Kentucky
General Assembly

02/03/20	introduced in Senate
02/05/20	to Health & Welfare (S)
02/26/20	reported favorably, 1st reading, to Calendar with Committee Substitute (1) and committee amendment (1-title)
02/27/20	2nd reading, to Rules
02/28/20	posted for passage in the Regular Orders of the Day for Monday, March 2, 2020
03/02/20	passed over and retained in the Orders of the Day
03/03/20	3rd reading, passed 36-1 with Committee Substitute (1) and committee amendment (1-title) received in House
03/05/20	to Health and Family Services (H)
03/17/20	taken from Health and Family Services (H) 1st reading returned to Health and Family Services (H) posting waived
03/18/20	taken from Health and Family Services (H) 2nd reading returned to Health and Family Services (H)
03/19/20	reported favorably, to Rules
04/14/20	floor amendments (1),(2-title),(3),(4-title),(5),(6-title),(7),(8) and (9-title) filed to bill
04/15/20	recommitted to Licensing, Occupations, & Admin Regs (H) posting waived reported favorably, to Rules with Committee Substitute (1) and committee amendment (1-title) taken from Rules (H) floor amendment (10) filed to Committee Substitute placed in the Orders of the Day 3rd reading, passed 86-3 with Committee Substitute (1) and committee amendment (1-title) received in Senate to Rules (S)

Amendment	Senate Committee Substitute 1
Summary	Retain original provisions; delete definition of "direct-care staff"; apply provisions to home health aides; Create a new section of KRS Chapter 216 to require home health aides who provide care for clients with Alzheimer's or another form of dementia within the clients' home to receive initial and ongoing training that is approved by the Cabinet for Health and Family Services; require employers to provide cabinet-approved training and certificates of completion to home health aides who work with clients with Alzheimer's or another form of dementia; require the Cabinet for Health and Family Services to promulgate administrative regulations to implement, monitor, and enforce the requirements of this section and to establish standards for approved trainings.
Index Headings	Nurses - Home health aides, dementia-specific training, requirement for Public Health - Home health aides, dementia-specific training, requirement for Safety - Home health aides, dementia-specific training, requirement for Administrative Regulations and Proceedings - Cabinet for Health and Family Services, dementia training for home health aides Aged Persons and Aging - Home health aides, dementia-specific training, requirement for Workforce - Home health aides, dementia-specific training, requirement for Dementia - Home health aides, dementia-specific training, requirement for

Amendment	Senate Committee Amendment 1
Sponsor	R. Alvarado
Summary	Make title amendment.
Index Headings	Title Amendments - SB 136

Amendment	House Committee Substitute 1
Summary	Retain original provisions, create a new section of KRS Chapter 141 to provide definitions of terms related to disaster or emergency-related work; amend KRS 141.020 to exempt disaster response employees and disaster response businesses from income tax beginning on or after January 1, 2020, and before January 1, 2024; amend KRS 141.040 to exempt disaster response businesses beginning on or after January 1, 2020, and before January 1, 2024; amend KRS 68.180, 68.197, 91.200, and 92.300 to exclude the income of a disaster response employee and a disaster response business from local tax; amend KRS 227.480 to exclude a disaster response business from certain permit requirements; amend KRS 227A.030 to exclude disaster response employees and disaster response businesses licensed in another state from certain licensing requirements; create a new section of KRS 67.750 to 67.790 to prevent these provisions from being construed as establishing a nexus or minimum contact for taxing purposes, except as related to disaster response business and employees for work performed during disaster response periods; add noncodified language stipulating that the COVID-19 virus is causing unprecedented economic harm and that it will be necessary for businesses to reopen as rapidly as possible once the state of emergency is ended and requiring administrative bodies, the Kentucky Restaurant Association, and the Kentucky Hospital Association to issue guidance on reopening business consistent with guidance on avoiding the spread of COVID-19; have guidance approved by the Governor; provide for suspension of licenses or suspension of operations for those who open in violation of the guidance; sunset provisions with the end of the state of emergency; allow chiropractors to provide care if they follow recommendations and guidance of the Centers for Disease Control; add new sections of noncodified language to stipulate that contracts issued under the Kentucky Model Procurement Code shall not expire during the state of emergency declared by Executive Order 2020-215, but shall be automatically extended; prohibit the issuance of requests for proposals during the state of emergency; exempt contracts issued in conformance with Executive Order 2020-215; extend any administrative actions, deadlines, statutory timelines, and statutes of limitation for court filings and proceedings until 30 days after the state of emergency is ended; provide additional community based physical, mental health, and social support services to children and families during the state of emergency by directing the Cabinet for Health and Family Services to establish certified Community Health Workers to link Medicaid eligible children and families to appropriate health care providers and social supports, direct the Department of Education to cooperate with the Cabinet for Health and Family Services, declare an EMERGENCY.
Index Headings	Associations - Restaurant association, guidance developed by Associations - Hospital association, guidance developed by Boards and Commissions - Licensing boards and commissions, guidance developed by Children and Minors - During COVID-19 emergency, Medicaid assistance for Courts - Deadlines, extension beyond state of emergency Disasters - COVID-19 emergency, provisions for Disasters - Disaster response business, definition of Disasters - Disaster response workers, taxation of Diseases - COVID-19 emergency, provisions for Education, Elementary and Secondary - Department of Education, assistance to Medicaid Effective Dates, Emergency - COVID-19 emergency, provisions for Emergency Medical Services - During a disaster, taxation of Governor - Business COVID-19 guidance, review of Health and Medical Services - During COVID-19 emergency, provisions for Hospitals and Nursing Homes - Hospitals and surgical centers, guidance for Licensing - Licensed occupations, COVID-19 guidance for Medicaid - COVID-19 emergency, telehealth services during Occupations and Professions - Regulated occupations, COVID-19 guidance for Small Business - Restaurants, COVID-19 guidance for State Agencies - During COVID-19 emergency, contracting by Taxation, Income--Individual - Disaster response employees, exemption from taxation

Amendment	House Committee Amendment 1
Sponsor	C. McCoy
Summary	Make title amendment.
Index Headings	Title Amendments - SB 136

Amendment	House Floor Amendment 1
Sponsor	K. Bratcher
Summary	Provide when health care providers shall be considered in compliance with Executive Orders and directives related to health care services that are provided by chiropractors.
Index Headings	Health and Medical Services - COVID-19 state of emergency, performance of chiropractic health care services Physicians and Practitioners - COVID-19 state of emergency, performance of chiropractic health care services Public Health - COVID-19 state of emergency, performance of chiropractic health care services

Amendment	House Floor Amendment 2
Sponsor	K. Bratcher
Summary	Make title amendment.
Index Headings	Title Amendments - SB 136/GA

Amendment	House Floor Amendment 3
Sponsor	C. Freeland
Summary	Provide when health care providers shall be considered in compliance with Executive Orders and directives related to health care services that are provided by dentists.
Index Headings	Health and Medical Services - COVID-19 state of emergency, performance of dental services Physicians and Practitioners - COVID-19 state of emergency, performance of dental services Public Health - COVID-19 state of emergency, performance of dental services

Amendment	House Floor Amendment 4
Sponsor	C. Freeland
Summary	Make title amendment.
Index Headings	Title Amendments - SB 136/GA

Amendment	House Floor Amendment 5
Sponsor	J. Nemes
Summary	Retain original provisions; add new sections of noncodified language to stipulate that contracts issued under the Kentucky Model Procurement Code shall not expire during the state of emergency declared by Executive Order 2020-215, but shall be automatically extended; prohibit the issuance of requests for proposals during the state of emergency; extend bidding deadlines for requests for proposals issued before the state of emergency with a bidding deadline set during the state of emergency; exempt contracts issued in conformance with Executive Order 2020-215; declare an EMERGENCY.
Index Headings	Contracts - State contracts, during state of emergency extension of Diseases - COVID-19, contracting during state of emergency for Effective Dates, Emergency - COVID-19, contracting during state of emergency for Purchasing - During COVID-19 emergency, practices for State Agencies - During state of emergency, contracting by

Amendment	House Floor Amendment 6
Sponsor	J. Nemes
Summary	Make title amendment.
Index Headings	Title Amendments - SB 136/GA

Amendment	House Floor Amendment 7
Sponsor	J. Miller
Summary	Retain original provisions; add noncodified language stipulating that the COVID-19 virus is causing unprecedented economic harm and that it will be necessary for businesses to reopen as rapidly as possible once the state of emergency is ended and requiring administrative bodies, the Kentucky Restaurant Association, and the Kentucky Hospital Association to issue guidance on reopening business consistent with guidance on avoiding the spread of COVID-19; have guidance approved by the Governor; provide for suspension of licenses or suspension of operations for those who open in violation of the guidance; sunset provisions with the end of the state of emergency. EMERGENCY.
Index Headings	Associations - Kentucky Restaurant Association, reopening guidelines developed by Associations - Kentucky Hospital Association, reopening guidelines developed by Boards and Commissions - Reopening guidelines, development of Disasters - COVID-19 emergency, reopening businesses after Diseases - COVID-19 emergency, reopening businesses after Governor - Guidelines for reopening businesses after emergency, approval of Hospitals and Nursing Homes - Kentucky Hospital Association, reopening guidelines developed by Licensing - Licensed occupations, guidelines for reopening of Occupations and Professions - Guidelines for reopening, development of Small Business - Guidelines for reopening, development of Effective Dates, Emergency - COVID-19 emergency, reopening businesses after

Amendment	House Floor Amendment 8
Sponsor	J. Miller
Summary	Retain original provisions; add noncodified language stipulating that the COVID-19 virus is causing unprecedented economic harm and that it will be necessary for businesses to reopen as rapidly as possible once the state of emergency is ended and requiring administrative bodies, the Kentucky Restaurant Association, and the Kentucky Hospital Association to develop within 15 days after the effective date of this Act guidance on reopening businesses in a manner consistent with guidance on avoiding the spread of the COVID-19 virus, guidelines to be approved by the Governor; authorize a licensed chiropractor to provide care to patients if safe practices are followed; stipulate that state contracts with an expiration date set during the state of emergency shall not expire but shall be automatically extended to a date 90 days after the state of emergency ends; prohibit requests for proposals to be issued during the state of emergency; stipulate that requests for proposals issued prior to the state of emergency with a bidding deadline set during the state of emergency shall not close bidding until 30 days after the state of emergency; extend administrative actions, deadlines, statutory deadlines, and statutes of limitation for court filings and proceedings until 30 days after the emergency order is ended; declare an EMERGENCY.
Index Headings	Boards and Commissions - Reopening licensed businesses, development of plans for Contracts - State contracts, modifications during state of emergency Courts - Statutes of limitation for filings, extension of Disasters - Declaration of emergency, COVID-19 virus Diseases - COVID-19 virus, actions in response to Effective Dates, Emergency - COVID-19 virus, actions in response to Governor - Plans for reopening businesses, approval of Health and Medical Services - Chiropractors, during state of emergency care provided by Hospitals and Nursing Homes - Plans for reopening business, approval of Licensing - Reopening of licensed businesses, approval of plans for Small Business - Plans for reopening business, approval of State Agencies - State contracts, modifications during state of emergency

Amendment	House Floor Amendment 9
Sponsor	J. Miller
Summary	Make title amendment.
Index Headings	Title Amendments - SB 136/GA

Amendment	House Floor Amendment 10
Sponsor	D. Osborne
Summary	Retain original provisions; require the Department of Medicaid to provide telehealth and telemedicine services for behavioral health benefits during a state of emergency.
Index Headings	Disasters - Telehealth and telemedecine service, provision for Health and Medical Services - Behavioral health benefits, provision during state of emergency Medicaid - State of emergency, provision of services during