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HB 689 KY
Became Law

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

KY · session 2026RS · Assembly / House · bill

A state bill is a proposed law in a state legislature — separate from the U.S. Congress. Learn more →

Introduced Feb 20, 2026

Latest action (Apr 13, 2026) signed by Governor (Acts Ch. 117)

Summary

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.

Sponsors (15)

Action history (24)

  1. Feb 20, 2026 introduced in House · lower
  2. Feb 20, 2026 to Committee on Committees (H) · lower
  3. Feb 27, 2026 to Health Services (H) · lower
  4. Mar 5, 2026 reported favorably, 1st reading, to Calendar · lower
  5. Mar 6, 2026 2nd reading, to Rules · lower
  6. Mar 16, 2026 floor amendment (1) filed · lower
  7. Mar 17, 2026 posted for passage in the Regular Orders of the Day for Wednesday, March 18 2026 · lower
  8. Mar 18, 2026 3rd reading, passed 94-0 with Floor Amendment (1) · lower
  9. Mar 19, 2026 received in Senate · upper
  10. Mar 19, 2026 to Committee on Committees (S) · upper
  11. Mar 24, 2026 to Health Services (S) · upper
  12. Mar 25, 2026 reported favorably, 1st reading, to Consent Calendar with Committee Substitute (1) · lower
  13. Mar 26, 2026 2nd reading, to Rules as a consent bill · lower
  14. Mar 26, 2026 posted for passage in the Consent Orders of the Day for Friday, March 27 2026 · lower
  15. Mar 31, 2026 3rd reading, passed 38-0 with Committee Substitute (1) · lower
  16. Mar 31, 2026 received in House · lower
  17. Mar 31, 2026 to Rules (H) · lower
  18. Mar 31, 2026 posted for passage for concurrence in Senate Committee Substitute (1) · lower
  19. Mar 31, 2026 House concurred in Committee Substitute (1) · lower
  20. Mar 31, 2026 passed 90-1 · lower
  21. Apr 1, 2026 enrolled, signed by Speaker of the House · lower
  22. Apr 1, 2026 enrolled, signed by President of the Senate · upper
  23. Apr 1, 2026 delivered to Governor · lower
  24. Apr 13, 2026 signed by Governor (Acts Ch. 117) · lower
Subjects
Health Care ProfessionalsHospitals And Health FacilitiesMedicaidPhysiciansRetroactive Legislation

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