House
Adjourned Sine Die
2026 Regular Session

HB488

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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).

Introduced: January 27, 2026

Last action: February 3, 2026

To Health Services (H)
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This bill would direct the state Cabinet for Health and Family Services to apply for federal permission to add assisted living services as a covered benefit under Kentucky's Medicaid home and community based waiver program. It sets limits on that coverage and requires the cabinet to create the rules needed to carry it out. If approved, this could expand the types of long-term care services available to Kentuckians who qualify for Medicaid. Who it may affect: Kentuckians who rely on Medicaid for long-term care services, including elderly residents and people with disabilities who may need assisted living support.

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Bill Text Versions

Introduced (original)

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Legislative History

Jan 27, 2026 · House
Introduced In House
Jan 27, 2026 · House
To Committee On Committees (H)
Feb 3, 2026 · 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

Co-sponsors (1)

Portrait of Nancy Tate
Nancy Tate

Representative · House District 027

Co-sponsor
Nancy.Tate@kylegislature.gov

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