HB689Introduced in the House
AN ACT relating to the establishment of a Medicaid state-directed payment program.
Introduced by Amy Neighbors, District 21
What does this bill do?
Plain-English breakdown
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Official 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.
Where it stands
signed by Governor (Acts Ch. 117)
April 13, 2026
How did lawmakers vote?
House votes
2 recorded votes · each counted separately
Senate votes
1 recorded vote · each counted separately
HouseStage: House: Veto Override RCS# 403 · March 31, 2026
90
Yes
1
No
9
Absent or Not Voting
100 representatives recorded in this House vote. Colors show vote categories only, not whether a vote was good or bad.
See how each representative voted
| Representative | District | Vote |
|---|---|---|
| Steven Rudy | 1 | Yes |
| Kimberly Holloway | 2 | Yes |
| Randy Bridges | 3 | Yes |
| Wade Williams | 4 | Yes |
| Mary Imes | 5 | Yes |
| Chris Freeland | 6 | Yes |
| Suzanne Miles | 7 | Yes |
| Walker Thomas | 8 | Yes |
| Myron Dossett | 9 | Yes |
| Josh Calloway | 10 | Absent |
Bill history
introduced in House
to Committee on Committees (H)
to Health Services (H)
reported favorably, 1st reading, to Calendar
2nd reading, to Rules
floor amendment (1) filed
posted for passage in the Regular Orders of the Day for Wednesday, March 18 2026
3rd reading, passed 94-0 with Floor Amendment (1)
received in Senate
to Committee on Committees (S)
to Health Services (S)
reported favorably, 1st reading, to Consent Calendar with Committee Substitute (1)
2nd reading, to Rules as a consent bill
posted for passage in the Consent Orders of the Day for Friday, March 27 2026
3rd reading, passed 38-0 with Committee Substitute (1)
received in House
to Rules (H)
posted for passage for concurrence in Senate Committee Substitute (1)
House concurred in Committee Substitute (1)
passed 90-1
enrolled, signed by Speaker of the House
enrolled, signed by President of the Senate
delivered to Governor
signed by Governor (Acts Ch. 117)
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