| Last Action | 03/05/25: to Committee on Committees (S) |
|---|---|
| Title | AN ACT relating to the Medicaid program and declaring an emergency. |
| Bill Documents |
Current
Introduced |
| Fiscal Impact Statement | Additional Fiscal Impact Statements Exist |
| 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 |
| Jump to Proposed Amendments | House Committee Substitute 1 with Fiscal Impact Statements |
| Votes | Vote History |
| 02/19/25 |
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|---|---|
| 02/21/25 |
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| 02/25/25 |
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| 02/26/25 |
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| 03/04/25 |
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| 03/05/25 |
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| Amendment | House Committee Substitute 1 |
|---|---|
| Fiscal Impact Statement | Fiscal Note to House Committee Substitute 1 |
| Summary | Retain original provisions, except delete requirement for the Cabinet for Health and Family Services to obtain authorization from the General Assembly prior to making changes to Medicaid reimbursement rates and provisions designating funds deposited into the Kentucky Medicaid pharmaceutical rebate fund as unappropriated; and establish that the requirement for the Cabinet for Health and Family Services to obtain authorization from the General Assembly prior to making changes to the Medicaid program shall not apply to directed or supplemental Medicaid payment programs approved by the Centers for Medicare and Medicaid Services prior to the effective date of this Act or to the Medicaid preferred drug list established by the Department for Medicaid Services; direct the Cabinet for Health and Family Services to submit a waiver application to establish a community engagement program for certain Medicaid beneficiaries within 90 days after the effective date of this Act; require the Cabinet for Health and Family Services to provide a copy of the community engagement waiver application to the Legislative Research Commission and to update the Legislative Research Commission on the status of the application at least quarterly; establish that moneys in the Kentucky Medicaid pharmaceutical rebate fund at the close of state fiscal years 2024-2025 and 2025-2026 shall not lapse and shall carry forward; include KRS 142.361 in the list of providers taxes and assessments to be reported to the Legislative Research Commissions; increase the number of units of psychoeducational services that the Department for Medicaid Services and managed care organizations are required to cover and provide reimbursement for from 100 to 400; increase the number of units of psychoeducational services allowed per day from one to four; establish that the Cabinet for Health and Family Services is authorized to make any change to eligibility, coverage, or benefits in the Medicaid program provided for in 2024 Ky. Acts ch. 173, sec. 1(186) and 2024 Ky. Acts ch. 175, Part I, G., 3., b.; make technical corrections; EMERGENCY. |
| Index Headings |
Reports Mandated - Medicaid managed care organizations, reports mandated Fiscal Note - Medicaid, program changes, General Assembly authorization requirement, pharmaceutical rebates 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 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 Services, 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 |
Last updated: 3/7/2025 4:31 PM (EST)