---
type: "Bill"
title: "A JOINT RESOLUTION directing the Department for Medicaid Services to study and examine Medicaid reimbursements."
description: "Direct the Department for Medicaid Services to develop a proposal to link Medicaid reimbursements to Area Deprivation Index scores; submit findings and proposals to the Legislative Research Commission by November 1, 2023; EMERGENCY."
jurisdiction: "us/states/ky"
legislature: "Kentucky General Assembly"
session: "2023RS"
identifier: "SJR 54"
citation: "Kentucky SJR 54 (2023RS)"
classification: ["joint resolution"]
subjects: ["Effective Dates", "Emergency", "Health and Medical Services", "Hospitals and Nursing Homes", "Legislative Research Commission", "Medicaid", "Physicians and Practitioners", "Public Medical Assistance", "Reports Mandated", "State Agencies", "Studies Directed"]
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 25
vote_count: 4
first_action: "2023-02-07T05:00:00+00:00"
last_action: "2023-03-22T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/e1c6ee53-9bcb-4692-96ae-2669cc47e5b3"
source_url: "https://apps.legislature.ky.gov/record/23RS/sjr54.html"
source_hash: "b803cf97cec48a26a513d8cea2d16513e7a7308660971b2e07bfda537e1faf7b"
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 SJR 54 (2023RS) — A JOINT RESOLUTION directing the Department for Medicaid Services to study and examine Medicaid reimbursements.

Direct the Department for Medicaid Services to develop a proposal to link Medicaid reimbursements to Area Deprivation Index scores; submit findings and proposals to the Legislative Research Commission by November 1, 2023; 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/sjr54/orig_bill.pdf)
2. **Acts Chapter 46** (committee substitute) — [source](https://apps.legislature.ky.gov/law/acts/23RS/documents/0046.pdf)
3. **Current/Final** (committee substitute) — [source](https://apps.legislature.ky.gov/recorddocuments/bill/23RS/sjr54/bill.pdf)

## Votes

- Adopt — **pass** (pass) · upper
- FINAL ADOPTION SJR 54 W/ hfa1 hfta2 — **pass** (pass) · upper
- ADOPT SJR 54 — **pass** (pass) · upper
- Suspend the Rules — **pass** (pass) · upper

## Timeline

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

- **2023-02-07T05:00:00+00:00** introduced in Senate `introduction`
- **2023-02-07T05:00:00+00:00** to Committee on Committees (S) `referral-committee`
- **2023-02-09T05:00:00+00:00** to Health Services (S) `referral-committee`
- **2023-02-15T05:00:00+00:00** reported favorably, 1st reading, to Calendar `committee-passage`
- **2023-02-16T05:00:00+00:00** 2nd reading, to Rules `reading-2`
- **2023-02-22T05:00:00+00:00** posted for passage in the Regular Orders of the Day for Thursday, February 23, 2023
- **2023-02-23T05:00:00+00:00** 3rd reading, passed 35-0 `passage, reading-3`
- **2023-02-24T05:00:00+00:00** received in House
- **2023-02-24T05:00:00+00:00** to Committee on Committees (H) `referral-committee`
- **2023-03-03T05:00:00+00:00** to Health Services (H) `referral-committee`
- **2023-03-09T05:00:00+00:00** reported favorably, 1st reading, to Calendar `committee-passage`
- **2023-03-10T05:00:00+00:00** 2nd reading, to Rules `reading-2`
- **2023-03-13T04:00:00+00:00** posted for passage in the Regular Orders of the Day for Tuesday, March 14, 2023
- **2023-03-14T04:00:00+00:00** floor amendment (1) filed `amendment-introduction`
- **2023-03-15T04:00:00+00:00** floor amendment (2-title) filed `amendment-introduction`
- **2023-03-15T04:00:00+00:00** 3rd reading, passed 100-0 with Floor Amendments (1) and (2-title) `passage, reading-3`
- **2023-03-15T04:00:00+00:00** received in Senate
- **2023-03-15T04:00:00+00:00** to Rules (S) `referral-committee`
- **2023-03-15T04:00:00+00:00** posted for passage for concurrence in House Floor Amendments (1) and (2-title)
- **2023-03-16T04:00:00+00:00** Senate concurred in House amendment Floor Amendments (1) and (2-title)
- **2023-03-16T04:00:00+00:00** passed 34-0 `passage`
- **2023-03-16T04:00:00+00:00** enrolled, signed by President of the Senate `passage`
- **2023-03-16T04:00:00+00:00** enrolled, signed by Speaker of the House `passage`
- **2023-03-16T04:00:00+00:00** delivered to Governor
- **2023-03-22T04:00:00+00:00** signed by Governor (Acts Ch. 46) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/e1c6ee53-9bcb-4692-96ae-2669cc47e5b3`. Confidence: reported (aggregated from official Kentucky legislature records).