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republic-os/legislation/us/states/ky/2024rs/hb-31.md
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---
type: "Bill"
title: "AN ACT relating to Medicaid coverage for at-home anticoagulation management."
description: "Create a new section of KRS Chapter 205 to require the Department for Medicaid Services and any managed care organization contracted for the delivery of Medicaid Services to provide coverage and reimbursement for at home prothrombin time or international normalized ratio (INR) testing, including but not limited to coverage and reimbursement for education and training, INR monitors or testing devices, and all necessary testing supplies; authorize the department to promulgate administrative regulations; require the Cabinet for Health and Family Services or the Department for Medicaid Services to seek federal approval if is determined that such approval is necessary; require the cabinet to comply with KRS 205.525."
jurisdiction: "us/states/ky"
legislature: "Kentucky General Assembly"
session: "2024RS"
identifier: "HB 31"
citation: "Kentucky HB 31 (2024RS)"
classification: ["bill"]
subjects: ["Administrative Regulations and Proceedings", "Health and Medical Services", "Hospitals and Nursing Homes", "Medicaid", "Physicians and Practitioners", "Public Medical Assistance"]
status: "enacted"
primary_sponsors: ["C. Aull", "D. Bentley", "D. Frazier Gordon", "P. Pratt"]
version_count: 3
action_count: 22
vote_count: 2
first_action: "2024-01-02T05:00:00+00:00"
last_action: "2024-04-04T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/8692d915-0251-4101-9224-19f0b982420c"
source_url: "https://apps.legislature.ky.gov/record/24RS/hb31.html"
source_hash: "1aac11f112f7667f0f924724d1a2d37d8c7ac2704262bb9153cd2edd727cc7b0"
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 31 (2024RS) — AN ACT relating to Medicaid coverage for at-home anticoagulation management.
Create a new section of KRS Chapter 205 to require the Department for Medicaid Services and any managed care organization contracted for the delivery of Medicaid Services to provide coverage and reimbursement for at home prothrombin time or international normalized ratio (INR) testing, including but not limited to coverage and reimbursement for education and training, INR monitors or testing devices, and all necessary testing supplies; authorize the department to promulgate administrative regulations; require the Cabinet for Health and Family Services or the Department for Medicaid Services to seek federal approval if is determined that such approval is necessary; require the cabinet to comply with KRS 205.525.
## 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/24RS/hb31/orig_bill.pdf)
2. **Acts Chapter 74** (committee substitute) — [source](https://apps.legislature.ky.gov/law/acts/24RS/documents/0074.pdf)
3. **Current/Final** (committee substitute) — [source](https://apps.legislature.ky.gov/recorddocuments/bill/24RS/hb31/bill.pdf)
## Votes
- PASS HB 31 — **pass** (pass) · lower
- Pass — **pass** (pass) · lower
## Sponsors
- C. Aull — primary (person)
- D. Bentley — primary (person)
- D. Frazier Gordon — primary (person)
- P. Pratt — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2024-01-02T05:00:00+00:00** introduced in House `introduction`
- **2024-01-02T05:00:00+00:00** to Committee on Committees (H) `referral-committee`
- **2024-01-24T05:00:00+00:00** to Health Services (H) `referral-committee`
- **2024-01-25T05:00:00+00:00** reported favorably, 1st reading, to Calendar `committee-passage`
- **2024-01-26T05:00:00+00:00** 2nd reading, to Rules `reading-2`
- **2024-01-26T05:00:00+00:00** posted for passage in the Regular Orders of the Day for Monday, January 29, 2024
- **2024-01-29T05:00:00+00:00** 3rd reading, passed 93-0 `passage, reading-3`
- **2024-01-30T05:00:00+00:00** received in Senate
- **2024-01-30T05:00:00+00:00** to Committee on Committees (S) `referral-committee`
- **2024-02-12T05:00:00+00:00** to Health Services (S) `referral-committee`
- **2024-03-13T04:00:00+00:00** reported favorably, 1st reading, to Consent Calendar `committee-passage`
- **2024-03-14T04:00:00+00:00** 2nd reading, to Rules as a consent bill `reading-2`
- **2024-03-15T04:00:00+00:00** posted for passage in the Consent Orders of the Day for Friday, March 22, 2024
- **2024-03-22T04:00:00+00:00** passed over and retained in the Consent Orders of the Day `passage`
- **2024-03-25T04:00:00+00:00** passed over and retained in the Consent Orders of the Day `passage`
- **2024-03-26T04:00:00+00:00** passed over and retained in the Consent Orders of the Day `passage`
- **2024-03-27T04:00:00+00:00** 3rd reading, passed 37-0 `passage, reading-3`
- **2024-03-27T04:00:00+00:00** received in House
- **2024-03-27T04:00:00+00:00** enrolled, signed by Speaker of the House `passage`
- **2024-03-27T04:00:00+00:00** enrolled, signed by President of the Senate `passage`
- **2024-03-27T04:00:00+00:00** delivered to Governor
- **2024-04-04T04:00:00+00:00** signed by Governor (Acts Ch. 74) `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/8692d915-0251-4101-9224-19f0b982420c`. Confidence: reported (aggregated from official Kentucky legislature records).