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2025 Regular Session

HB461

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AN ACT relating to Medicaid copayments for nonemergent emergency room visits.

Amend KRS 205.6312 to require the Cabinet for Health and Family Services to impose a cost sharing requirement on Medicaid beneficiaries for nonemergent services provided in a hospital emergency department; require the Cabinet for Health and Family Services or the Department for Medicaid Services to seek federal approval if they determine that such approval is necessary and comply with KRS 205.525.

Introduced: February 12, 2025

Last action: February 14, 2025

To Health Services (H)
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This bill would require Kentucky's Medicaid program to charge beneficiaries a copayment when they visit a hospital emergency room for a condition that is not a true emergency. The state agency overseeing Medicaid would need to seek federal approval if required before putting this into effect. Who it may affect: Kentuckians who are enrolled in Medicaid and use hospital emergency rooms for non-emergency care.

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Legislative History

Feb 12, 2025 · House
Introduced In House
Feb 12, 2025 · House
To Committee On Committees (H)
Feb 14, 2025 · House
To Health Services (H)

Primary Sponsor

Portrait of Deanna Frazier Gordon
Deanna Frazier Gordon

Representative · House District 081

Primary sponsor
Deanna.Gordon@kylegislature.gov
BallotpediaOfficial profile

Bill Text Versions

Introduced (original)

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