Introduced
Passed Senate
Passed House
Became law
Adjourned sine die. The bill was pending when the session ended, so it did not pass.
Last action · February 13, 2026
To Committee On Committees (S)

Introduced February 13, 2026

Senate
Adjourned Sine Die
2026 Regular Session

AN ACT relating to Medicaid coverage for evaluation and management services.

Create a new section of KRS Chapter 205 to require the Department for Medicaid Services and Medicaid managed care organizations to cover evaluation and management services; prohibit the department or managed care organizations from limiting coverage for evaluation and management services to fewer than 2 units per provider, per recipient, per date of service; require the Cabinet for Health and Family Services 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).

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This bill would require Kentucky's Medicaid program and its managed care organizations to cover evaluation and management services, which are standard office or clinic visits where a provider assesses a patient's health. It sets a minimum coverage floor, ensuring that at least two of these visit units per provider, per patient, per day cannot be denied. This means Medicaid recipients could not be turned away for a second covered visit with the same provider on…

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Legislative History

Feb 13, 2026 · Senate
Introduced In Senate
Feb 13, 2026 · Senate
To Committee On Committees (S)

Primary Sponsor

View profile
Portrait of Donald Douglas

Donald Douglas

Senator · Senate District 22

Primary sponsor
Donald.Douglas@kylegislature.gov

Bill Text Versions

Introduced (original)

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