Medicaid
Kentucky 2025 Regular Session
AN ACT relating to public health and safety. [HB-745]
[Healthcare ]
[Public Health ]
[Pharmaceuticals ]
[Insurance ]
[Medicare and Medicaid ]
Amend KRS 214.450 to define "autologous donation" and "directed donation"; amend KRS 214.452 to require blood establishments to test for spike proteins, antibodies to the nucleocapsid protein on the SARS-CoV-2 virus, and synthetic mRNA; provide that a person shall not be compelled to donate blood; require blood establishments to inform donors of the potential uses for donations; require blood to be sold to hospitals before any other entity; prohibit blood from sale for pharmaceutical production if there is a hospital blood shortage; amend KRS 214.454
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Sponsored by: Rep. Josh Calloway
To Health Services (h) on 02/27/2025
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Gettr Kentucky 2025 Regular Session
AN ACT relating to Medicaid managed care organizations. [HB-787]
[Healthcare ]
[Medicare and Medicaid ]
Amend KRS 205.533 to require Medicaid managed care organizations to include certain information for providers on their websites; amend KRS 205.534 to require managed care organizations to allow providers 120 days to file an appeal or grievance related to a reduction of denial of a claim; establish penalties for a managed care organization's failure to ensure the timely disposition of any appeal or grievance; require payment of any amount owed to a provider following an appeal to be paid within 30 days; require payments made following an appeal to
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Sponsored by: Rep. Kimberly Poore Moser
To Health Services (h) on 02/27/2025
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Kentucky 2025 Regular Session
AN ACT relating to the Medicaid program. [HB-785]
[Healthcare ]
[Medicare and Medicaid ]
[Mental Health ]
[Insurance ]
Create new sections of KRS Chapter 205 to define terms; establish limitations on material changes to contracts between Medicaid managed care organizations and Medicaid-participating providers; require contracts between the Department for Medicaid Services and a managed care organization to comply with federal laws related to mental health parity; require behavioral health programs to be accredited and narcotic treatment programs to be licensed in order to be eligible for Medicaid reimbursement; amend KRS 205.522 to require the Department for Medicaid
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Sponsored by: Rep. Kimberly Poore Moser
2nd Reading, To Rules on 03/07/2025
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Kentucky 2025 Regular Session
AN ACT relating to boards of the Kentucky General Assembly and declaring an emergency. [HB-9]
[Healthcare ]
[Medicare and Medicaid ]
[Budget and Spending ]
Create new sections of KRS Chapter 7A to define terms; establish the Medicaid Oversight and Advisory Board of the Kentucky General Assembly to review, analyze, study, evaluate, provide legislative oversight, and make recommendations to the General Assembly regarding any aspect of the Kentucky Medicaid program; establish board membership, authority, and duties; amend KRS 7A.010, 7A.140, 7A.150, and 7A.180 to conform; EMERGENCY.
Sponsored by: Rep. Ken Fleming
3rd Reading on 03/13/2025
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Kentucky 2025 Regular Session
AN ACT relating to advisory oversight of the Medicaid program. [HB-789]
[Healthcare ]
[Medicare and Medicaid ]
[Public Health ]
Amend KRS 205.540 to comply with 42 C.F.R. sec. 431.12; change the name of the Advisory Council for Medical Assistance to the Medicaid Advisory Committee; revise membership of the committee; amend KRS 205.552 to conform; amend KRS 205.590 to establish the length of terms for members of the Medicaid technical advisory committees; create a new section of KRS Chapter 205 to establish the Beneficiary Advisory Council; establish council membership; establish that the council shall be exempt from KRS 61.800 to 61.884 in accordance with 42 C.F.R. 431.12.
Sponsored by: Rep. Kimberly Poore Moser
To Health Services (h) on 02/27/2025
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Maine 132nd Legislature
Resolve, Directing the Department of Health and Human Services to Apply for a Waiver from the Federal Government for the Medicaid Limitation on Payment to a Facility with More than 16 Inpatient Beds for Psychiatric Treatment [SB-563]
[Healthcare ]
[Medicare and Medicaid ]
[Mental Health ]
[Public Health ]
Resolve, Directing the Department of Health and Human Services to Apply for a Waiver from the Federal Government for the Medicaid Limitation on Payment to a Facility with More than 16 Inpatient Beds for Psychiatric Treatment
Sponsored by: Sen. Joseph M. Baldacci
Pursuant To Joint Rule 310.3 Placed In Legislative Files (dead) on 05/14/2025
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Maine 132nd Legislature
Resolve, Establishing the Commission to Study MaineCare Estate Recovery [SB-591]
[Medicare and Medicaid ]
[Healthcare ]
[Senior Citizens ]
Resolve, Establishing the Commission to Study MaineCare Estate Recovery
Sponsored by: Sen. Joseph M. Baldacci
Pursuant To Joint Rule 310.3 Placed In Legislative Files (dead) on 04/17/2025
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Kentucky 2025 Regular Session
AN ACT relating to coverage for the treatment of postpartum mood disorders. [HB-683]
[Healthcare ]
[Mental Health ]
[Pharmaceuticals ]
[Public Health ]
[Insurance ]
[Children and Youth ]
Create a new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to provide coverage for FDA-approved prescription drugs for the treatment of postpartum mood disorders; allow the suspension of the coverage requirement for FDA-approved prescription drugs for the treatment of postpartum mood disorders under qualified health plans if cost defrayment required by the state; amend KRS 205.522, 205.6485, 18A.225, and 164.2871 to require Medicaid, Kentucky Children's Health Insurance Program, the state health employee health plan,
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Sponsored by: Rep. Chad Aull
To Banking & Insurance (h) on 02/26/2025
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Kentucky 2025 Regular Session
AN ACT relating to medical assistance. [SB-209]
[Healthcare ]
[Medicare and Medicaid ]
Amend KRS 205.170 to insert gender-neutral language.
Sponsored by: Sen. Danny Carroll
To Families & Children (s) on 02/20/2025
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Kentucky 2025 Regular Session
AN ACT relating to coverage for perinatal mood and anxiety disorders screenings. [HB-627]
[Healthcare ]
[Mental Health ]
[Medicare and Medicaid ]
[Insurance ]
[Public Health ]
[Children and Youth ]
Create a new section of KRS Chapter 205 to allow perinatal mood and anxiety disorders screenings to be claimed as a service for the child as part of the early and periodic, diagnostic and treatment benefit; amend KRS 205.6497 to require the Kentucky Children's Health Insurance Program to cover perinatal mood and anxiety disorders screenings; create a new section of Subtitle 17A of KRS Chapter 304 to require a health plan to cover perinatal mood and anxiety disorders screenings as part of a well-child or well-baby visit; to suspend the coverage requirement
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Sponsored by: Rep. Chad Aull
To Banking & Insurance (h) on 02/26/2025
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Kentucky 2025 Regular Session
AN ACT relating to health and family services. [HB-675]
[Healthcare ]
[Family-Related Legislation ]
[Human Services ]
Amend KRS 205.558 to add gender-neutral language.
Sponsored by: Rep. Suzanne Miles
To Families & Children (h) on 02/26/2025
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Kentucky 2025 Regular Session
AN ACT relating to mental health coverage in connection with pregnancy. [HB-633]
[Healthcare ]
[Mental Health ]
[Public Health ]
[Insurance ]
[Medicare and Medicaid ]
[Children and Youth ]
[Family-Related Legislation ]
Create a new section of Subtitle 17A of KRS Chapter 304 to define terms; require health benefit plans to provide coverage for counseling interventions for pregnant and postpartum persons at increased risk of perinatal depression, including persons who have suffered a miscarriage or stillbirth; suspend the coverage requirement's application to qualified health plans if the state would be required to make cost defrayal payments; amend KRS 205.522, 205.6485, 18A.225, and 164.2871 to require Medicaid, the Kentucky Children's Health Insurance Program,
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Sponsored by: Rep. Chad Aull
To Banking & Insurance (h) on 02/26/2025
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Kentucky 2025 Regular Session
AN ACT relating to third-party payors. [HB-687]
[Healthcare ]
[Insurance ]
[Medicare and Medicaid ]
Create a new section of KRS Chapter 205 to define terms; establish payment and response requirements for third-party payors; amend KRS 205.623 to require third-party payors to respond within 60 days of certain health care claim inquiries from the Department for Medicaid Services; create a new section of KRS Chapter 18A, and amend KRS 205.532 and 304.12-255, to require the state employee health plan, affiliated and associated entities of Medicaid managed care organizations, and health insurers to comply with third-party payor requirements.
Sponsored by: Rep. Kimberly Poore Moser
To Banking & Insurance (h) on 02/26/2025
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Texas 89th Legislature Regular Session
Relating to a report by the Health and Human Services Commission on Medicaid eligibility determinations. [HB-2994]
[Healthcare ]
[Medicare and Medicaid ]
[Human Services ]
Relating to a report by the Health and Human Services Commission on Medicaid eligibility determinations.
Sponsored by: Rep. Ryan Guillen
Read First Time on 03/20/2025
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Texas 89th Legislature Regular Session
Relating to the regulation of psychiatric residential treatment facilities and Medicaid reimbursement for the provision of treatment by those facilities; requiring an occupational license. [SB-1342]
[Healthcare ]
[Medicare and Medicaid ]
[Mental Health ]
[Public Health ]
[Labor, Jobs, Employment ]
Relating to the regulation of psychiatric residential treatment facilities and Medicaid reimbursement for the provision of treatment by those facilities; requiring an occupational license.
Sponsored by: Sen. Nathan Johnson
Read First Time on 02/28/2025
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Texas 89th Legislature Regular Session
Relating to the minimum reimbursement amount for prescription drugs and devices to health benefit plan network pharmacists and pharmacies. [SB-1354]
[Healthcare ]
[Pharmaceuticals ]
[Insurance ]
[Consumer Protection ]
Relating to the minimum reimbursement amount for prescription drugs and devices to health benefit plan network pharmacists and pharmacies.
Sponsored by: Sen. Bryan Hughes
Co-author Authorized on 04/14/2025
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Texas 89th Legislature Regular Session
Relating to the minimum reimbursement amount for prescription drugs and devices to health benefit plan network pharmacists and pharmacies. [HB-2978]
[Healthcare ]
[Pharmaceuticals ]
[Insurance ]
[Consumer Protection ]
Relating to the minimum reimbursement amount for prescription drugs and devices to health benefit plan network pharmacists and pharmacies.
Sponsored by: Rep. Cody Joe Harris
Read First Time on 03/20/2025
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Texas 89th Legislature Regular Session
Relating to the approval, selection, and use of an alternative electronic visit verification system under Medicaid. [SB-1334]
[Healthcare ]
[Medicare and Medicaid ]
[Technology and Innovation ]
Relating to the approval, selection, and use of an alternative electronic visit verification system under Medicaid.
Sponsored by: Sen. Bryan Hughes
Read First Time on 02/28/2025
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Texas 89th Legislature Regular Session
Relating to attendant care services under Medicaid and other programs administered by the Health and Human Services Commission, including establishing a minimum base wage for certain personal attendants providing those services and allowing family members to provide those services. [HB-2938]
[Healthcare ]
[Medicare and Medicaid ]
[Labor, Jobs, Employment ]
[Human Services ]
[Family-Related Legislation ]
Relating to attendant care services under Medicaid and other programs administered by the Health and Human Services Commission, including establishing a minimum base wage for certain personal attendants providing those services and allowing family members to provide those services.
Sponsored by: Rep. Mary E. Gonzalez
Read First Time on 03/19/2025
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Texas 89th Legislature Regular Session
Relating to the provision of nutrition support services to Medicaid recipients in lieu of other state Medicaid plan services and a report on the health outcomes of providing those services. [HB-2946]
[Healthcare ]
[Medicare and Medicaid ]
[Public Health ]
[Food ]
Relating to the provision of nutrition support services to Medicaid recipients in lieu of other state Medicaid plan services and a report on the health outcomes of providing those services.
Sponsored by: Rep. Toni Rose
Read First Time on 03/19/2025