Introduced

Passed House

Passed Senate

Became law

Adjourned sine die. The bill was pending when the session ended, so it did not pass.

Last action · February 3, 2026

To Health Services (H)

Introduced January 27, 2026

House

Adjourned Sine Die

2026 Regular Session

HB488

AN ACT relating to the Medicaid home and community based waiver program.

Create a new section of KRS Chapter 205 to define terms; direct the Cabinet for Health and Family Services to prepare and submit a waiver amendment application to the federal Centers for Medicare and Medicaid Services to amend the 1915(c) HCB waiver program to include coverage for assisted living services; establish coverage limits; require the cabinet to promulgate administrative regulations; require the cabinet or the Department for Medicaid Services to seek federal approval if it is determined that such approval is necessary; provide authorization from the General Assembly to make changes in the Medicaid program as required under KRS 205.5372(1).

Administrative Regulations and Proceedings Aged Persons and Aging Health and Medical Services Hospitals And Health Facilities Medicaid State Agencies

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This bill would direct Kentucky's Cabinet for Health and Family Services to apply to the federal government to add assisted living services as a covered option under an existing Medicaid home and community based waiver program. If approved at the federal level, it would allow eligible Medicaid recipients to receive coverage for assisted living care, subject to established limits. It also requires the cabinet to create regulations governing this new coverage. Who it may affect: older Kentuckians and people with disabilities who rely on Medicaid and may need assisted living services, as well as assisted living facilities and caregivers.

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