republic-os/legislation/us/states/ky/2026rs/hb-689.md

type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags

type	title	description	jurisdiction	legislature	session	identifier	citation	classification	subjects	status	primary_sponsors	version_count	action_count	vote_count	first_action	last_action	source	source_identifier	source_url	source_hash	vintage	source_snapshot	retrieved_at	confidence	tags
Bill	AN ACT relating to the establishment of a Medicaid state-directed payment program.	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.	us/states/ky	Kentucky General Assembly	2026RS	HB 689	Kentucky HB 689 (2026RS)	bill	Health Care Professionals Hospitals And Health Facilities Medicaid Physicians Retroactive Legislation	enacted	A. Neighbors B. Chester-Burton DJ Johnson G. Brown Jr. K. Banta K. Jackson K. King K. Moser M. Clines M. Meredith R. Duvall S. Dietz S. Lewis S. McPherson S. Riley	3	24	3	2026-02-20T05:00:00+00:00	2026-04-13T04:00:00+00:00	openstates	ocd-bill/ba6c235e-d281-4f21-8b9a-9c443c426646	https://apps.legislature.ky.gov/record/26RS/hb689.html	68b401aac31254d889cdbc7352f6984919cdbe23bab17a87c1a85e5c8cfccebe	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	legislation bill us-ky

Kentucky HB 689 (2026RS) — AN ACT relating to the establishment of a Medicaid state-directed payment program.

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.

Version chain

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

1. Introduced (filed) — source
2. Acts Chapter 117 (committee substitute) — source
3. Current/Final (committee substitute) — source

Votes

• CONSENT PASSAGE OF HB 689 w/ SCS 1 — 38–0 (pass) · lower
• Pass — 94–0 (pass) · lower
• Final Passage — 90–1 (pass) · lower

Sponsors

• A. Neighbors — primary (person)
• B. Chester-Burton — primary (person)
• DJ Johnson — primary (person)
• G. Brown Jr. — primary (person)
• K. Banta — primary (person)
• K. Jackson — primary (person)
• K. King — primary (person)
• K. Moser — primary (person)
• M. Clines — primary (person)
• M. Meredith — primary (person)
• R. Duvall — primary (person)
• S. Dietz — primary (person)
• S. Lewis — primary (person)
• S. McPherson — primary (person)
• S. Riley — primary (person)

Timeline

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

• 2026-02-20T05:00:00+00:00 introduced in House introduction
• 2026-02-20T05:00:00+00:00 to Committee on Committees (H) referral-committee
• 2026-02-27T05:00:00+00:00 to Health Services (H) referral-committee
• 2026-03-05T05:00:00+00:00 reported favorably, 1st reading, to Calendar committee-passage
• 2026-03-06T05:00:00+00:00 2nd reading, to Rules reading-2
• 2026-03-16T04:00:00+00:00 floor amendment (1) filed amendment-introduction
• 2026-03-17T04:00:00+00:00 posted for passage in the Regular Orders of the Day for Wednesday, March 18 2026
• 2026-03-18T04:00:00+00:00 3rd reading, passed 94-0 with Floor Amendment (1) passage, reading-3
• 2026-03-19T04:00:00+00:00 received in Senate
• 2026-03-19T04:00:00+00:00 to Committee on Committees (S) referral-committee
• 2026-03-24T04:00:00+00:00 to Health Services (S) referral-committee
• 2026-03-25T04:00:00+00:00 reported favorably, 1st reading, to Consent Calendar with Committee Substitute (1) committee-passage
• 2026-03-26T04:00:00+00:00 2nd reading, to Rules as a consent bill reading-2
• 2026-03-26T04:00:00+00:00 posted for passage in the Consent Orders of the Day for Friday, March 27 2026
• 2026-03-31T04:00:00+00:00 3rd reading, passed 38-0 with Committee Substitute (1) passage, reading-3
• 2026-03-31T04:00:00+00:00 received in House
• 2026-03-31T04:00:00+00:00 to Rules (H) referral-committee
• 2026-03-31T04:00:00+00:00 posted for passage for concurrence in Senate Committee Substitute (1)
• 2026-03-31T04:00:00+00:00 House concurred in Committee Substitute (1)
• 2026-03-31T04:00:00+00:00 passed 90-1 passage
• 2026-04-01T04:00:00+00:00 enrolled, signed by Speaker of the House passage
• 2026-04-01T04:00:00+00:00 enrolled, signed by President of the Senate passage
• 2026-04-01T04:00:00+00:00 delivered to Governor
• 2026-04-13T04:00:00+00:00 signed by Governor (Acts Ch. 117) executive-signature

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/ba6c235e-d281-4f21-8b9a-9c443c426646. Confidence: reported (aggregated from official Kentucky legislature records).