All Roll Calls
Yes: 281 • No: 69
KentuckyHB 4952025 Regular SessionHouseWALLET
AN ACT relating to healthcare services and declaring an emergency.
Sponsored By: David Hale (Republican)
Became Law
Effective Dates, EmergencyMental HealthPersonnel and EmploymentState AgenciesMedicaidCivil ActionsShort Titles and Popular NamesLocal Mandate
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 0 benefits, 2 costs, 0 mixed.
Medicaid funding limits for gender-related medical care
Beginning when the law takes effect upon enactment, Kentucky Medicaid and its contracted managed care plans face new funding limits. They cannot fund cross-sex hormones above amounts normally produced naturally by a healthy person of the same age and sex. They also cannot fund gender reassignment surgery that alters or removes physical features typical of a person’s biological sex. These limits apply despite conflicting state law, but payments required by federal law remain allowed.
Kentucky cancels order and blocks similar actions
Executive Order 2024-632 has no legal effect beginning when the law takes effect upon enactment. From the law’s effective date through January 1, 2028, identical or substantially similar regulations, executive orders, and directives also have no effect. These limits apply despite conflicting laws, regulations, orders, or directives. The supplied text does not explain the order’s contents, so its effects on households are unclear.
Sponsors & Cosponsors
Sponsor
David Hale
Republican • House
Cosponsors
Bill Wesley
Republican • House
Chris Fugate
Republican • House
Kim King
Republican • House
Savannah Maddox
Republican • House
Shawn McPherson
Republican • House
Roll Call Votes
House vote • 3/27/2025
passed
Yes: 78 • No: 20
Senate vote • 3/27/2025
passed
Yes: 31 • No: 6
Senate vote • 3/14/2025
passed
Yes: 67 • No: 19
Senate vote • 3/13/2025
passed
Yes: 28 • No: 6
House vote • 3/5/2025
3rd reading, passed
Yes: 77 • No: 18
Actions Timeline
delivered to Secretary of State (Acts Ch. 107)
3/27/2025enrolled, signed by President of the Senate
3/27/2025Houseenrolled, signed by Speaker of the House
3/27/2025Housereceived in House
3/27/2025Housepassed 31-6
3/27/2025Senateveto overridden
3/27/2025Senateposted for passage for consideration of Governor's veto
3/27/2025to Rules (S)
3/27/2025Senatereceived in Senate
3/27/2025Senatepassed 78-20
3/27/2025Houseveto overridden
3/27/2025Houseposted for consideration of Governor's veto
3/27/2025taken from Rules
3/27/2025Houseto Rules (H)
3/27/2025Housereceived in House
3/27/2025HouseVetoed
3/24/2025delivered to Governor
3/14/2025enrolled, signed by President of the Senate
3/14/2025Senateenrolled, signed by Speaker of the House
3/14/2025Senatepassed 67-19
3/14/2025SenateHouse concurred in Senate Committee Substitute (1) and Committee Amendment (1-title)
3/14/2025Senateplaced in the Orders of the Day
3/14/2025Houseto Rules (H)
3/14/2025Housereceived in House
3/14/2025Housepassed 28-6 with Committee Substitute (1) and Committee Amendment (1-title)
3/13/2025Senate
Bill Text
Current
3/27/2025
Introduced
3/5/2025
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