republic-os/legislation/us/states/ky/2025rs/hb-695.md

---
type: "Bill"
title: "AN ACT relating to the Medicaid program and declaring an emergency."
description: "Amend KRS 205.5372 to prohibit the Department for Medicaid Services from making any change to the Medicaid program without authorization from the General Assembly to do so; amend KRS 205.460 and 205.520 to conform; amend KRS 205.5371 to authorize the Cabinet for Health and Family Services to submit a community engagement waiver for able-bodied Medicaid beneficiaries without dependents; create a new section of KRS Chapter 205 to establish the Kentucky Medicaid rebate sequestration fund as a restricted fund within the Finance and Administration Cabinet; require all money received by the Department for Medicaid Services as rebates from pharmaceutical drug manufacturers to be deposited into the Kentucky Medicaid rebate sequestration fund; amend KRS 205.240 to conform; amend KRS 205.525 to require the Cabinet for Health and Family Services to submit a copy of any waiver renewal application to the Legislative Research Commission concurrent with submission of the application to a federal agency; repeal, reenact, and amend KRS 205.6328 to establish reporting requirements for the Department for Medicaid Services and Medicaid managed care organizations; create new sections of KRS Chapter 205 to require the Department for Medicaid Services to retain beneficiaries' data for at least seven years after the beneficiary is disenrolled from the Medicaid program; require the Department for Medicaid Services and Medicaid managed care organizations to cover up to 100 units of psychoeducational services per Medicaid beneficiary per year; create a new section of KRS Chapter 194A to require the Cabinet for Health and Family Services to notify the Legislative Research Commission of any anticipated barriers to implementing Medicaid-related legislation; direct the Department for Medicaid Services to reinstate all prior authorization requirements for behavioral health services that were in place on January 1, 2020; require the Cabinet for Health and Family Services to procure new Medicaid managed care contracts with an effective date of no later than January 1, 2027; direct Medicaid managed care organizations to collaborate on the development of a behavioral health and substance use disorder treatment services scorecard; require behavioral health and substance use disorder treatment services scorecard to be accessible by the public on each Medicaid managed care organization's website no later than December 31, 2025; EMERGENCY."
jurisdiction: "us/states/ky"
legislature: "Kentucky General Assembly"
session: "2025RS"
identifier: "HB 695"
citation: "Kentucky HB 695 (2025RS)"
classification: ["bill"]
subjects: ["Effective Dates", "Emergency", "General Assembly", "Health and Medical Services", "Medicaid", "Mental Health", "Public Assistance", "Public Medical Assistance", "Reports Mandated", "State Agencies", "Substance Abuse"]
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 49
vote_count: 6
first_action: "2025-02-19T05:00:00+00:00"
last_action: "2025-03-27T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/9c6ddd28-795b-4480-a7c9-929fc87191ac"
source_url: "https://apps.legislature.ky.gov/record/25RS/hb695.html"
source_hash: "a761fc7c506b1c1dda81d91ad2355355d8549ffde43b54d2397fc7d28430693f"
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 695 (2025RS) — AN ACT relating to the Medicaid program and declaring an emergency.

Amend KRS 205.5372 to prohibit the Department for Medicaid Services from making any change to the Medicaid program without authorization from the General Assembly to do so; amend KRS 205.460 and 205.520 to conform; amend KRS 205.5371 to authorize the Cabinet for Health and Family Services to submit a community engagement waiver for able-bodied Medicaid beneficiaries without dependents; create a new section of KRS Chapter 205 to establish the Kentucky Medicaid rebate sequestration fund as a restricted fund within the Finance and Administration Cabinet; require all money received by the Department for Medicaid Services as rebates from pharmaceutical drug manufacturers to be deposited into the Kentucky Medicaid rebate sequestration fund; amend KRS 205.240 to conform; amend KRS 205.525 to require the Cabinet for Health and Family Services to submit a copy of any waiver renewal application to the Legislative Research Commission concurrent with submission of the application to a federal agency; repeal, reenact, and amend KRS 205.6328 to establish reporting requirements for the Department for Medicaid Services and Medicaid managed care organizations; create new sections of KRS Chapter 205 to require the Department for Medicaid Services to retain beneficiaries' data for at least seven years after the beneficiary is disenrolled from the Medicaid program; require the Department for Medicaid Services and Medicaid managed care organizations to cover up to 100 units of psychoeducational services per Medicaid beneficiary per year; create a new section of KRS Chapter 194A to require the Cabinet for Health and Family Services to notify the Legislative Research Commission of any anticipated barriers to implementing Medicaid-related legislation; direct the Department for Medicaid Services to reinstate all prior authorization requirements for behavioral health services that were in place on January 1, 2020; require the Cabinet for Health and Family Services to procure new Medicaid managed care contracts with an effective date of no later than January 1, 2027; direct Medicaid managed care organizations to collaborate on the development of a behavioral health and substance use disorder treatment services scorecard; require behavioral health and substance use disorder treatment services scorecard to be accessible by the public on each Medicaid managed care organization's website no later than December 31, 2025; 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/25RS/hb695/orig_bill.pdf)
2. **Acts Chapter 110** (committee substitute) — [source](https://apps.legislature.ky.gov/law/acts/25RS/documents/0110.pdf)
3. **Current/Final** (committee substitute) — [source](https://apps.legislature.ky.gov/recorddocuments/bill/25RS/hb695/bill.pdf)

## Votes

- Final Passage — **72–19** (pass) · lower
- Override Veto Final Passage HB 695 — **29–7** (pass) · lower
- Pass — **80–19** (pass) · lower
- Previous Question — **72–19** (pass) · lower
- PASS HB 695 W/ scs2 — **29–7** (pass) · lower
- Final Passage — **80–20** (pass) · lower

## Timeline

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

- **2025-02-19T05:00:00+00:00** introduced in House `introduction`
- **2025-02-19T05:00:00+00:00** to Committee on Committees (H) `referral-committee`
- **2025-02-21T05:00:00+00:00** to Appropriations & Revenue (H) `referral-committee`
- **2025-02-25T05:00:00+00:00** taken from Appropriations & Revenue (H)
- **2025-02-25T05:00:00+00:00** 1st reading `reading-1`
- **2025-02-25T05:00:00+00:00** returned to Appropriations & Revenue (H)
- **2025-02-26T05:00:00+00:00** taken from Appropriations & Revenue (H)
- **2025-02-26T05:00:00+00:00** 2nd reading `reading-2`
- **2025-02-26T05:00:00+00:00** returned to Appropriations & Revenue (H)
- **2025-03-04T05:00:00+00:00** reported favorably, to Rules with Committee Substitute (1) `committee-passage`
- **2025-03-04T05:00:00+00:00** taken from Rules
- **2025-03-04T05:00:00+00:00** placed in the Orders of the Day for Tuesday, March 04, 2025
- **2025-03-04T05:00:00+00:00** 3rd reading, passed 80-19 with Committee Substitute (1) `passage, reading-3`
- **2025-03-05T05:00:00+00:00** received in Senate
- **2025-03-05T05:00:00+00:00** to Committee on Committees (S) `referral-committee`
- **2025-03-11T04:00:00+00:00** to Appropriations & Revenue (S) `referral-committee`
- **2025-03-12T04:00:00+00:00** reported favorably, 1st reading, to Calendar with Committee Substitute (1) `committee-passage`
- **2025-03-13T04:00:00+00:00** 2nd reading, to Rules `reading-2`
- **2025-03-13T04:00:00+00:00** posted for passage in the Regular Orders of the Day for Friday, March 14, 2025
- **2025-03-14T04:00:00+00:00** passed over and retained in the Orders of the Day `passage`
- **2025-03-14T04:00:00+00:00** taken from the Regular Orders of the Day
- **2025-03-14T04:00:00+00:00** recommitted to Appropriations & Revenue (S)
- **2025-03-14T04:00:00+00:00** reported favorably, to Rules with Committee Substitute (2) `committee-passage`
- **2025-03-14T04:00:00+00:00** posted for passage in the Regular Orders of the Day for Friday, March 14, 2025
- **2025-03-14T04:00:00+00:00** 3rd reading, passed 29-7 with Committee Substitute (2) `passage, reading-3`
- **2025-03-14T04:00:00+00:00** received in House
- **2025-03-14T04:00:00+00:00** to Rules (H) `referral-committee`
- **2025-03-14T04:00:00+00:00** posted for passage for concurrence in Senate Committee Substitute (2)
- **2025-03-14T04:00:00+00:00** House concurred in Senate Committee Substitute (2)
- **2025-03-14T04:00:00+00:00** passed 72-19 `passage`
- **2025-03-14T04:00:00+00:00** enrolled, signed by Speaker of the House `passage`
- **2025-03-14T04:00:00+00:00** enrolled, signed by President of the Senate `passage`
- **2025-03-14T04:00:00+00:00** delivered to Governor
- **2025-03-26T04:00:00+00:00** Vetoed `executive-veto`
- **2025-03-27T04:00:00+00:00** received in House
- **2025-03-27T04:00:00+00:00** to Rules (H) `referral-committee`
- **2025-03-27T04:00:00+00:00** taken from Rules
- **2025-03-27T04:00:00+00:00** posted for consideration of Governor's veto
- **2025-03-27T04:00:00+00:00** veto overridden `veto-override-passage`
- **2025-03-27T04:00:00+00:00** passed 80-20 `passage`
- **2025-03-27T04:00:00+00:00** received in Senate
- **2025-03-27T04:00:00+00:00** to Rules (S) `referral-committee`
- **2025-03-27T04:00:00+00:00** posted for passage for consideration of Governor's veto
- **2025-03-27T04:00:00+00:00** veto overridden `veto-override-passage`
- **2025-03-27T04:00:00+00:00** passed 29-7 `passage`
- **2025-03-27T04:00:00+00:00** received in House
- **2025-03-27T04:00:00+00:00** enrolled, signed by Speaker of the House `passage`
- **2025-03-27T04:00:00+00:00** enrolled, signed by President of the Senate `passage`
- **2025-03-27T04:00:00+00:00** delivered to Secretary of State (Acts Ch. 110) `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9c6ddd28-795b-4480-a7c9-929fc87191ac`. Confidence: reported (aggregated from official Kentucky legislature records).