Introduced
Passed Senate
Passed House
Became law
Last action · March 14, 2025
Placed In The Orders Of The Day

Introduced February 13, 2025

Senate
Engrossed
2025 Regular Session

AN ACT relating to prepayment review of Medicaid claims.

Create a new section of KRS Chapter 205 to define terms and to establish standards for the utilization of prepayment claims review in the Medicaid program; 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.

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Plain-language summary
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This bill sets rules for how Kentucky's Medicaid program reviews certain claims for payment before those payments are made. It establishes definitions and standards for this review process and requires the state health agency to seek federal approval if needed before putting the process in place. Who it may affect: Kentuckians enrolled in Medicaid and healthcare providers who bill the Medicaid program.

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Legislative History

Feb 13, 2025 · Senate
Introduced In Senate
Feb 13, 2025 · Senate
To Committee On Committees (S)
Feb 18, 2025 · Senate
To Health Services (S)
Feb 26, 2025 · Senate
Reported Favorably, 1st Reading, To Calendar With Committee Substitute (1)
Feb 27, 2025 · Senate
2nd Reading, To Rules (clerical)
Feb 28, 2025 · Senate
Posted For Passage In The Regular Orders Of The Day For Tuesday, March 04, 2025 (clerical)
Mar 4, 2025 · Senate
Passed Over And Retained In The Orders Of The Day (clerical)
Mar 4, 2025 · Senate
Floor Amendment (1) Filed To Committee Substitute (clerical)
Mar 5, 2025 · Senate
3rd Reading, Passed 37-0-1 With Committee Substitute (1) And Floor Amendment (1)
Yea: 37
Nay: 0
LegiScan roll call

Primary Sponsor

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Portrait of Craig Richardson

Craig Richardson

Senator · Senate District 03

Primary sponsor
craig.richardson@kylegislature.gov

Co-sponsors (4)

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Portrait of Danny Carroll

Danny Carroll

Senator · Senate District 02

Co-sponsor
Danny.Carroll@kylegislature.gov
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Portrait of Donald Douglas

Donald Douglas

Senator · Senate District 22

Co-sponsor
Donald.Douglas@kylegislature.gov
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Portrait of Stephen Meredith

Stephen Meredith

Senator · Senate District 05

Co-sponsor
Stephen.Meredith@kylegislature.gov
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Portrait of Phillip Wheeler

Phillip Wheeler

Senator · Senate District 31

Co-sponsor
Phillip.Wheeler@kylegislature.gov

Bill Text Versions

Engrossed (passed one chamber)

Most current
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Introduced (original)

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