---
type: "Bill"
title: "AN ACT relating to health care."
description: "Amend KRS 212.420 to expand the requirements to serve as the director of health in counties containing a city of the first class; amend KRS 212.635 to expand the requirements to serve as the commissioner of health for an urban-county health department; amend KRS 212.790 to expand the requirements to serve as the director of an independent district board of health; amend KRS 212.350 to clarify that KRS 212.420 applies to consolidated local governments."
jurisdiction: "us/states/ky"
legislature: "Kentucky General Assembly"
session: "2023RS"
identifier: "SB 111"
citation: "Kentucky SB 111 (2023RS)"
classification: ["bill"]
subjects: ["Boards and Commissions", "Cities", "First Class", "Counties with Cities of the First Class", "Counties", "Urban", "Public Health"]
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 26
vote_count: 3
first_action: "2023-02-10T05:00:00+00:00"
last_action: "2023-04-06T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/5609773c-9c6e-4254-8d9c-a5c1980182fe"
source_url: "https://apps.legislature.ky.gov/record/23RS/sb111.html"
source_hash: "99e1eb1ba718ff65e54bf8466ca49c9e37e3b0d801f6913803ef30f2a60439cf"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ky"]
---

# Kentucky SB 111 (2023RS) — AN ACT relating to health care.

Amend KRS 212.420 to expand the requirements to serve as the director of health in counties containing a city of the first class; amend KRS 212.635 to expand the requirements to serve as the commissioner of health for an urban-county health department; amend KRS 212.790 to expand the requirements to serve as the director of an independent district board of health; amend KRS 212.350 to clarify that KRS 212.420 applies to consolidated local governments.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://apps.legislature.ky.gov/recorddocuments/bill/23RS/sb111/orig_bill.pdf)
2. **Acts Chapter 180** (committee substitute) — [source](https://apps.legislature.ky.gov/law/acts/23RS/documents/0180.pdf)
3. **Current/Final** (committee substitute) — [source](https://apps.legislature.ky.gov/recorddocuments/bill/23RS/sb111/bill.pdf)

## Votes

- FINAL PASSAGE SB 111 W/ hfa1 hfta2 — **pass** (pass) · upper
- Pass — **pass** (pass) · upper
- PASS SB 111 W/ scs1 — **pass** (pass) · upper

## Timeline

The legislative action history — every referral, reading, and vote.

- **2023-02-10T05:00:00+00:00** introduced in Senate `introduction`
- **2023-02-10T05:00:00+00:00** to Committee on Committees (S) `referral-committee`
- **2023-02-14T05:00:00+00:00** to Health Services (S) `referral-committee`
- **2023-02-22T05:00:00+00:00** reported favorably, 1st reading, to Calendar with Committee Substitute (1) `committee-passage`
- **2023-02-23T05:00:00+00:00** 2nd reading, to Rules `reading-2`
- **2023-02-28T05:00:00+00:00** posted for passage in the Regular Orders of the Day for Wednesday, March 01, 2023
- **2023-03-01T05:00:00+00:00** 3rd reading, passed 35 -1 with Committee Substitute (1) `passage, reading-3`
- **2023-03-02T05:00:00+00:00** received in House
- **2023-03-02T05:00:00+00:00** to Committee on Committees (H) `referral-committee`
- **2023-03-07T05:00:00+00:00** to Health Services (H) `referral-committee`
- **2023-03-13T04:00:00+00:00** taken from Health Services (H)
- **2023-03-13T04:00:00+00:00** 1st reading `reading-1`
- **2023-03-13T04:00:00+00:00** returned to Health Services (H)
- **2023-03-14T04:00:00+00:00** reported favorably, 2nd reading, to Rules `committee-passage`
- **2023-03-14T04:00:00+00:00** posted for passage in the Regular Orders of the Day for Wednesday, March 15, 2023
- **2023-03-29T04:00:00+00:00** floor amendments (1) and (2-title) filed `amendment-introduction`
- **2023-03-30T04:00:00+00:00** 3rd reading, passed 96-0 with Floor Amendment (1) and Floor Amendment (2-title) `passage, reading-3`
- **2023-03-30T04:00:00+00:00** received in Senate
- **2023-03-30T04:00:00+00:00** to Rules (S) `referral-committee`
- **2023-03-30T04:00:00+00:00** posted for passage for concurrence in House Floor Amendments (1) and (2-title)
- **2023-03-30T04:00:00+00:00** Senate concurred in House Floor Amendments (1) and (2-title)
- **2023-03-30T04:00:00+00:00** passed 36-1 `passage`
- **2023-03-30T04:00:00+00:00** enrolled, signed by President of the Senate `passage`
- **2023-03-30T04:00:00+00:00** enrolled, signed by Speaker of the House `passage`
- **2023-03-30T04:00:00+00:00** delivered to Governor
- **2023-04-06T04:00:00+00:00** signed by Governor (Acts Ch. 180) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/5609773c-9c6e-4254-8d9c-a5c1980182fe`. Confidence: reported (aggregated from official Kentucky legislature records).