Kentucky Medicaid State Plan Legislative Oversight
Summary
Kentucky Senate Bill 173 was vetoed by the Governor on April 6, 2026, but the veto was subsequently overridden by the House of Representatives (74-16) on March 27, 2026. The bill creates a new section of KRS Chapter 205 establishing an annual legislative review process for the Kentucky Medicaid state plan and Kentucky Children's Health Insurance Program state plan.
What changed
The Kentucky General Assembly passed SB173 establishing a new section of KRS Chapter 205 to define terms and create an annual legislative review process for the Kentucky Medicaid state plan and Kentucky Children's Health Insurance Program. The bill passed the Senate 30-6 on March 3, 2026 with Committee Substitute (1), and passed the House 74-16 on March 27, 2026. The Governor vetoed the bill on April 6, 2026, but the veto was overridden the same day, making the bill law.
The bill declares an emergency, which typically means immediate or expedited effective date upon override. The Kentucky General Assembly must now establish formal procedures for the annual Medicaid and CHIP state plan review process. The Kentucky Cabinet for Health and Family Services and other state agencies administering Medicaid will face new oversight requirements. Healthcare providers and stakeholders should monitor implementation of this new legislative review process.
What to do next
- Monitor Kentucky Cabinet for Health and Family Services for implementation guidance
- Prepare for new annual legislative review requirements under KRS Chapter 205
- Review internal Medicaid state plan documentation processes for legislative submission
Source document (simplified)
ChangeBridge / Kentucky / SB173 Vetoed SB173 Senate Bill Vetoed 2026-04-06
AN ACT relating to legislative oversight of the Medicaid state plan and declaring an emergency.
Create a new section of KRS Chapter 205 to define terms; establish an annual Medicaid state plan and Kentucky Children's Health Insurance Program state plan legislative review process; EMERGENCY.
Bill Details
State Kentucky
Session 2026 Regular Session
Chamber Senate
Official Source apps.legislature.ky.gov/record/26RS/sb173....
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Sponsors
David Givens (Sen - R)
Action History
2026-04-06 S Vetoed 2026-03-27 S delivered to Governor 2026-03-27 S enrolled, signed by Speaker of the House 2026-03-27 S enrolled, signed by President of the Senate 2026-03-27 S received in Senate 2026-03-27 H 3rd reading, passed 74-16 2026-03-25 H posted for passage in the Regular Orders of the Day for Thursday, March 26 2026 2026-03-13 H 2nd reading, to Rules 2026-03-12 H reported favorably, 1st reading, to Calendar 2026-03-11 H to Health Services (H) 2026-03-04 H to Committee on Committees (H) 2026-03-04 H received in House 2026-03-03 S 3rd reading, passed 30-6 with Committee Substitute (1) 2026-03-02 S posted for passage in the Regular Orders of the Day for Tuesday, March 03 2026 2026-02-26 S 2nd reading, to Rules 2026-02-25 S reported favorably, 1st reading, to Calendar with Committee Substitute (1) 2026-02-23 S to Health Services (S) 2026-02-09 S to Committee on Committees (S) 2026-02-09 S introduced in Senate
Votes
2026-03-03 Senate: Third Reading RSN# 3877 Yea: 30 Nay: 6 2026-03-27 House: Veto Override RCS# 350 Yea: 74 Nay: 16
Committee Referrals
2026-02-09 S Committee on Committees 2026-02-23 S Health Services 2026-02-26 S Rules 2026-03-04 H Committee On Committees 2026-03-11 H Health Services 2026-03-13 H Rules
Amendments
0000-00-00 Senate Committee Substitute
Bill Text Versions
0000-00-00 Introduced 0000-00-00 Engrossed
Subjects
Boards and Commissions General Assembly Effective Dates, Emergency Legislative Research Commission Medicaid State Agencies Legislative data powered by LegiScan (CC BY 4.0)
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