GIVENS BILL ESTABLISHING MEDICAID STATE HEALTH PLAN REVIEW PASSES GENERAL ASSEMBLY

GIVENS BILL ESTABLISHING MEDICAID STATE HEALTH PLAN REVIEW PASSES GENERAL ASSEMBLY

Measure establishes formal oversight process for amendments submitted to federal regulators

FRANKFORT, KY. (April 1, 2026)—A measure sponsored by Sen. David Givens, R-Greensburg, to establish legislative review of changes to Kentucky’s state health plan has passed the General Assembly and now heads to the governor.

Senate Bill (SB) 173 creates a formal process for lawmakers to review amendments to the state health plan submitted to the federal Centers for Medicare and Medicaid Services (CMS). Under the bill, the General Assembly may examine those amendments and determine whether specific components should be deemed deficient, using a process similar to Kentucky’s existing administrative regulation review framework.

Givens said the bill reflects the General Assembly’s constitutional role as the policymaking branch of government and ensures lawmakers remain engaged in major health policy decisions that carry significant fiscal and long-term implications.

“Decisions tied to the state health plan affect Medicaid policy, access to care and the long-term fiscal outlook for the commonwealth,” Givens said. “SB 173 creates a thoughtful and transparent process that allows policymakers to review significant amendments and ensure they align with the policy direction set by the General Assembly.”

The legislation establishes a structured mechanism for legislative review while maintaining the executive branch’s responsibility for administering Kentucky’s Medicaid program and related health initiatives.

Rep. Kim Moser, R-Taylor Mill, chair of the House Health Services Committee and the House floor presenter for the bill, said the measure provides lawmakers with an important tool to better understand and evaluate major health policy changes.

“This legislation strengthens transparency and accountability by giving the General Assembly a clear process to review changes to the state health plan and ensure they serve the best interests of Kentuckians,” she said. “I appreciate Senator Givens for his thoughtful leadership in advancing a measure that promotes oversight while respecting the proper role of the legislature.”

SB 173 now awaits action from the governor.

Learn more about bills, committees, and other important updates on the 2026 Regular Session at www.kylegislature.gov.