customs Enforcement training; amend KRS 15.404 to provide that any peace officer who completes Immigration and Customs Enforcement training will be deemed to have completed annual in-service training; require the Kentucky Law Enforcement Council to certify the Immigration Authority Delegation Program as an approved in-service training program.
Create a new section of KRS Chapter 525 to define "adult performance"; establish the offense of engaging in an adult performance; establish penalties; EMERGENCY.
Amend KRS 158.1415 to require a school district to adopt health curricula that includes human growth and development instruction that meets specific criteria; set restrictions for the instruction that grants parents an opportunity to review materials and opt their child out of instruction.
Create a new section of KRS 237.060 to 237.090 to prohibit ex parte orders that restrict the ability of a person to possess firearms and ammunition, firearm accessories, holsters, or firearm storage devices; amend KRS 403.730 and 456.040 to prohibit emergency protective orders and temporary interpersonal protective orders that restrict the ability of a person to possess firearms and ammunition, firearm accessories, holsters, or firearm storage devices; provide that the Act may be cited as the Red Flag Repeal Act of 2026.
Amend KRS 67.060, 83A.040, 160.180, and 262.240, to require a candidate for county commissioner, city mayor, city legislative body member, board of education member, and soil and water conservation district supervisor to be a natural born citizen of the United States and no other country and a national of only the United States in order to hold each respective office.
Create a new section of KRS Chapter 43 to elect for the Commonwealth to participate in the qualified elementary and secondary education scholarship federal tax credit program; designate the Auditor of Public Accounts as the officer to submit the Commonwealth's election and list of scholarship granting organizations to the United States Secretary of the Treasury; require the Auditor to maintain the Commonwealth's list of scholarship granting organizations and maintain certain information on the Auditor's website; authorize the Auditor to promulgate administrative regulations necessary to establish the list; and authorize the Auditor to enter into agreements to assist with implementing the section.
Create new sections of KRS 304.17A-600 to 304.17A-633 to define terms; prohibit insurers of health benefit plans from requiring prior authorization for a health care service for which the provider has an exemption; require insurers of health benefit plans to establish a program under which participating providers may qualify for exemptions from prior authorization; establish mandatory and permitted provisions of an insurer's prior authorization exemption program; establish requirements for sending forms and notices; require the commissioner of the Department of Insurance to submit an annual report relating to prior authorization, provide a detailed briefing upon request, and promulgate administrative regulations; amend KRS 304.17A-605 to conform; amend KRS 304.17A-611 to prohibit conducting a retrospective review that is based solely on a participating provider having a prior authorization exemption; provide that certain utilization review timeframes do not apply to retrospective reviews conducted for the purposes of determining eligibility for a prior authorization exemption; create a new section of KRS Chapter 205 to require the commissioner of the Department for Medicaid Services to submit an annual report relating to prior authorization, provide a detailed briefing upon request, and promulgate administrative regulations; apply the provisions to contracts delivered, entered, renewed, extended, or amended on or after January 1, 2027; EFFECTIVE, in part, January 1, 2026, and January 1, 2027.
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.
