AN ACT relating to Medicaid coverage for adult day health care and in-home attendant care services.

Create a new section of KRS Chapter 205 to require the Department for Medicaid Services to include coverage for adult day health care and in-home attendant services in all 1915(c) waiver programs that enroll adults; require coverage of at least 40 hours per week separately for adult day health care and in-home attendant services; prohibit aggregating coverage limits for adult day health care and in-home attendant services; require the department to promulgate administrative regulations; require…

Introduced: February 4, 2026

Last action: February 11, 2026

To Health Services (H)

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This bill would require Kentucky's Medicaid program to cover adult day health care and in-home attendant care services for adults enrolled in certain Medicaid waiver programs. It sets a minimum of 40 hours per week for each type of service and prevents the state from combining those limits into one shared cap. The goal is to ensure eligible adults have access to both types of care without one reducing the other. Who it may affect: adults who rely on Medicaid waiver programs for long-term care services, as well as their families and caregivers.

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