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-CHAPTER 80
-Legislative Research Commission PDF Version
+SENATE
 
-1
-CHAPTER 80
-( HB 470 )
-AN ACT relating to behavioral health services and declaring an emergency.
-Be it enacted by the General Assembly of the Commonwealth of Kentucky:
-Section 1.   KRS 222.233 is amended to read as follows:
-The Cabinet for Health and Family Services shall promulgate administrative regulations in accordance with KRS
-Chapter 13A to:
-(1) Require that:
-(a) Until January 1, 2027, licensed alcohol and other drug treatment entities, behavioral health service
-organizations, behavioral health multi -specialty groups, and any entities that bill for peer supp ort
-services that employ an alcohol and drug peer support specialist, only employ an alcohol and drug
-peer support specialist who is either registered under KRS 309.0831 or meets the requirements of
-applicable administrative regulations in effect on or aft er July 15, 2024; and [Until January 1, 2026,
-require that licensed alcohol and other drug treatment entities and behavioral health service
-organizations only employ a temporary alcohol and drug peer support specialist or alcohol and drug
-peer support speci alist who is registered under KRS Chapter 309 or a temporary alcohol and drug peer
-support specialist or alcohol and drug peer support specialist who meets the requirements of applicable
-administrative regulations in effect on July 15, 2024, or any applica ble administrative regulations
-promulgated thereafter.]
-(b) Beginning January 1, 2027[2026], [require that ] licensed alcohol and other drug treatment entities ,[
-and] behavioral health service organizations , behavioral health multi -specialty groups, and any
-entities that bill for peer support services that [ only]  employ an[a temporary alcohol and drug peer
-support specialist or]  alcohol and drug peer support specialist only employ an alcohol and drug peer
-support specialist who is registered under KRS 309.0831[Chapter 309];
-(2) [Permit a registered temporary alcohol and drug peer support specialist to provide the same services and be
-reimbursed at the same rates as a registered alcohol and drug peer support specialist;
-(3) Remove any limits on the maximum nu mber of hours of direct client care that may be provided by a registered
-alcohol and drug peer support specialist;
-(4) ]Require that a [temporary certified alcohol and drug counselor under the clinical supervision of a certified
-alcohol and drug counselor , a ] licensed alcohol and drug counselor [,] or a licensed clinical alcohol or drug
-counselor be a reimbursable service provider in alcohol and other drug treatment entities and behavioral health
-service organizations;[
-(5) Permit a licensed alcohol and dr ug counselor to provide the same services and be reimbursed at the same rates
-as a licensed clinical alcohol and drug counselor in licensed alcohol and other drug treatment entities and
-behavioral health service organizations;]
-(3)[(6)] Permit the qualific ations for a case manager for an individual with mental or substance use disorder to
-be a bachelor's degree or higher in any field of study and set forth training and supervision requirements to
-substitute for required work experience;
-(4)[(7)] Require tha t a community support associate approved by the Department for Behavioral Health,
-Developmental and Intellectual Disabilities to be a reimbursable service provider in licensed alcohol and other
-drug treatment entities and behavioral health service organizations; and
-(5)[(8)] Permit peer support specialists to provide services to groups of the same size as other licensed clinical
-professionals in a licensed alcohol and other drug treatment entities and behavioral health service
-organizations; and
-(6) Prohibit alcohol and drug peer support specialists employed by behavioral health service organizations,
-behavioral health multi -specialty groups, or entities that bill for peer support services from providing
-psychoeducational services in individual or group settings.
-Section 2.   KRS 309.0805 is amended to read as follows:
-ACTS OF THE GENERAL ASSEMBLY 2
-(1) No person shall use the title "certified clinical supervisor," "licensed alcohol and drug counselor," "licensed
-clinical alcohol and drug counselor," "licensed clinical alcohol and drug counselor associate," "certified
-alcohol and drug counselor," "associate alcohol and drug counselor II," "associate alcohol and drug counselor
-I,"[ "temporary alcohol and drug peer support specialist,"]  or "registered alcohol and drug peer support
-specialist," or hold himself or herself out as a "licensed clinical alcohol and drug counselor," "licensed clinical
-alcohol and drug counselor associate," "certified alcohol and drug counselor," [ "temporary alcohol and drug
-peer support specialist,"]  or "registered alcohol and drug peer support specialist" unless he or she is licensed,
-certified, or registered pursuant to KRS 309.080 to 309.089.
-(2) Nothing in KRS 309.080 to 309.089 shall apply to persons licensed, certified, or registered under any other
-provision of the Kentucky Revised Statutes, including but not limited to physicians, social workers,
-psychologists, marriage and family therapists, art therapists, nurses, or students in accredited training programs
-in those professions, and nothing in KRS 309 .080 to 309.089 shall be construed to limit, interfere with, or
-restrict the practice, descriptions of services, or manner in which they hold themselves out to the public.
-(3) Nothing in KRS 309.080 to 309.089 shall be construed to alter, amend, or interfere with the practice of those
-who render counseling services, including but not limited to employment counseling, job placement
-counseling, vocational rehabilitation counseling, pastoral counseling based on any tenet of one's religious
-beliefs, or school counseling.
-(4) Nothing in KRS 309.080 to 309.089 shall apply to the activities and services of a student intern or trainee who
-is pursuing a program of studies in alcohol and drug counseling at an accredited institution of higher
-education, if these  activities are performed under the supervision or direction of an approved supervisor and
-the activities are part of the supervised program of studies.
-Section 3.   KRS 309.0813 is amended to read as follows:
-The board shall:
-(1) Promulgate administrativ e regulations pursuant to KRS Chapter 13A for the administration and enforcement
-of KRS 309.080 to 309.089;
-(2) Promulgate administrative regulations pursuant to KRS Chapter 13A establishing a code of ethics, standards of
-practice, and continuing education  for certified clinical supervisors, licensed alcohol and drug counselors,
-licensed clinical alcohol and drug counselors, licensed clinical alcohol and drug counselor associates, certified
-alcohol and drug counselors, associate alcohol and drug counselors II, associate alcohol and drug counselors
-I,[ temporary alcohol and drug peer support specialists,]  and registered alcohol and drug peer support
-specialists;
-(3) Approve and disapprove, at least once every other month, those persons who shall be licensed, certified, or
-registered under KRS 309.080 to 309.089;
-(4) Approve the examination required of applicants for licensure or certification as certified clinical supervisors,
-or as alcohol and drug counselors and applicants for registration as alcohol and dru g peer support specialists,
-and promulgate administrative regulations pursuant to KRS Chapter 13A for the administration and grading of
-the examination;
-(5) Promulgate administrative regulations pursuant to KRS Chapter 13A to define the process to register  with the
-board as a certified clinical supervisor, licensed alcohol and drug counselor, registered alcohol and drug peer
-support specialist, certified alcohol and drug counselor, licensed clinical alcohol and drug counselor associate,
-or licensed clinical alcohol and drug counselor;
-(6) Promulgate administrative regulations pursuant to KRS Chapter 13A establishing grounds and procedures for
-denying, suspending, failing to reissue, or revoking a license, certificate, or registration, and issuing
-reprimands and admonishments pursuant to KRS 309.080 to 309.089;
-(7) Hold a hearing pursuant to KRS Chapter 13B upon the request of an aggrieved licensee, licensee associate,
-certificate holder, or registrant, or an applicant for a license, certificate, or registrati on;
-(8) Employ needed personnel and establish their duties and compensation;
-(9) Maintain a register of certified clinical supervisors, licensed alcohol and drug counselors, licensed clinical
-alcohol and drug counselors, licensed clinical alcohol and drug counselor associates, certified alcohol and drug
-counselors, and registered alcohol and drug peer support specialists;
-(10) Keep a complete record of the board's proceedings;
-CHAPTER 80
-Legislative Research Commission PDF Version
+KENTUCKY GENERAL ASSEMBLY AMENDMENT FORM
 
-3
-(11) Investigate suspected or alleged violations of KRS 309.080 to 309.089 and th e administrative regulations
-promulgated pursuant to KRS 309.080 to 309.089;
-(12) Promulgate administrative regulations pursuant to KRS Chapter 13A establishing an initial licensure fee,
-certification fee, registration fee, and annual renewal fees not to exceed three hundred dollars ($300) each;
-(13) Take legal action as necessary to restrain or enjoin violations of KRS 309.080 to 309.089 and the
-administrative regulations promulgated pursuant to KRS 309.080 to 309.089;
-(14) Submit an annual report to the G overnor and the Legislative Research Commission by January 1 of each year,
-which lists all hearings conducted by the board and the decisions rendered; and
-(15) Collect and deposit all fees, fines, and other moneys owed to the board into the State Treasury to the credit of
-the revolving fund established in KRS 309.082.
-SECTION 4.   A NEW SECTION OF KRS CHAPTER 205 IS CREATED TO READ AS FOLLOWS:
-Notwithstanding any provision of law to the contrary, the Kentucky Medicaid program, including the Department
-for Medicaid Services and any managed care organization with which the department contracts for the delivery of
-Medicaid services, shall not provide coverage for individual or group psychoeducational services.
-Section 5.   The following KRS section is repealed:
-309.0836   Requirements for registration as a temporary alcohol and drug peer support specialist.
-Section 6.   (1) The Peer Support Professionals Work Group is hereby established as an independent
-entity to develop statewide requirements for licens ed peer support professionals and study the efficacy of establishing
-a board of peer support professionals.
-(2) The work group shall select a chair from among the members, meet as necessary, and submit to the
-Legislative Research Commission for referral t o the Interim Joint Committee on Health Services by November 1,
-2026, agreed -upon recommendations on establishing a board of peer support professionals to develop statewide
-requirements for licensed peer support professionals.
-(3) The members of the work group shall not be paid or reimbursed for travel or other expenses. The work
-group shall cease to exist after the recommendations are submitted in accordance with subsection (2) of this section,
-unless the Interim Joint Committee on Health Services directs the work group's continuance.
-(4) The work group shall consist of members appointed:
-(a)  By the Department for Behavioral Health, Developmental and Intellectual Disabilities, Cabinet for
-Health and Family Services, to include:
-1. One peer support professional with experience in mental health recovery;
-2. One peer support professional with experience in youth peer support recovery;
-3. One peer support professional with experience in family or community peer support;
-4. One peer support professional with experience in behavioral health peer support;
-5. Two multidisciplinary educators or trainers from an approved peer support training program;
-6. One recovery housing professional; and
-7. One recovery community center professional;
-(b) By the Department for Behavioral Health, Developmental and Intellectual Disabilities, Cabinet for
-Health and Family Services, from a list of names submitted by the Kentucky Board of Alcohol and Drug Counselors,
-to include:
-1. One registered peer support professional who specialized in substance use disorder recovery;
-2. One employer of peer support professionals with experience in residential or clinical treatment;
-3. One employer of peer support professionals with experience in recovery community centers;
-4. One clinical supervisor who oversees peer support programs;
-5. One behavioral health supervisor who oversees peer support programs; and
-ACTS OF THE GENERAL ASSEMBLY 4
-6. One member of the public who is a recipient of peer support services; and
-(c) By the Department for Behavioral Health, Developmental and Intellectual Disabilities, Cabinet for
-Health and Family Services, from a list of names sub mitted by the Kentucky Division of Reentry Services,
-Department of Corrections, Justice and Public Safety Cabinet, to include:
-1. One certified peer support professional with experience in reentry from incarceration; and
-2. One representative from the Kentucky Division of Reentry Services.
-Section 7.   Whereas there is an urgent need to protect the public health and safety by establishing consistent
-standards and oversight for Kentucky's peer support workforce, an emergency is declared to exist, and Sectio ns 1, 2,
-3, 5, and 6 of this Act take effect upon their passage and approval by the Governor or upon their otherwise becoming
-a law.
-Signed by Governor April 10, 2026.
+2026 REGULAR SESSION
+
+Amend printed copy of HB 470/GA
+TITLE AMENDMENT
+
+Amendment No. TITLE  Rep. Sen. Julie Raque Adams
+
+Committee Amendment   Signed:
+
+Floor Amendment   LRC Drafter:
+
+Adopted:   Date:
+
+Rejected:   Doc. ID: XXXX
+
+Page 1 of 1
+  Amend the title to read "AN ACT relating to behavioral health services and declaring an
+emergency.".