House
Engrossed
2026 Regular Session

HB583

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AN ACT relating to the school-based Medicaid program.

Create a new section of KRS Chapter 160 to require school districts that elect to provide health care services through a school nurse to bill the school-based Medicaid program for medically necessary services provided to a student enrolled in Medicaid; establish requirements for third-party Medicaid billing vendors contracted by school districts; permit school nurses to receive preventative dental services training from the Department for Public Health; permit the school district to bill the school-based Medicaid program for preventative dental services that are within a school nurse's scope of practice.

Introduced: February 6, 2026

Last action: March 25, 2026

To Committee On Committees (S)
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This bill would require school districts that employ school nurses to bill Medicaid when they provide medically necessary services to students who are already enrolled in Medicaid. It also sets rules for outside billing companies that school districts hire to handle that process, and allows school nurses to receive training in preventive dental care so districts can bill Medicaid for those services as well. The goal is to help school districts recover available Medicaid funding for health services they are already delivering to eligible students. Who it may affect: public school students enrolled in Medicaid, school districts, and school nurses.

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Bill Text Versions

Engrossed (passed one chamber)

Most current
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Introduced (original)

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Legislative History

Feb 6, 2026 · House
Introduced In House
Feb 6, 2026 · House
To Committee On Committees (H)
Feb 13, 2026 · House
To Health Services (H)
Mar 12, 2026 · House
Reported Favorably, 1st Reading, To Calendar
Mar 13, 2026 · House
2nd Reading, To Rules (clerical)
Mar 19, 2026 · House
Floor Amendment (1) Filed (clerical)
Mar 20, 2026 · House
Posted For Passage In The Regular Orders Of The Day For Tuesday, March 24 2026 (clerical)
Mar 24, 2026 · House
3rd Reading, Passed 86-0 With Floor Amendment (1) (clerical)

Primary Sponsor

Portrait of Steve Riley
Steve Riley

Representative · House District 023

Primary sponsor
Steve.Riley@kylegislature.gov
BallotpediaOfficial profile

Co-sponsors (10)

Portrait of Robert Duvall
Robert Duvall

Representative · House District 017

Co-sponsor
robert.duvall@kylegislature.gov
Portrait of Patrick Flannery
Patrick Flannery

Representative · House District 096

Co-sponsor
Patrick.Flannery@kylegislature.gov
Portrait of Vanessa Grossl
Vanessa Grossl

Representative · House District 088

Co-sponsor
vanessa.grossl@kylegislature.gov
Portrait of Kevin Jackson
Kevin Jackson

Representative · House District 020

Co-sponsor
kevin.jackson@kylegislature.gov
Portrait of Scott Lewis
Scott Lewis

Representative · House District 014

Co-sponsor
Scott.Lewis@kylegislature.gov
Portrait of Shawn McPherson
Shawn McPherson

Representative · House District 022

Co-sponsor
Shawn.McPherson@kylegislature.gov
Portrait of J.T. Payne
J.T. Payne

Representative · House District 011

Co-sponsor
jt.payne@kylegislature.gov
Portrait of Nancy Tate
Nancy Tate

Representative · House District 027

Co-sponsor
Nancy.Tate@kylegislature.gov
Portrait of Walker Thomas
Walker Thomas

Representative · House District 008

Co-sponsor
Walker.Thomas@kylegislature.gov
Portrait of Lisa Willner
Lisa Willner

Representative · House District 035

Co-sponsor
Lisa.Willner@kylegislature.gov

Roll calls

March 24, 2026

House: 3rd reading, passed 86-0 with Floor Amendment (1)

Yea: 86
Nay: 0
Absent: 14
LegiScan roll call

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