Kentucky legislation · 2026 Regular Session
Kentucky HB2: AN ACT relating to Medicaid, making an appropriation therefor, and declaring an emergency.
Status: Chaptered, April 14, 2026
Amend KRS 205.5371 to require the Cabinet for Health and Family Services to condition eligibility for enrollment or continued enrollment in the Medicaid program on demonstrated community engagement as required under federal law; require the cabinet to continue to condition eligibility on demonstrated community engagement if federal requirements are abolished, repealed, or otherwise diminished; amend KRS 205.6312 to require the cabinet and any contracted Medicaid managed care organization to impose cost-sharing requirements for Medicaid enrollees as required under federal law no later than January 1, 2027; establish minimum cost-sharing amounts; amend KRS 205.556 and 205.618 to conform; create new sections of KRS Chapter 205 to require the cabinet to, no later than July 1, 2026, begin conducting Medicaid eligibility redeterminations once every 6 months as required under federal law; require the cabinet to access and review certain data when conducting eligibility redeterminations; establish a process for identifying and, when appropriate, disenrolling individuals who are concurrently enrolled in the Kentucky Medicaid program and a Medicaid program administered by another state or states; amend KRS 205.178 to require the cabinet to receive and review information from the Kentucky Lottery Corporation, Department of Corrections, and the Kentucky Horse Racing and Gaming Corporation on at least a monthly basis, the Kentucky Department of Revenue on at least an annual basis, and the Kentucky Transportation Cabinet on a quarterly basis; require the Department for Medicaid Services to enter into a data sharing agreement with the Social Security Administration to receive the full file of death information on at least a quarterly basis; prohibit the cabinet from seeking or requesting an exemption or waiver from federal community engagement requirements related to county unemployment rates unless specifically authorized by the General Assembly to do so; amend KRS 205.5375 to re
What the bill says
An act relating to Medicaid, making an appropriation therefor, and declaring an emergency.
From the committee substitute text:
AN ACT relating to Medicaid, making an appropriation therefor, and declaring an emergency. Be it enacted by the General Assembly of the Commonwealth of Kentucky: Section 1. KRS 205.5371 is amended to read as follows: (1) (a) The cabinet[, to the extent permitted under federal law,] shall, no later than January 1, 2027, for applicable individuals as defined in 42 U.S.C. sec. 1396a(xx)(9), condition eligibility for enrollment or continued enrollment in the Medicaid program on demonstrated community engagement as defined in and required under 42 U.S.C. sec. 1396a(xx)[ implement a mandatory community engagement waiver program for able-bodied adults without dependents who have been enrolled in the state's medical assistance program for more than twelve (12) months]. (b) In the case of an applicable individual who is applying for enrollment in the Medicaid program, in order to be eligible for enrollment the individual shall be required to demonstrate community engagement for the month immediately preceding the month during which the individual applies for enrollment. (c) In the case of an applicable individual who is enrolled and receiving Medicaid benefits, in order to remain eligible for continued enrollment, at the time of eligibility redetermination, the individual shall be required to demonstrate community engagement for three (3) months during the period of time since the individual's most recent eligibility determination or redetermination. (2) …
Sponsors
- Ken Fleming (R, HD-048) · primary sponsor
- Vanessa Grossl (R, HD-088)
- Tony Hampton (R, HD-062)
- John Hodgson (R, HD-036)
- David Osborne (R, HD-059)
Latest actions
- : delivered to Secretary of State (Acts Ch. 179)
- : enrolled, signed by President of the Senate
- : enrolled, signed by Speaker of the House
- : passed 32-6
- : posted for passage for consideration of Governor's line vetoes
- : to Rules (S)
- : received in Senate
- : passed 80-18
- : vetoes overridden
- : posted for consideration of Governor's line vetoes
Votes
- Senate: OVERRIDE VETO FINAL PASSAGE HB 2 RSN# 4161 (April 14, 2026): 32 yea, 6 nay, passed
- House: Veto Override RCS# 455 (April 14, 2026): 80 yea, 18 nay, passed
- Senate: PASS HB 2 w/ SCS 1, SCA 1 (T) (SCS 1) RSN# 4114 (April 1, 2026): 32 yea, 5 nay, passed
- Senate: FINAL PASSAGE OF HB 2 RSN# 4133 (April 1, 2026): 32 yea, 5 nay, passed
- House: Final Passage RCS# 446 (April 1, 2026): 83 yea, 11 nay, passed
- House: Pass RCS# 170 (February 27, 2026): 77 yea, 21 nay, passed
Subjects: State Agencies, Technology, Funds, Reports Mandated, Effective Dates, Emergency, Medicaid, General Assembly, Children And Minors
Common questions
- What is HB2?
- HB2 is a bill in the Kentucky Legislature (2026 Regular Session): AN ACT relating to Medicaid, making an appropriation therefor, and declaring an emergency.
- What does HB2 do?
- In its own words: An act relating to Medicaid, making an appropriation therefor, and declaring an emergency.
- What is the status of HB2?
- Chaptered as of April 14, 2026. Latest action: delivered to Secretary of State (Acts Ch. 179) (April 14, 2026).
- Who sponsored HB2?
- Ken Fleming (R, HD-048), with 4 co-sponsors.
- Where is the official record for HB2?
- On the Kentucky Legislature website: https://apps.legislature.ky.gov/record/26rs/hb2.html
Source: official Kentucky record. Tracked by Delilah, AI for legislation across all 50 states and Congress.