House Bill 689

Actions | Amendments
Last Action 03/19/26: to Committee on Committees (S)
Title AN ACT relating to the establishment of a Medicaid state-directed payment program.
Bill Documents Current
Introduced
Bill Request Number 2051
Sponsors A. Neighbors, K. Banta, G. Brown Jr., B. Chester-Burton, M. Clines, S. Dietz, R. Duvall, K. Jackson, DJ Johnson, K. King, S. Lewis, S. McPherson, M. Meredith, K. Moser, S. Riley
Summary of Original Version 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.
Index Headings of Original Version Health Care Professionals - Medicaid state-directed payment, physician and nonphysician professional services, requirement
Hospitals And Health Facilities - Medicaid state-directed payment, physician and nonphysician professional services, requirement
Medicaid - State-directed payment program, physician and nonphysician professional services, requirement
Physicians - Medicaid state-directed payment, physician and nonphysician professional services, requirement
Retroactive Legislation - Medicaid state-directed payment, physician and nonphysician professional services, requirement
Jump to Proposed Amendments House Floor Amendment 1
Votes Vote History

Actions

Top | Amendments
02/20/26
  • introduced in House
  • to Committee on Committees (H)
02/27/26
  • to Health Services (H)
03/05/26
  • reported favorably, 1st reading, to Calendar
03/06/26
  • 2nd reading, to Rules
03/16/26
  • floor amendment (1) filed
03/17/26
  • posted for passage in the Regular Orders of the Day for Wednesday, March 18 2026
03/18/26
  • 3rd reading, passed 94-0 with Floor Amendment (1)
03/19/26
  • received in Senate
  • to Committee on Committees (S)

Proposed Amendments

Top | Actions
Amendment House Floor Amendment 1
Sponsor J. Petrie
Summary Establish that the nonfederal share, or state match, required for the state-directed payment shall not be from state funds including the general fund or state restricted funds; require the Department for Medicaid Services to terminate a state-directed payment program for which an appropriate source of funding for the nonfederal share is unavailable; establish that the state shall not be liable for providing reimbursement to the federal government if the Centers for Medicare and Medicaid Services seeks to recoup funds associated with a state-directed payment program; establish that the qualifying hospitals that receive state-directed payments shall be jointly and severally liable for reimbursement.
Index Headings Hospitals And Health Facilities - Medicaid, state-directed payment programs
Medicaid - State-directed payment programs

Last updated: 3/19/2026 8:27 PM (EDT)