---
type: "Bill"
title: "AN ACT relating to hospital rate improvement programs and declaring an emergency."
description: "Amend KRS 205.6405, relating to hospital rate improvement programs, to redefine \"managed care gap\" and \"qualifying hospital\"; amend KRS 205.6406, relating to hospital rate improvement programs, to add inpatient services and include add-on amounts to the calculation of payments; modify the formula for the calculation of payments; provide that certain payments made under the programs do not count against any spending or appropriation limits; permit the Department for Medicaid Services to create a program to increase outpatient reimbursement within the Medicaid fee-for-service program; direct the Cabinet for Health and Family Services to request any necessary state plan amendment, waiver, or other authorization from a federal agency; RETROACTIVE; EMERGENCY."
jurisdiction: "us/states/ky"
legislature: "Kentucky General Assembly"
session: "2023RS"
identifier: "HB 75"
citation: "Kentucky HB 75 (2023RS)"
classification: ["bill"]
subjects: ["Effective Dates", "Emergency", "Federal Laws and Regulations", "Fiscal Note", "Health and Medical Services", "Hospitals and Nursing Homes", "Medicaid", "Public Assistance", "Public Medical Assistance", "Retroactive Legislation", "State Agencies"]
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 19
vote_count: 2
first_action: "2023-01-04T05:00:00+00:00"
last_action: "2023-03-20T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/3989fc1f-437e-4ac8-93ce-7941c4cc4659"
source_url: "https://apps.legislature.ky.gov/record/23RS/hb75.html"
source_hash: "4248beb256c552ae75f58144c755760c83cd7d48fef5904b1df68504ff4c8790"
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 HB 75 (2023RS) — AN ACT relating to hospital rate improvement programs and declaring an emergency.

Amend KRS 205.6405, relating to hospital rate improvement programs, to redefine "managed care gap" and "qualifying hospital"; amend KRS 205.6406, relating to hospital rate improvement programs, to add inpatient services and include add-on amounts to the calculation of payments; modify the formula for the calculation of payments; provide that certain payments made under the programs do not count against any spending or appropriation limits; permit the Department for Medicaid Services to create a program to increase outpatient reimbursement within the Medicaid fee-for-service program; direct the Cabinet for Health and Family Services to request any necessary state plan amendment, waiver, or other authorization from a federal agency; RETROACTIVE; EMERGENCY.

## 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/hb75/orig_bill.pdf)
2. **Acts Chapter 21** (committee substitute) — [source](https://apps.legislature.ky.gov/law/acts/23RS/documents/0021.pdf)
3. **Current/Final** (committee substitute) — [source](https://apps.legislature.ky.gov/recorddocuments/bill/23RS/hb75/bill.pdf)

## Votes

- PASS HB 75 — **pass** (pass) · lower
- Pass — **pass** (pass) · lower

## Timeline

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

- **2023-01-04T05:00:00+00:00** introduced in House `introduction`
- **2023-01-04T05:00:00+00:00** to Committee on Committees (H) `referral-committee`
- **2023-02-09T05:00:00+00:00** to Appropriations & Revenue (H) `referral-committee`
- **2023-02-14T05:00:00+00:00** reported favorably, 1st reading, to Calendar with Committee Substitute (1) `committee-passage`
- **2023-02-15T05:00:00+00:00** 2nd reading, to Rules `reading-2`
- **2023-02-15T05:00:00+00:00** posted for passage in the Regular Orders of the Day for Thursday, February 16, 2023
- **2023-02-17T05:00:00+00:00** 3rd reading, passed 95-0 with Committee Substitute (1) `passage, reading-3`
- **2023-02-21T05:00:00+00:00** received in Senate
- **2023-02-21T05:00:00+00:00** to Committee on Committees (S) `referral-committee`
- **2023-03-01T05:00:00+00:00** to Health Services (S) `referral-committee`
- **2023-03-08T05:00:00+00:00** reported favorably, 1st reading, to Calendar `committee-passage`
- **2023-03-09T05:00:00+00:00** 2nd reading, to Rules `reading-2`
- **2023-03-10T05:00:00+00:00** posted for passage in the Regular Orders of the Day for Monday, March 13, 2023
- **2023-03-13T04:00:00+00:00** 3rd reading, passed 33 -3 -1 `passage, reading-3`
- **2023-03-13T04:00:00+00:00** received in House
- **2023-03-13T04:00:00+00:00** enrolled, signed by Speaker of the House `passage`
- **2023-03-13T04:00:00+00:00** enrolled, signed by President of the Senate `passage`
- **2023-03-13T04:00:00+00:00** delivered to Governor
- **2023-03-20T04:00:00+00:00** signed by Governor (Acts Ch. 21) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/3989fc1f-437e-4ac8-93ce-7941c4cc4659`. Confidence: reported (aggregated from official Kentucky legislature records).