Bill Commons

KY HB 689

enacted

AN ACT relating to the establishment of a Medicaid state-directed payment program.

Kentucky · 2026 Regular Session · lower

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Quick answers

Did KY HB 689 pass?

Yes. KY HB 689 has been enacted into law. Latest recorded action (2026-04-13): signed by Governor (Acts Ch. 117)

What is KY HB 689 about?

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.

Who sponsors KY HB 689?

S. Riley, K. Moser, M. Meredith and 12 others are the primary sponsors of KY HB 689.

Description

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.

Introduced
2026-02-20
Latest action
2026-04-13 — signed by Governor (Acts Ch. 117)
Bill type
bill
Last updated
—

Subjects

Sponsors

  • S. Rileyprimary
  • K. Moserprimary
  • M. Meredithprimary
  • S. McPhersonprimary
  • S. Lewisprimary
  • K. Kingprimary
  • DJ Johnsonprimary
  • K. Jacksonprimary
  • R. Duvallprimary
  • S. Dietzprimary
  • M. Clinesprimary
  • B. Chester-Burtonprimary
  • G. Brown Jr.primary
  • K. Bantaprimary
  • A. Neighborsprimary

Committees

Not provided by source.

Action timeline

Newest first

  1. 2026-04-13

    signed by Governor (Acts Ch. 117)

    executive-signature

  2. 2026-04-01

    delivered to Governor

  3. 2026-04-01

    enrolled, signed by President of the Senate

    passage

  4. 2026-04-01

    enrolled, signed by Speaker of the House

    passage

  5. 2026-03-31

    passed 90-1

    passage

  6. 2026-03-31

    House concurred in Committee Substitute (1)

  7. 2026-03-31

    posted for passage for concurrence in Senate Committee Substitute (1)

  8. 2026-03-31

    to Rules (H)

    referral-committee

  9. 2026-03-31

    received in House

  10. 2026-03-31

    3rd reading, passed 38-0 with Committee Substitute (1)

    passage,reading-3

  11. 2026-03-26

    posted for passage in the Consent Orders of the Day for Friday, March 27 2026

  12. 2026-03-26

    2nd reading, to Rules as a consent bill

    reading-2

  13. 2026-03-25

    reported favorably, 1st reading, to Consent Calendar with Committee Substitute (1)

    committee-passage

  14. 2026-03-24

    to Health Services (S)

    referral-committee

  15. 2026-03-19

    to Committee on Committees (S)

    referral-committee

  16. 2026-03-19

    received in Senate

  17. 2026-03-18

    3rd reading, passed 94-0 with Floor Amendment (1)

    passage,reading-3

  18. 2026-03-17

    posted for passage in the Regular Orders of the Day for Wednesday, March 18 2026

  19. 2026-03-16

    floor amendment (1) filed

    amendment-introduction

  20. 2026-03-06

    2nd reading, to Rules

    reading-2

  21. 2026-03-05

    reported favorably, 1st reading, to Calendar

    committee-passage

  22. 2026-02-27

    to Health Services (H)

    referral-committee

  23. 2026-02-20

    to Committee on Committees (H)

    referral-committee

  24. 2026-02-20

    introduced in House

    introduction

Versions

Documents

Votes

  • Pass

    2026-03-18 · pass · 94-0

    Member-level votes (100)
    • Aull: yes
    • Dietz: yes
    • Hancock: yes
    • McCool: yes
    • Sharp: yes
    • Baker: yes
    • Doan: yes
    • Heavrin: yes
    • McPherson: yes
    • Smith: yes
    • Banta: yes
    • Dossett: yes
    • Hodgson: yes
    • Meade: yes
    • Stalker: yes
    • Bauman: yes
    • Dotson: yes
    • Holloway: yes
    • Meredith: yes
    • Stevenson P: yes
    • Bivens: yes
    • Duvall: yes
    • Huff T: yes
    • Miles: yes
    • Tackett Laferty: yes
    • Blanton: yes
    • Elliott: yes
    • Imes: yes
    • Moore: yes
    • Tate: yes
    • Bojanowski: yes
    • Fister: yes
    • Jackson: yes
    • Moser: yes
    • Thomas: yes
    • Bowling: yes
    • Flannery: yes
    • Johnson: yes
    • Neighbors: yes
    • Thompson: yes
    • Branscum: yes
    • Fleming: yes
    • King: yes
    • Nemes: yes
    • Tipton: yes
    • Bratcher S.: yes
    • Freeland: yes
    • Koch: yes
    • Osborne: yes
    • Truett: yes
    • Bray: yes
    • Fugate: yes
    • Kulkarni: yes
    • Payne: yes
    • Upchurch: yes
    • Bridges: yes
    • Gentry: yes
    • Lawrence: yes
    • Petrie: yes
    • Wesley: yes
    • Brown: yes
    • Gooch: yes
    • Lehman: yes
    • Pollock: yes
    • Whitaker: yes
    • Burke: yes
    • Gordon: yes
    • Lewis C: yes
    • Proctor: yes
    • White: yes
    • Callaway: yes
    • Griffee: yes
    • Lewis D: yes
    • Rabourn: yes
    • Williams: yes
    • Calloway: yes
    • Grossberg: yes
    • Lockett: yes
    • Raymer: yes
    • Willner: yes
    • Camuel: yes
    • Grossl: yes
    • Maddox: yes
    • Riley: yes
    • Wilson: yes
    • Chester-Burton: yes
    • Hale: yes
    • Marzian: yes
    • Roarx: yes
    • Witten: yes
    • Clines: yes
    • Hampton: yes
    • Massaroni: yes
    • Roberts: yes
    • Decker: not voting
    • Hart: not voting
    • Lewis S: not voting
    • Rudy: not voting
    • Watkins: not voting
    • Donworth: not voting
  • CONSENT PASSAGE OF HB 689 w/ SCS 1

    2026-03-31 · pass · 38-0

    Member-level votes (38)
    • Berg: yes
    • Girdler: yes
    • Neal: yes
    • Storm: yes
    • Boswell: yes
    • Givens: yes
    • Nemes: yes
    • Thomas: yes
    • Carpenter: yes
    • Herron: yes
    • Nunn: yes
    • Tichenor: yes
    • Carroll: yes
    • Higdon: yes
    • Raque Adams: yes
    • Webb: yes
    • ChambersArmstrong: yes
    • Howell: yes
    • Rawlings: yes
    • West: yes
    • Clemons: yes
    • Madon: yes
    • Reed: yes
    • Wheeler: yes
    • Deneen: yes
    • Mays Bledsoe: yes
    • Richardson: yes
    • Williams: yes
    • Douglas: yes
    • McDaniel: yes
    • Smith: yes
    • Wilson: yes
    • Elkins: yes
    • Meredith: yes
    • Stivers: yes
    • Wise: yes
    • Funke Frommeyer: yes
    • Mills: yes
  • Final Passage

    2026-03-31 · pass · 90-1

    Member-level votes (100)
    • Aull: yes
    • Dietz: yes
    • Hampton: yes
    • Massaroni: yes
    • Rudy: yes
    • Baker: yes
    • Doan: yes
    • Hancock: yes
    • McCool: yes
    • Sharp: yes
    • Banta: yes
    • Donworth: yes
    • Hart: yes
    • McPherson: yes
    • Smith: yes
    • Bauman: yes
    • Dossett: yes
    • Heavrin: yes
    • Meade: yes
    • Stalker: yes
    • Bivens: yes
    • Dotson: yes
    • Hodgson: yes
    • Meredith: yes
    • Stevenson P: yes
    • Blanton: yes
    • Duvall: yes
    • Holloway: yes
    • Miles: yes
    • Thomas: yes
    • Bojanowski: yes
    • Fister: yes
    • Huff T: yes
    • Moore: yes
    • Thompson: yes
    • Bowling: yes
    • Flannery: yes
    • Imes: yes
    • Moser: yes
    • Tipton: yes
    • Branscum: yes
    • Fleming: yes
    • Jackson: yes
    • Nemes: yes
    • Truett: yes
    • Bratcher S.: yes
    • Freeland: yes
    • Johnson: yes
    • Osborne: yes
    • Upchurch: yes
    • Bridges: yes
    • Fugate: yes
    • King: yes
    • Payne: yes
    • Watkins: yes
    • Brown: yes
    • Gentry: yes
    • Kulkarni: yes
    • Pollock: yes
    • Wesley: yes
    • Burke: yes
    • Gooch: yes
    • Lehman: yes
    • Proctor: yes
    • Whitaker: yes
    • Callaway: yes
    • Gordon: yes
    • Lewis C: yes
    • Rabourn: yes
    • White: yes
    • Camuel: yes
    • Griffee: yes
    • Lewis D: yes
    • Raymer: yes
    • Williams: yes
    • Chester-Burton: yes
    • Grossberg: yes
    • Lewis S: yes
    • Riley: yes
    • Willner: yes
    • Clines: yes
    • Grossl: yes
    • Lockett: yes
    • Roarx: yes
    • Wilson: yes
    • Decker: yes
    • Hale: yes
    • Maddox: yes
    • Roberts: yes
    • Witten: yes
    • Marzian: no
    • Bray: not voting
    • Elliott: not voting
    • Lawrence: not voting
    • Petrie: not voting
    • Tate: not voting
    • Calloway: not voting
    • Koch: not voting
    • Neighbors: not voting
    • Tackett Laferty: not voting

Related bills

No related bills recorded for this bill.

Official source

Attribution

Data from openstates_api_sync, retrieved 2026-08-21T21:05:44.493618Z

Inspect retained evidence for changes recorded after evidence tracking began:

Session-wide evidence can include changes to other bills:

Use this data

Every field on this page is available from the free public API — no key or licence required. Fetch this bill as JSON: GET /api/v1/bills?jurisdiction=KY&identifier=HB 689. See the API docs or the MCP server for AI assistants.

Known limitations

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  • Committee referrals are not yet captured.

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