# Kentucky HB 695: AN ACT relating to the Medicaid program and declaring an emergency. Kentucky HB 695, AN ACT relating to the Medicaid program and declaring an emergency., is a 2025 Regular Session House bill sponsored by Adam Bowling (Republican); status became law, last action 2025-03-27 (delivered to Secretary of State (Acts Ch. 110)); PRIA reads it as touching household money (as of 2026-10-17). - Canonical: https://policyrisk.com/state-bill/KY-HB695-2025RS - As of: 2026-10-17 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Kentucky HB 695 - State: Kentucky - Session: 2025 Regular Session - Title: AN ACT relating to the Medicaid program and declaring an emergency. - Status: became law - Chamber: House - Introduced: 2025-02-19 - Last action: 2025-03-27, delivered to Secretary of State (Acts Ch. 110) - Sponsor: Adam Bowling (Republican) - Cosponsors: 2 - Subjects: Mental Health, Public Assistance, Public Medical Assistance, State Agencies, Substance Abuse, Medicaid, Reports Mandated, Effective Dates, Emergency, General Assembly, Health and Medical Services - Touches household money: yes - Roll calls: 4 (218 yes, 53 no in all) - Economic provisions PRIA read: 8 ## Summary No summary available. ## Bill overview: provisions PRIA read - Public scorecards for Medicaid treatment providers: benefit, low. The cabinet must create a scorecard for behavioral health and substance use treatment services and providers. Every Medicaid managed care company must use it. Each company must post the scorecard on its website by December 31, 2025. The scorecard provides public information but does not guarantee s… - Dedicated fund keeps Medicaid drug rebates: benefit, low. The law creates a restricted Medicaid pharmaceutical rebate fund within the cabinet. Specified rebates and compensation from drugmakers, the state pharmacy benefit manager, and other Medicaid contractors must enter the fund. Amounts owed to the federal government are excluded. The department must s… - Community engagement rules for Medicaid adults: cost, medium. Kentucky must seek federal approval for mandatory Medicaid community engagement within 90 days after the law takes effect. Requirements apply only with federal approval and as federal law allows. The target group is adults ages 19–59, enrolled for over 12 months, whom the cabinet finds able to work… - Medicaid restores behavioral health approval rules: cost, medium. Kentucky must restore Medicaid behavioral health prior approval requirements that were required on January 1, 2020. The deadline is 90 days after the law takes effect. If a state plan amendment is needed, the delay lasts only until federal approval. People seeking affected services face an approval… - Legislative approval required for Medicaid changes: mixed, low. The cabinet generally needs legislative approval before creating a Basic Health Program or making covered Medicaid waiver or state plan changes. This includes changes to eligibility, coverage, or benefits. Approval requests need spending and savings estimates covering at least two consecutive state… - More access to Medicaid spending records: mixed, low. Managed care contracts signed on or after the law’s effective date must require spending data by service type, including outside administrators. Contracts without that rule are invalid, and vendors cannot be paid under them. The department must compile statewide actual spending, report quarterly to… - New board oversees Kentucky Medicaid: mixed, low. The law creates a Medicaid Oversight and Advisory Board within the Legislative Research Commission, which funds its work. It includes 10 voting lawmakers and nonvoting members and must meet at least six times yearly. The board reviews Medicaid benefits, access, payments, financing, and care deliver… - New rules for Medicaid care contracts: mixed, low. Kentucky may use fee-for-service, managed care, or other federally allowed Medicaid delivery models, including several models at once. Managed care contracts in effect when the law takes effect remain valid. The department must procure new managed care contracts that take effect no later than Janua… ## Sponsors and cosponsors - Sponsor: Adam Bowling (Republican), House - Cosponsor: Josh Bray (Republican), House - Cosponsor: Jason Petrie (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-03-27 | Senate | passed | pass | 29 | 7 | | | 2025-03-27 | House | passed | pass | 80 | 20 | | | 2025-03-14 | Senate | 3rd reading, passed | pass | 29 | 7 | | | 2025-03-04 | House | 3rd reading, passed | pass | 80 | 19 | | ## Actions (49) - 2025-03-27: delivered to Secretary of State (Acts Ch. 110) - 2025-03-27: enrolled, signed by President of the Senate (House) - 2025-03-27: enrolled, signed by Speaker of the House (House) - 2025-03-27: received in House (House) - 2025-03-27: passed 29-7 (Senate) - 2025-03-27: veto overridden (Senate) - 2025-03-27: posted for passage for consideration of Governor's veto - 2025-03-27: to Rules (S) (Senate) - 2025-03-27: received in Senate (Senate) - 2025-03-27: passed 80-20 (House) - 2025-03-27: veto overridden (House) - 2025-03-27: posted for consideration of Governor's veto - 2025-03-27: taken from Rules (House) - 2025-03-27: to Rules (H) (House) - 2025-03-27: received in House (House) - 2025-03-26: Vetoed - 2025-03-14: delivered to Governor - 2025-03-14: enrolled, signed by President of the Senate (Senate) - 2025-03-14: enrolled, signed by Speaker of the House (Senate) - 2025-03-14: passed 72-19 (Senate) - 2025-03-14: House concurred in Senate Committee Substitute (2) (Senate) - 2025-03-14: posted for passage for concurrence in Senate Committee Substitute (2) (Senate) - 2025-03-14: to Rules (H) (House) - 2025-03-14: received in House (House) - 2025-03-14: 3rd reading, passed 29-7 with Committee Substitute (2) (Senate) - 2025-03-14: posted for passage in the Regular Orders of the Day for Friday, March 14, 2025 (Senate) - 2025-03-14: reported favorably, to Rules with Committee Substitute (2) (Senate) - 2025-03-14: recommitted to Appropriations & Revenue (S) (Senate) - 2025-03-14: taken from the Regular Orders of the Day (Senate) - 2025-03-14: passed over and retained in the Orders of the Day (Senate) - 2025-03-13: posted for passage in the Regular Orders of the Day for Friday, March 14, 2025 (Senate) - 2025-03-13: 2nd reading, to Rules (Senate) - 2025-03-12: reported favorably, 1st reading, to Calendar with Committee Substitute (1) (Senate) - 2025-03-11: to Appropriations & Revenue (S) (Senate) - 2025-03-05: to Committee on Committees (S) (Senate) - 2025-03-05: received in Senate (Senate) - 2025-03-04: 3rd reading, passed 80-19 with Committee Substitute (1) (House) - 2025-03-04: placed in the Orders of the Day for Tuesday, March 04, 2025 (House) - 2025-03-04: taken from Rules (House) - 2025-03-04: reported favorably, to Rules with Committee Substitute (1) (House) - 2025-02-26: returned to Appropriations & Revenue (H) (House) - 2025-02-26: 2nd reading (House) - 2025-02-26: taken from Appropriations & Revenue (H) (House) - 2025-02-25: returned to Appropriations & Revenue (H) (House) - 2025-02-25: 1st reading (House) - 2025-02-25: taken from Appropriations & Revenue (H) (House) - 2025-02-21: to Appropriations & Revenue (H) (House) - 2025-02-19: to Committee on Committees (H) (House) - 2025-02-19: introduced in House (House) ## Bill text - Current, 2025-03-27: [PDF](https://apps.legislature.ky.gov/recorddocuments/bill/25RS/hb695/bill.pdf) - Introduced, 2025-02-18: [PDF](https://apps.legislature.ky.gov/recorddocuments/bill/25RS/hb695/orig_bill.pdf) ## Related bills - HB 501: AN ACT relating to pharmaceutical drugs. (became law) - HB 664: AN ACT relating to the operation of a motor vehicle and declaring an emergency. (signed) - HB 606: AN ACT relating to economic development. (signed) - HB 421: AN ACT relating to colorectal cancer screenings. (signed) - HB 555: AN ACT relating to local government financial practices. (signed) - HB 493: AN ACT relating to the towing and storage of motor vehicles. (signed) ## Sources - [Current (PDF)](https://apps.legislature.ky.gov/recorddocuments/bill/25RS/hb695/bill.pdf) - [Introduced (PDF)](https://apps.legislature.ky.gov/recorddocuments/bill/25RS/hb695/orig_bill.pdf) ## Related - [HB 501: AN ACT relating to pharmaceutical drugs.](https://policyrisk.com/state-bill/KY-HB501-2025RS) - [HB 664: AN ACT relating to the operation of a motor vehicle and declaring an emergency.](https://policyrisk.com/state-bill/KY-HB664-2025RS) - [HB 606: AN ACT relating to economic development.](https://policyrisk.com/state-bill/KY-HB606-2025RS) - [HB 421: AN ACT relating to colorectal cancer screenings.](https://policyrisk.com/state-bill/KY-HB421-2025RS) - [HB 555: AN ACT relating to local government financial practices.](https://policyrisk.com/state-bill/KY-HB555-2025RS) - [HB 493: AN ACT relating to the towing and storage of motor vehicles.](https://policyrisk.com/state-bill/KY-HB493-2025RS) - [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-HB695-2025RS (as of 2026-10-17).