Introduced
Passed House
Passed Senate
Became law
Last action · April 14, 2026
Delivered To Secretary Of State (Acts Ch. 179)

Introduced January 21, 2026

House
Veto Override
2026 Regular Session

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to continue to condition eligibility on demonstrated community engagement if federal requirements are abolished, repealed, or otherwise diminished; amend KRS 205.6312 to require the cabinet and any contracted Medicaid managed care organization to impose cost-sharing requirements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).

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Plain-language summary
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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

Apr 14, 2026 · Senate
Senate Roll Call No. 4161
Passed
Yea: 32
Nay: 6
Apr 14, 2026 · House
House Roll Call No. 455
Passed
Yea: 80
Nay: 18
Absent: 2
Apr 14, 2026 · Senate
Delivered To Secretary Of State (Acts Ch. 179)
Apr 14, 2026 · Senate
Enrolled, Signed By President Of The Senate
Apr 14, 2026 · Senate
Enrolled, Signed By Speaker Of The House
Apr 14, 2026 · Senate
Received In House (clerical)
Apr 14, 2026 · House
Passed 32-6 (clerical)
Apr 14, 2026 · House
Vetoes Overridden (clerical)
Apr 1, 2026 · House
Passed 83-11
Yea: 83
Nay: 11
Absent: 6
Apr 1, 2026 · Senate
Passed 32-5 With Committee Substitute (1) And Committee Amendment (1-Title)
Yea: 32
Nay: 5
Absent: 1
Yea: 32
Nay: 5
Absent: 1
Feb 27, 2026 · House
House Roll Call No. 169
Failed
Yea: 25
Nay: 25
Absent: 50
Feb 27, 2026 · House
House Roll Call No. 168
Failed
Yea: 18
Nay: 32
Absent: 50
Feb 27, 2026 · House
House Roll Call No. 167
Failed
Yea: 18
Nay: 38
Absent: 44
Feb 27, 2026 · House
House Roll Call No. 166
Failed
Yea: 17
Nay: 35
Absent: 48
Feb 27, 2026 · House
House Roll Call No. 165
Failed
Yea: 20
Nay: 40
Absent: 40
Feb 27, 2026 · House
House Roll Call No. 164
Failed
Yea: 20
Nay: 39
Absent: 41
Feb 27, 2026 · House
Passed 77-21 With Committee Substitute (1) And Floor Amendment (18)
Yea: 77
Nay: 21
Absent: 2

Primary Sponsor

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Portrait of Ken Fleming

Ken Fleming

Representative · House District 048

Primary sponsor
Ken.Fleming@kylegislature.gov

Co-sponsors (4)

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Portrait of Vanessa Grossl

Vanessa Grossl

Representative · House District 088

Co-sponsor
vanessa.grossl@kylegislature.gov
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Portrait of Tony Hampton

Tony Hampton

Representative · House District 062

Co-sponsor
tony.hampton@kylegislature.gov
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Portrait of John Hodgson

John Hodgson

Representative · House District 036

Co-sponsor
john.hodgson@kylegislature.gov
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Portrait of David Osborne

David Osborne

Representative · House District 059

Co-sponsor
David.Osborne@kylegislature.gov

Bill Text Versions

Enacted: Acts chapter (final law)

Most current
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Enrolled (passed both chambers)

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Engrossed (passed one chamber)

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Introduced (original)

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