| Last Action | 03/16/26: floor amendment (1) filed |
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| Title | AN ACT relating to the establishment of a Medicaid state-directed payment program. |
| Bill Documents | Introduced |
| Bill Request Number | 2051 |
| Sponsors | A. Neighbors, K. Banta, 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 |
| 02/20/26 |
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| 02/27/26 |
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| 03/05/26 |
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| 03/06/26 |
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| 03/16/26 |
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| Amendment | House Floor Amendment 1 |
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| 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: 3/16/2026 11:08 PM (EDT)