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republic-os/legislation/us/states/ky/2026rs/hb-676.md
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Fabio 5941153bb7 Legislation: batch B — IL IN KS KY LA MA MD ME MI MN 
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
2026-07-06 17:27:20 -04:00

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---
type: "Bill"
title: "AN ACT relating to the Kentucky statewide health data utility."
description: "Create new sections of KRS Chapter 194A to establish the Kentucky statewide health data utility; define terms; establish purposes and a restricted fund for the utility; require the executive director of the Office of Data Analytics to be responsible for the development, implementation, operation, and maintenance of the utility, contract with a consortium of public health colleges to operate and govern the utility, and promulgate administrative regulations to carry out those duties; establish functions and content of utility; create a consortium of public health colleges; establish duties of consortium in operating and governing the utility; establish administration and operation requirements for the consortium; establish the Kentucky Health Information Technology Board; require the board to establish policies and procedures for the sharing and submission of health information, approve data control, governance, and privacy practices, and advise the executive director and the consortium; require the utility's participants to comply with health information sharing and submission requirements within certain timeframes; require the secretary of the Cabinet for Health and Family Services to enforce the mandatory reporting requirements for the utility's participants; establish enforcement powers of secretary including civil penalty assessment; require the consortium and the executive director to make annual reports relating to the utility; amend KRS 194A.030, 194A.101, 194A.103, 194A.095, 205.640, 205.6489, 211.474, 214.375, and 311A.190 to conform; repeal KRS 216.2920, 216.2921, 216.2923, 216.2925, 216.2927, and 216.2929, relating to health data collection; establish timeframe for making initial appointments, and provide for staggered appointments to the board; require the Cabinet for Health and Family Services or the Department for Medicaid Services to seek federal approval if it is determined that such approval is necessary; provide authorization from the General Assembly to make changes in the Medicaid program as required under KRS 205.5372(1); EFFECTIVE, in part, July 1, 2028."
jurisdiction: "us/states/ky"
legislature: "Kentucky General Assembly"
session: "2026RS"
identifier: "HB 676"
citation: "Kentucky HB 676 (2026RS)"
classification: ["bill"]
subjects: ["Actuarial Analysis", "Administrative Regulations And Proceedings", "Advisory Boards", "Commissions", "And Committees", "Data Protection", "Education", "Higher", "Effective Dates", "Delayed", "Federal Laws And Regulations", "Funds", "General Assembly", "Health And Medical Services", "Health Care Professionals", "Hospitals And Health Facilities", "Insurance", "Insurance", "Health", "Insurance", "Motor Vehicle", "Legislative Research Commission", "Local Government", "Medicaid", "Pharmacists", "Physicians", "Public Health", "Reports Mandated", "State Agencies"]
status: "enacted"
primary_sponsors: ["R. Raymer"]
version_count: 3
action_count: 23
vote_count: 2
first_action: "2026-02-19T05:00:00+00:00"
last_action: "2026-04-14T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/eeeadbca-0196-4fee-8d30-c4653ba6fdcb"
source_url: "https://apps.legislature.ky.gov/record/26RS/hb676.html"
source_hash: "1474762d53c9fcdd326f02d0c2433e2a9da2578be69fc0845b9c550366a314db"
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 676 (2026RS) — AN ACT relating to the Kentucky statewide health data utility.
Create new sections of KRS Chapter 194A to establish the Kentucky statewide health data utility; define terms; establish purposes and a restricted fund for the utility; require the executive director of the Office of Data Analytics to be responsible for the development, implementation, operation, and maintenance of the utility, contract with a consortium of public health colleges to operate and govern the utility, and promulgate administrative regulations to carry out those duties; establish functions and content of utility; create a consortium of public health colleges; establish duties of consortium in operating and governing the utility; establish administration and operation requirements for the consortium; establish the Kentucky Health Information Technology Board; require the board to establish policies and procedures for the sharing and submission of health information, approve data control, governance, and privacy practices, and advise the executive director and the consortium; require the utility's participants to comply with health information sharing and submission requirements within certain timeframes; require the secretary of the Cabinet for Health and Family Services to enforce the mandatory reporting requirements for the utility's participants; establish enforcement powers of secretary including civil penalty assessment; require the consortium and the executive director to make annual reports relating to the utility; amend KRS 194A.030, 194A.101, 194A.103, 194A.095, 205.640, 205.6489, 211.474, 214.375, and 311A.190 to conform; repeal KRS 216.2920, 216.2921, 216.2923, 216.2925, 216.2927, and 216.2929, relating to health data collection; establish timeframe for making initial appointments, and provide for staggered appointments to the board; require the Cabinet for Health and Family Services or the Department for Medicaid Services to seek federal approval if it is determined that such approval is necessary; provide authorization from the General Assembly to make changes in the Medicaid program as required under KRS 205.5372(1); EFFECTIVE, in part, July 1, 2028.
## 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/26RS/hb676/orig_bill.pdf)
2. **Acts Chapter 150** (committee substitute) — [source](https://apps.legislature.ky.gov/law/acts/26RS/documents/0150.pdf)
3. **Current/Final** (committee substitute) — [source](https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb676/bill.pdf)
## Votes
- Pass — **93–0** (pass) · lower
- CONSENT PASSAGE OF HB 676 — **37–1** (pass) · lower
## Sponsors
- R. Raymer — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2026-02-19T05:00:00+00:00** introduced in House `introduction`
- **2026-02-19T05:00:00+00:00** to Committee on Committees (H) `referral-committee`
- **2026-02-26T05:00:00+00:00** to Health Services (H) `referral-committee`
- **2026-03-05T05:00:00+00:00** reported favorably, 1st reading, to Calendar with Committee Substitute (1) `committee-passage`
- **2026-03-06T05:00:00+00:00** 2nd reading, to Rules `reading-2`
- **2026-03-10T04:00:00+00:00** floor amendment (1) filed to Committee Substitute `amendment-introduction`
- **2026-03-16T04:00:00+00:00** floor amendment (2) filed to Committee Substitute `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** floor amendment (3) filed `amendment-introduction`
- **2026-03-19T04:00:00+00:00** 3rd reading, passed 93-0 with Floor Amendment (3) `passage, reading-3`
- **2026-03-20T04:00:00+00:00** received in Senate
- **2026-03-20T04:00:00+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 `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 37-1 `passage, reading-3`
- **2026-03-31T04:00:00+00:00** received in House
- **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** filed without Governor's signature with the Secretary of State
- **2026-04-14T04:00:00+00:00** became law without Governor's Signature (Acts Ch. 150) `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/eeeadbca-0196-4fee-8d30-c4653ba6fdcb`. Confidence: reported (aggregated from official Kentucky legislature records).
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