Introduced January 21, 2026
AN ACT relating to Medicaid, making an appropriation therefor, and declaring an emergency.
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to continue to condition eligibility on demonstrated community engagement if federal requirements are abolished, repealed, or otherwise diminished; amend KRS 205.6312 to require the cabinet and any contracted Medicaid managed care organization to impose cost-sharing requirements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…
In effect since April 14, 2026
This act carries an emergency clause, so it took effect as soon as it became law instead of waiting the usual 90 days after the session adjourned (Ky. Constitution § 55).
Plain-language summary
This bill makes wide-ranging changes to how Kentucky runs its Medicaid program. It adds requirements for enrollees to show community engagement and verify their eligibility more frequently, introduces cost-sharing requirements, tightens income and residency verification, and sets new rules for the private companies that manage Medicaid benefits. It also creates new oversight tools, including audits, a public transparency dashboard, and changes to how dental and non-emergency medical transportation services are delivered. Who it may affect: Kentuckians enrolled in or applying for Medicaid, healthcare providers who bill Medicaid, hospitals, managed care organizations, and state agencies involved in administering the program.
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Legislative History
Primary Sponsor
Ken Fleming
Representative · House District 048
Co-sponsors (4)
Vanessa Grossl
Representative · House District 088
Tony Hampton
Representative · House District 062
John Hodgson
Representative · House District 036
David Osborne
Representative · House District 059
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