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State Government / Kentucky / Legislation / HB 689

HB 689Session 2026RSHouseBecame law

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.

Latest development · Apr 13, 2026

signed by Governor (Acts Ch. 117)

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Source record ↗
Session
2026RS
Introduced
Feb 20, 2026
Latest passage
Apr 1, 2026
TopicsSponsorsActionsRelated billsDiscussion

Topics and classification

Civixly topics

Health

Source subjects

Health Care ProfessionalsHospitals And Health FacilitiesMedicaidPhysiciansRetroactive Legislation

Document type

Bill

Sponsors

Primary sponsors are listed before cosponsors and other sponsoring entities.

No sponsor information is currently available for this bill.

Action timeline

Newest action first. Action language is supplied by the state source.

View full action timeline24 actions⌄
  1. Apr 13, 2026

    signed by Governor (Acts Ch. 117)

    Executive SignatureHouse
  2. Apr 1, 2026

    delivered to Governor

    House
  3. Apr 1, 2026

    enrolled, signed by President of the Senate

    PassageSenate
  4. Apr 1, 2026

    enrolled, signed by Speaker of the House

    PassageHouse
  5. Mar 31, 2026

    passed 90-1

    PassageHouse
  6. Mar 31, 2026

    House concurred in Committee Substitute (1)

    House
  7. Mar 31, 2026

    posted for passage for concurrence in Senate Committee Substitute (1)

    House
  8. Mar 31, 2026

    to Rules (H)

    Referral CommitteeHouse
  9. Mar 31, 2026

    received in House

    House
  10. Mar 31, 2026

    3rd reading, passed 38-0 with Committee Substitute (1)

    PassageReading 3House
  11. Mar 26, 2026

    posted for passage in the Consent Orders of the Day for Friday, March 27 2026

    House
  12. Mar 26, 2026

    2nd reading, to Rules as a consent bill

    Reading 2House
  13. Mar 25, 2026

    reported favorably, 1st reading, to Consent Calendar with Committee Substitute (1)

    Committee PassageHouse
  14. Mar 24, 2026

    to Health Services (S)

    Referral CommitteeSenate
  15. Mar 19, 2026

    to Committee on Committees (S)

    Referral CommitteeSenate
  16. Mar 19, 2026

    received in Senate

    Senate
  17. Mar 18, 2026

    3rd reading, passed 94-0 with Floor Amendment (1)

    PassageReading 3House
  18. Mar 17, 2026

    posted for passage in the Regular Orders of the Day for Wednesday, March 18 2026

    House
  19. Mar 16, 2026

    floor amendment (1) filed

    Amendment IntroductionHouse
  20. Mar 6, 2026

    2nd reading, to Rules

    Reading 2House
  21. Mar 5, 2026

    reported favorably, 1st reading, to Calendar

    Committee PassageHouse
  22. Feb 27, 2026

    to Health Services (H)

    Referral CommitteeHouse
  23. Feb 20, 2026

    to Committee on Committees (H)

    Referral CommitteeHouse
  24. Feb 20, 2026

    introduced in House

    IntroductionHouse

Related Kentucky legislation

Other measures from this legislative session that share one or more Civixly topics with HB 689.

SB 147Updated Apr 15, 2026

AN ACT relating to vital records.

Health
HCR 103Updated Apr 15, 2026

A CONCURRENT RESOLUTION establishing the Health Care Workforce Task Force to identify strategies to increase the number of health care professionals while maintaining high quality standards of care.

Health
HB 613Updated Apr 15, 2026

AN ACT relating to revenues for the provision of emergency services.

Health
HJR 24Updated Apr 14, 2026

A JOINT RESOLUTION directing the Cabinet for Health and Family Services to withdraw all waiver applications that have been submitted to the Centers for Medicare and Medicaid Services to establish a community engagement program, and declaring an emergency.

Health
Browse all Kentucky legislation →

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State legislative data provided by Open States and linked legislature sources when available.

Civixly tracks state bill actions, passage dates, and sponsors. Member-level state roll-call histories are not included.

Source data last updated Aug 20, 2026.