House
Signed By Governor
2026 Regular Session

HB689

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AN ACT relating to the establishment of a Medicaid state-directed payment program.

Amend KRS 205.6412 to require the Department for Medicaid Services to seek authorization from the United States Centers for Medicare and Medicaid Services to implement a state-directed payment for physician and nonphysician professional services provided to a Medicaid beneficiary by a qualifying hospital's affiliated physician groups or physicians and other professionals employed or contracted by the qualified hospital; require the Department of Medicaid Services to direct Medicaid managed care organizations to issue payments back to January 1, 2026, upon federal approval; RETROACTIVE.

Health Care ProfessionalsHospitals And Health FacilitiesMedicaidPhysiciansRetroactive Legislation

Introduced: February 20, 2026

Last action: April 13, 2026

Signed By Governor (Acts Ch. 117)
Read the full textKentucky LegislatureLegiScan

Legislative History

Feb 20, 2026 · House
Introduced In House
Feb 20, 2026 · House
To Committee On Committees (H)
Feb 27, 2026 · House
To Health Services (H)
Mar 5, 2026 · House
Reported Favorably, 1st Reading, To Calendar
Mar 6, 2026 · House
2nd Reading, To Rules (clerical)
Mar 16, 2026 · House
Floor Amendment (1) Filed (clerical)
Mar 17, 2026 · House
Posted For Passage In The Regular Orders Of The Day For Wednesday, March 18 2026 (clerical)
Mar 18, 2026 · House
3rd Reading, Passed 94-0 With Floor Amendment (1) (clerical)

Primary Sponsor

Portrait of Amy Neighbors
Amy Neighbors

Representative · House District 021

Primary sponsor
amy.neighbors@kylegislature.gov
BallotpediaOfficial profile

Co-sponsors (14)

Portrait of Kimberly Banta
Kimberly Banta

Representative · House District 063

Co-sponsor
kim.banta@kylegislature.gov
Portrait of George Brown
George Brown

Representative · House District 077

Co-sponsor
George.Brown@kylegislature.gov
Portrait of Beverly Chester-Burton
Beverly Chester-Burton

Representative · House District 044

Co-sponsor
beverly.chesterburton@kylegislature.gov
Portrait of Mike Clines
Mike Clines

Representative · House District 068

Co-sponsor
mike.clines@kylegislature.gov
Portrait of Stephanie Dietz
Stephanie Dietz

Representative · House District 065

Co-sponsor
stephanie.dietz@kylegislature.gov
Portrait of Robert Duvall
Robert Duvall

Representative · House District 017

Co-sponsor
robert.duvall@kylegislature.gov
Portrait of Kevin Jackson
Kevin Jackson

Representative · House District 020

Co-sponsor
kevin.jackson@kylegislature.gov
Portrait of DJ Johnson
DJ Johnson

Representative · House District 013

Co-sponsor
DJ.Johnson@kylegislature.gov
Portrait of Kim King
Kim King

Representative · House District 055

Co-sponsor
Kim.King@kylegislature.gov
Portrait of Scott Lewis
Scott Lewis

Representative · House District 014

Co-sponsor
Scott.Lewis@kylegislature.gov
Portrait of Shawn McPherson
Shawn McPherson

Representative · House District 022

Co-sponsor
Shawn.McPherson@kylegislature.gov
Portrait of Michael Meredith
Michael Meredith

Representative · House District 019

Co-sponsor
Michael.Meredith@kylegislature.gov
Portrait of Kimberly Moser
Kimberly Moser

Representative · House District 064

Co-sponsor
Kimberly.Moser@kylegislature.gov
Portrait of Steve Riley
Steve Riley

Representative · House District 023

Co-sponsor
Steve.Riley@kylegislature.gov

Roll calls

March 18, 2026

House: 3rd reading, passed 94-0 with Floor Amendment (1)

Yea: 94
Nay: 0
LegiScan roll call
March 31, 2026

Senate: 3rd reading, passed 38-0 with Committee Substitute (1)

Yea: 38
Nay: 0
March 31, 2026

House: Passed 90-1

Yea: 90
Nay: 1