# Kentucky HB 676: AN ACT relating to the Kentucky statewide health data utility. Kentucky HB 676, AN ACT relating to the Kentucky statewide health data utility., is a 2026 Regular Session House bill sponsored by Rebecca Raymer (Republican); status became law, last action 2026-04-14 (became law without Governor's Signature (Acts Ch. 150)); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/KY-HB676-2026RS - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Kentucky HB 676 - State: Kentucky - Session: 2026 Regular Session - Title: AN ACT relating to the Kentucky statewide health data utility. - Status: became law - Chamber: House - Introduced: 2026-02-19 - Last action: 2026-04-14, became law without Governor's Signature (Acts Ch. 150) - Sponsor: Rebecca Raymer (Republican) - Cosponsors: 0 - Subjects: 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, Actuarial Analysis - Touches household money: yes - Roll calls: 2 (130 yes, 1 no in all) - Economic provisions PRIA read: 14 ## Summary No summary available. ## Bill overview: provisions PRIA read - Stronger privacy and patient opt-out: benefit, medium. The utility must follow HIPAA and 42 C.F.R. part 2. You can opt out of having your identifiable, long‑term health record in the utility. Deidentified or aggregated claims and encounter data may still be used if you cannot reasonably be reidentified. All data users must agree to the law’s use rules… - State health data utility rules: benefit, medium. The law creates a statewide health data utility with strict privacy and security rules. Individual health data in the utility is not open to public records requests. No one may reidentify people, use data for trade secrets or resale, or break privacy laws. The consortium cannot publish or use healt… - Statewide health data utility launches: benefit, medium. The law creates a single statewide network to share health information. It combines clinical, pharmacy, claims (all‑payer claims database), and community referral data. The Office of Data Analytics oversees it, and a four‑university consortium runs it. The executive director seeks grants, Medicare… - Easier Parkinson’s registry reporting: benefit, low. Movement disorder centers and providers may use automated tools from the cabinet or a state health information exchange to report Parkinson’s cases. This can reduce manual reporting work. - Annual reports on utility performance: benefit, low. Each year by June 1, the consortium reports on operations, finances, performance, and recommended improvements. Each year by September 1, the executive director reports on oversight and enforcement, contract compliance, finances, performance, and recommendations. - Brain and spinal injury registry: benefit, low. The state creates a confidential registry for traumatic brain and spinal cord injuries. Licensed professionals may be required to report cases and related data. Hospitals only report data already available from the statewide health data utility or other state reporting. The board must protect confi… - More reporting for CHIP and women's health: benefit, low. CHIP data is included in the statewide health data utility (or other state reporting until that utility is ready). The program tracks enrollment, services, and effects on children’s health. The Division of Women’s Health guides which women’s health data are collected and helps publish aggregate fin… - New Health IT Board oversight: benefit, low. The law creates the Kentucky Health Information Technology Board. It sets who serves, with the executive director as chair who votes only to break a tie. The board meets at least quarterly for the first two years and at least twice a year after; members may meet remotely. The cabinet pays board cos… - New reporting rules and penalties: cost, medium. Participants must share required health data in set formats and on set schedules. Required reporters must sign an agreement and start sending data by the later of three months after a database goes live or when they start the regulated activity, as allowed by federal law. The Secretary can investig… - New EMS data and privacy rules: mixed, medium. Ambulance, mobile integrated healthcare, and medical first response providers must send required patient care data electronically in the board’s format. If a provider collects data electronically, it must give a full patient care record to the receiving facility and to the patient on request if not… - Hospital DSH payments and deadlines: mixed, medium. Medicaid hospitals must file DSH surveys within 60 days after filing annual cost reports; extensions are rare and up to 30 days, requested 10 days before the deadline. New hospitals without six months of data must submit a limited DSH survey by September 1 before the first calculation. Plans must g… - Fees and funding for data utility: mixed, low. The law creates a restricted state fund to run the utility. It can hold grants, gifts, fees, penalties, and appropriations, and money does not lapse. The director can set fees for authorized data access and set what non‑identifiable data are released publicly. The General Assembly and the Legislati… - Hospitals post access sign, provide audits: mixed, low. Hospitals that get DSH reimbursement must post a sign saying they accept patients regardless of race, creed, ethnic background, or ability to pay. When asked, a hospital must send documents that prove it meets federal audit rules in 42 C.F.R. § 455. - Parkinson's registry with patient opt-out: mixed, low. The state creates a Parkinson’s Disease Research Registry. Starting January 1, 2026, movement disorder centers and providers must report Parkinson’s cases. Patients must get notice and can opt out in writing; then only a case count is reported. The cabinet keeps registry data confidential, controls… ## Sponsors and cosponsors - Sponsor: Rebecca Raymer (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-03-31 | Senate | 3rd reading, passed | pass | 37 | 1 | | | 2026-03-19 | House | 3rd reading, passed | pass | 93 | 0 | | ## Actions (23) - 2026-04-14: became law without Governor's Signature (Acts Ch. 150) - 2026-04-13: filed without Governor's signature with the Secretary of State - 2026-04-01: delivered to Governor - 2026-04-01: enrolled, signed by President of the Senate (House) - 2026-04-01: enrolled, signed by Speaker of the House (House) - 2026-03-31: received in House (House) - 2026-03-31: 3rd reading, passed 37-1 (Senate) - 2026-03-26: posted for passage in the Consent Orders of the Day for Friday, March 27 2026 (Senate) - 2026-03-26: 2nd reading, to Rules as a consent bill (Senate) - 2026-03-25: reported favorably, 1st reading, to Consent Calendar (Senate) - 2026-03-24: to Health Services (S) (Senate) - 2026-03-20: to Committee on Committees (S) (Senate) - 2026-03-20: received in Senate (Senate) - 2026-03-19: 3rd reading, passed 93-0 with Floor Amendment (3) (House) - 2026-03-18: floor amendment (3) filed (House) - 2026-03-17: posted for passage in the Regular Orders of the Day for Wednesday, March 18 2026 (House) - 2026-03-16: floor amendment (2) filed to Committee Substitute (House) - 2026-03-10: floor amendment (1) filed to Committee Substitute (House) - 2026-03-06: 2nd reading, to Rules (House) - 2026-03-05: reported favorably, 1st reading, to Calendar with Committee Substitute (1) (House) - 2026-02-26: to Health Services (H) (House) - 2026-02-19: to Committee on Committees (H) (House) - 2026-02-19: introduced in House (House) ## Bill text - Current, 2026-03-19: [PDF](https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb676/bill.pdf) - Introduced, 2026-03-19: [PDF](https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb676/orig_bill.pdf) ## Related bills - HB 869: AN ACT relating to fiscal matters and declaring an emergency. (signed) - SB 197: AN ACT providing funding and establishing conditions for state government agencies and institutions, making an appropriation therefor, and declaring an emergen… (became law) - SB 133: AN ACT relating to the fiscal reporting of local entities. (signed) - HB 826: AN ACT relating to education. (signed) - HB 727: AN ACT relating to education and declaring an emergency. (signed) - SB 324: AN ACT relating to the entertainment industry. (signed) ## Sources - [Current (PDF)](https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb676/bill.pdf) - [Introduced (PDF)](https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb676/orig_bill.pdf) ## Related - [HB 869: AN ACT relating to fiscal matters and declaring an emergency.](https://policyrisk.com/state-bill/KY-HB869-2026RS) - [SB 197: AN ACT providing funding and establishing conditions for state government agenc…](https://policyrisk.com/state-bill/KY-SB197-2026RS) - [SB 133: AN ACT relating to the fiscal reporting of local entities.](https://policyrisk.com/state-bill/KY-SB133-2026RS) - [HB 826: AN ACT relating to education.](https://policyrisk.com/state-bill/KY-HB826-2026RS) - [HB 727: AN ACT relating to education and declaring an emergency.](https://policyrisk.com/state-bill/KY-HB727-2026RS) - [SB 324: AN ACT relating to the entertainment industry.](https://policyrisk.com/state-bill/KY-SB324-2026RS) - [Kentucky bills](https://policyrisk.com/states/kentucky/bills) - [Kentucky state hub](https://policyrisk.com/states/kentucky) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/KY-HB676-2026RS (as of 2026-11-01).