Introduced February 20, 2026
SB218
Log in to followAN ACT relating to the establishment of a Medicaid state-directed payment program.
Amend KRS 205.6412 to require the Department for Medicaid Services to seek authorization from the United States Centers for Medicare and Medicaid Services to implement a state-directed payment for physician and nonphysician professional services provided to a Medicaid beneficiary by a qualifying hospital's affiliated physician groups or physicians and other professionals employed or contracted by the qualified hospital; require the Department of Medicaid Services to direct Medicaid managed care organizations to issue payments back to January 1, 2026, upon federal approval; RETROACTIVE.
Plain-language summary
This bill would have required Kentucky's Medicaid agency to seek federal approval to create a payment program directing Medicaid managed care organizations to pay hospitals' affiliated doctors and other health professionals at specified rates. If approved by the federal government, payments would have applied retroactively back to January 1, 2026. The bill did not pass. Who it may affect: Kentuckians enrolled in Medicaid, hospitals, and the physicians and other health professionals employed or contracted by those hospitals.
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Legislative History
Primary Sponsor
David Givens
Senator · Senate District 09
Bill Text Versions
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