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republic-os/legislation/us/states/ky/2023rs/hjr-38.md
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---
type: "Bill"
title: "A JOINT RESOLUTION directing and urging the Cabinet for Health and Family Services take actions to improve emergency medical services and declaring an emergency."
description: "Direct the Cabinet for Health and Family Services to apply for a Medicaid waiver to permit the coverage of triage, treatment, and transport of patients by emergency ambulance services and submit a state Medicaid plan amendment to cover treatment in place without transportation for emergency ambulance services; urge the Cabinet for Health and Family Services to increase Medicaid reimbursement rates for ambulance services as funds become available; require the Cabinet for Health and Family Services to submit a report on actions taken by August 1, 2023; EMERGENCY."
jurisdiction: "us/states/ky"
legislature: "Kentucky General Assembly"
session: "2023RS"
identifier: "HJR 38"
citation: "Kentucky HJR 38 (2023RS)"
classification: ["joint resolution"]
subjects: ["Effective Dates", "Emergency", "Emergency Medical Services", "Health and Medical Services", "Hospitals and Nursing Homes", "Medicaid", "Public Assistance", "Public Medical Assistance", "Reports Mandated", "State Agencies"]
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 24
vote_count: 2
first_action: "2023-02-09T05:00:00+00:00"
last_action: "2023-03-31T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/6e9b6542-c50e-42f3-870e-6d72b2d60307"
source_url: "https://apps.legislature.ky.gov/record/23RS/hjr38.html"
source_hash: "d3d7bee742a8c7f82b08e1225be32e4ca4d8fc07e2dbe142350b33636170d778"
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 HJR 38 (2023RS) — A JOINT RESOLUTION directing and urging the Cabinet for Health and Family Services take actions to improve emergency medical services and declaring an emergency.
Direct the Cabinet for Health and Family Services to apply for a Medicaid waiver to permit the coverage of triage, treatment, and transport of patients by emergency ambulance services and submit a state Medicaid plan amendment to cover treatment in place without transportation for emergency ambulance services; urge the Cabinet for Health and Family Services to increase Medicaid reimbursement rates for ambulance services as funds become available; require the Cabinet for Health and Family Services to submit a report on actions taken by August 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/hjr38/orig_bill.pdf)
2. **Acts Chapter 160** (committee substitute) — [source](https://apps.legislature.ky.gov/law/acts/23RS/documents/0160.pdf)
3. **Current/Final** (committee substitute) — [source](https://apps.legislature.ky.gov/recorddocuments/bill/23RS/hjr38/bill.pdf)
## Votes
- Final Adoption HJR 38 — **pass** (pass) · lower
- Adopt — **pass** (pass) · lower
## Timeline
The legislative action history — every referral, reading, and vote.
- **2023-02-09T05:00:00+00:00** introduced in House `introduction`
- **2023-02-09T05:00:00+00:00** to Committee on Committees (H) `referral-committee`
- **2023-02-17T05:00:00+00:00** to Health Services (H) `referral-committee`
- **2023-02-23T05:00:00+00:00** reported favorably, 1st reading, to Calendar `committee-passage`
- **2023-02-24T05:00:00+00:00** 2nd reading, to Rules `reading-2`
- **2023-03-02T05:00:00+00:00** posted for passage in the Regular Orders of the Day for Friday, March 03, 2023
- **2023-03-10T05:00:00+00:00** 3rd reading, passed 93-0 `passage, reading-3`
- **2023-03-13T04:00:00+00:00** received in Senate
- **2023-03-13T04:00:00+00:00** to Committee on Committees (S) `referral-committee`
- **2023-03-15T04:00:00+00:00** taken from Committee on Committees (S)
- **2023-03-15T04:00:00+00:00** 1st reading `reading-1`
- **2023-03-15T04:00:00+00:00** returned to Committee on Committees (S)
- **2023-03-16T04:00:00+00:00** taken from Committee on Committees (S)
- **2023-03-16T04:00:00+00:00** 2nd reading `reading-2`
- **2023-03-16T04:00:00+00:00** returned to Committee on Committees (S)
- **2023-03-16T04:00:00+00:00** to Health Services (S) `referral-committee`
- **2023-03-29T04:00:00+00:00** reported favorably, to Rules as a consent bill `committee-passage`
- **2023-03-30T04:00:00+00:00** posted for passage in the Consent Orders of the Day for Thursday, March 30, 2023
- **2023-03-30T04:00:00+00:00** 3rd reading, passed 37-0 `passage, reading-3`
- **2023-03-30T04:00:00+00:00** received in House
- **2023-03-30T04:00:00+00:00** enrolled, signed by Speaker of the House `passage`
- **2023-03-30T04:00:00+00:00** enrolled, signed by President of the Senate `passage`
- **2023-03-30T04:00:00+00:00** delivered to Governor
- **2023-03-31T04:00:00+00:00** signed by Governor (Acts Ch. 160) `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/6e9b6542-c50e-42f3-870e-6d72b2d60307`. Confidence: reported (aggregated from official Kentucky legislature records).