Kentucky
General Assembly

02/26/24	introduced in Senate to Committee on Committees (S)
02/28/24	to Health Services (S)
03/11/24	taken from Health Services (S) 1st reading returned to Health Services (S)
03/12/24	taken from Health Services (S) 2nd reading returned to Health Services (S)
03/14/24	reported favorably, to Rules with Committee Substitute (1) and Committee Amendment (1-title) floor amendment (1) filed to Committee Substitute posted for passage in the Regular Orders of the Day for Friday, March 15, 2024
03/15/24	3rd reading, passed 36-1 with Committee Substitute (1), Floor Amendment (1) and Committee Amendment (1-title) received in House to Committee on Committees (H)
03/21/24	taken from Committee on Committees (H) 1st reading returned to Committee on Committees (H) to Health Services (H)
03/22/24	taken from Health Services (H) 2nd reading returned to Health Services (H)
03/25/24	reported favorably, to Rules with Committee Substitute (1)
03/26/24	taken from Rules placed in the Orders of the Day 3rd reading, passed 95-0 with Committee Substitute (1) received in Senate to Rules (S)
03/27/24	posted for passage for concurrence in House Committee Substitute (1) Senate concurred in House Committee Substitute (1) passed 35-0 with Committee Substitute (1) enrolled, signed by President of the Senate
03/28/24	enrolled, signed by Speaker of the House delivered to Governor
04/05/24	signed by Governor

Amendment	Senate Committee Substitute 1
Summary	Delete original provisions; amend KRS 205.6405 to revise the definition of "qualifying hospital"; create a new section of KRS 205.6405 to 205.6408 to direct the Cabinet for Health and Family Services to develop a Medicaid directed payment program to improve Medicaid reimbursement rates for qualifying hospitals located in counties in which more than 35 percent of the population is enrolled in Medicaid; amend KRS 216B.065 to require the University of Kentucky, the University of Louisville, and any medical system or college or school of medicine affiliate thereof to receive approval from the General Assembly before acquiring, constructing, or opening a health facility; provide that certain provisions sunset May 31, 2026 unless extended by the General Assembly.
Index Headings	Education, Higher - University teaching hospital, health facility acquisition, General Assembly approval, requirement Health and Medical Services - Medicaid directed payment program, hospitals, creation, directed Hospitals and Nursing Homes - Medicaid directed payment program, creation, directed Public Medical Assistance - Medicaid directed payment program, creation, directed Medicaid - Directed payment program, creation, directed Sunset Legislation - General Assembly approval, health facility acquisition and construction, May 31, 2026

Amendment	Senate Committee Amendment 1
Sponsor	S. Meredith
Summary	Make title amendment.
Index Headings	Title Amendments - SB 280

Amendment	Senate Floor Amendment 1
Sponsor	P. Wheeler
Summary	Delete original provisions; amend KRS 205.6405 to revise the definition of "qualifying hospital"; create a new sections of KRS Chapter 205 to define terms; direct the Cabinet for Health and Family Services to develop a Medicaid directed payment program to improve Medicaid reimbursement rates for qualifying hospitals located in counties with a Medicaid population greater than state-wide median Medicaid enrollment percentage; amend KRS 216B.065 to require the University of Kentucky, the University of Louisville, and any medical system or college or school of medicine affiliate thereof to receive approval from the General Assembly before acquiring or, constructing an acute care hospital.
Index Headings	Education, Higher - University teaching hospital, acute hospital acquisition, General Assembly approval, requirement Health and Medical Services - Medicaid directed payment program, hospitals, creation directed Hospitals and Nursing Homes - Medicaid directed payment program, creation directed Public Medical Assistance - Medicaid directed payment program, hospitals, creation directed State Agencies - Cabinet for Health and Family Services, directed payment program, hospitals, creation directed Medicaid - Directed payment program, hospitals, creation directed Administrative Regulations and Proceedings - Cabinet for Health and Family Services, directed payment program for hospitals

Amendment	House Committee Substitute 1
Summary	Retain original provisions; establish eligibility of pediatric teaching hospitals for enhanced add-on Medicaid payments.
Index Headings	Health and Medical Services - Medicaid directed payment program, hospitals, creation, directed Hospitals and Nursing Homes - Medicaid directed payment program, creation, directed Public Medical Assistance - Medicaid directed payment program, creation, directed Medicaid - Directed payment program, creation, directed