25RS HB 695

House Bill 695

Actions

Last Action	02/21/25: to Appropriations & Revenue (H)
Title	AN ACT relating to the Medicaid program and declaring an emergency.
Bill Documents	Introduced
Bill Request Number	280
Sponsors	A. Bowling, J. Petrie, J. Bray
Summary of Original Version	Amend KRS 205.5372 to prohibit the Department for Medicaid Services from making any change to the Medicaid program without authorization from the General Assembly to do so; amend KRS 205.460 and 205.520 to conform; amend KRS 205.5371 to authorize the Cabinet for Health and Family Services to submit a community engagement waiver for able-bodied Medicaid beneficiaries without dependents; create a new section of KRS Chapter 205 to establish the Kentucky Medicaid rebate sequestration fund as a restricted fund within the Finance and Administration Cabinet; require all money received by the Department for Medicaid Services as rebates from pharmaceutical drug manufacturers to be deposited into the Kentucky Medicaid rebate sequestration fund; amend KRS 205.240 to conform; amend KRS 205.525 to require the Cabinet for Health and Family Services to submit a copy of any waiver renewal application to the Legislative Research Commission concurrent with submission of the application to a federal agency; repeal, reenact, and amend KRS 205.6328 to establish reporting requirements for the Department for Medicaid Services and Medicaid managed care organizations; create a new sections of KRS Chapter 205 to require the Department for Medicaid Services to retain beneficiaries' data for at least seven years after the beneficiary is disenrolled from the Medicaid program; require the Department for Medicaid Services and Medicaid managed care organizations to cover up to 100 units of psychoeducational services per Medicaid beneficiary per year; create a new section of KRS Chapter 194A to require the Cabinet for Health and Family Services to notify the Legislative Research Commission of any anticipated barriers to implementing Medicaid-related legislation; direct the Department for Medicaid Services to reinstate all prior authorization requirements for behavioral health services that were in place on January 1, 2020; require the Cabinet for Health and Family Services to procure new Medicaid managed care contracts with an effective date of no later than January 1, 2027; direct Medicaid managed care organizations to collaborate on the development of a behavioral health and substance use disorder treatment services scorecard; require behavioral health and substance use disorder treatment services scorecard to be accessible by the public on each Medicaid managed care organization's website no later than December 31, 2025; EMERGENCY.
Index Headings of Original Version	Mental Health - Medicaid managed care organizations, behavioral health and substance use scorecard, requirement Mental Health - Medicaid, prior authorizations Mental Health - Psychoeducational services, Medicaid coverage, requirement Public Assistance - Medicaid, pharmaceutical rebates, sequestration of funds Public Assistance - Medicaid, program changes, General Assembly authorization requirement Public Medical Assistance - Medicaid, program changes, General Assembly authorization requirement Public Medical Assistance - Pharmaceutical rebates, sequestration of funds Public Medical Assistance - Psychoeducational services, coverage, requirement Public Medical Assistance - Record retention, requirements State Agencies - Department for Medicaid Series, pharmaceutical rebates, sequestration of funds State Agencies - Department for Medicaid Services, procurement of managed care contracts, requirement State Agencies - Department for Medicaid Services, program changes, General Assembly authorization requirement State Agencies - Department for Medicaid Services, record retention, requirements Substance Abuse - Medicaid managed care organizations, behavioral health and substance use scorecard, requirement Substance Abuse - Medicaid, prior authorizations Substance Abuse - Psychoeducational services, Medicaid coverage, requirement Medicaid - Managed care organizations, behavioral health and substance use scorecard, requirement Medicaid - Medicaid, program changes, General Assembly authorization requirement Medicaid - Pharmaceutical rebates, sequestration of funds Medicaid - Psychoeducational services, coverage, requirement Medicaid - Record retention, requirements Reports Mandated - Cabinet for Health and Family Services, reports mandated Reports Mandated - Department for Medicaid Services, reports mandated Reports Mandated - Medicaid managed care organizations, reports mandated Effective Dates, Emergency - Medicaid program, administration General Assembly - Medicaid, program changes, General Assembly authorization requirement Health and Medical Services - Medicaid, program changes, General Assembly authorization requirement

02/19/25	introduced in House to Committee on Committees (H)
02/21/25	to Appropriations & Revenue (H)