Fiscal Notes for the 2026 Regular Session of the General Assembly
Updated as of March 26, 2026
HB 2 (HCS) – AN ACT relating to Medicaid.
House Bill 2 is estimated to cost the Medicaid budget $141.2 million ($38.6 million state funds), including $118.8 million ($23.8 million state funds) in higher payments to managed care organizations for the bill's substantial increase in requirements, $17 million ($7.7 million state funds) for information technology system updates, $10 million ($5 million state funds) for the required waiver list process, $10 million ($1 million state funds) in expected spending reductions due to new cost sharing requirements, $4.6 million ($2.3 million state funds) for an administrative service organization to administer Medicaid-covered dental services, $800,000 ($400,000 state funds) for global positioning devices for vehicles providing Medicaid-covered nonemergency medical tran sportation services, and $500,000 appropriated in the bill to the Auditor of Public Accounts to perform a comprehensive examination of the Medicaid program. In addition to these costs, the estimated costs of information technology changes needed to implement the federal Medicaid changes in H.R. 1 are included in the Governor's recommended budget and the House's version of the budget.
HB 6 (HCS 1) – AN ACT relating to child care.
House Bill 6 with House Committee Substitute 1 is estimated to cost $5.2 million in the first year and $371,200 for each subsequent year for additional staff to implement a new provider category for regulated child care serving between four and twenty-four children in nonresidential setting for more than three hours per day. The first-year costs include $4.8 million in one-time costs for the early education management platform to streamline communication and operations between childcare providers, teachers and parents.
HB 26 – AN ACT relating to workers' compensation for first responders.
House Bill 26 is estimated to cost $9.1 million annually for the expansion of workers' compensation coverage to include psychological, psychiatric, or stress-related injuries for specified first responders, front-line staff in the Department for Community Based Services, and members of the National Guard on state active duty. The funding is available but not included in the appropriations in the current biennial budget bill. The House budget would prohibit increases in the appropriation after it is enacted.
HB 70 – AN ACT relating to identity documents.
House Bill 70 is estimated to cost $200,000 in information technology programming costs.
HB 92 – An ACT relating to dieticians.
House Bill 92 is estimated to cost $135,000 per year to cover fees related to the Dietitian Licensure Compact. The Board has the ability to raise fees to cover these costs.
HB 103 – AN ACT relating to water fluoridation programs.
House Bill 103 is estimated to cost between $19.7-$59.1 million total ($3.9-$11.8 million state funds) for increased dental services, assuming 10-30% of the population with non-fluoridated drinking water.
HB 124 – AN ACT relating to a living wage.
House Bill 124 is estimated to cost $220,000 annually to fund two additional investigator positions to address the increased workload associated with enforcing living wage requirements. The agency may be able to absorb this cost pending final appropriations.
HB 132 – AN ACT relating to economic development.
House Bill 132 is estimated to cost $120,000 for one program manager and operating costs to promote the programs of the Office of Agricultural Policy and to meet reporting requirements.
HB 134 – AN ACT relating to sexual assault nurse examiners.
House Bill 134 is estimated to cost $275,000 for the costs of a statewide sexual assault nurse examiner coordinator program, including staffing and related travel and training costs.
HB 140 – AN ACT relating to highway pavement markings.
House Bill 140 is estimated to cost $33,000,000 to $43,000,000 per year to extend the testing of pavement markings out to six months after completion and repair within 30 days if the markings do not meet federal standards. Pavement marking tests are currently done within 30-60 days after placement. Extending that to six months would cause most of the markings to fail the testing, especially if striping is affected by winter road conditions.
HB 181 – AN ACT relating to the Interstate Massage Compact.
House Bill 181 is estimated to cost $135,000 per year to cover fees related to the Interstate Massage Licensure Compact. The Board has the ability to raise fees to cover these costs.
HB 196 – AN ACT relating to perfluoroalkyl and polyfluoroalkyl substances.
House Bill 196 is estimated to cost $985,000 annually to operate the program, $760,000 for the Cabinet for Health and Family Services and $225,000 for the Energy and Environment Cabinet, which includes three additional staff and associated operating expenses for the for the PFAS Working Group and numerous requirements and deliverables, and costs for the collection of data from manufacturers of products containing intentionally added PFAS including product description and identification of releases of PFAS exceeding 10 pounds in 24 hours.
HB 197 – AN ACT relating to soil conservation.
House Bill 197 is estimated to cost $273,700 for two additional staff to establish a Healthy Soils Program to promote the use of healthy soil practices including providing technical advice and assistance, assist with soil health assessments, and aid farmers with the development and implementation of soil health plans.
HB 200 – AN ACT relating to unemployment insurance.
House Bill 200 is estimated to cost $3,117,600 in the first year and $220,000 for each subsequent year for two additional staff to prohibit disqualification from benefits for workers unemployed as result of domestic violence and abuse, dating violence and abuse, sexual assault, or stalking as well as required training in these areas. The first-year costs include $897,600 for updates to the existing unemployment insurance system and $2 million for change orders associated with the new UI system under development.
HB 209 – AN ACT relating to certified living wage.
House Bill 209 is estimated to cost $220,000 per year for two additional staff to enforce the certified living wage for employers receiving certain financial incentives. The agency may be able to absorb this cost pending final appropriations.
HB 214 – AN ACT relating to disabled veterans.
House Bill 214 is estimated to cost $206,700 per year for two staff positions and between $1,000 to $10,000 per accessibility ramp for the Residential Ease of Access for Disabled Veterans Program.
HB 215 – AN ACT relating to state parks.
House Bill 215 is estimated to reduce revenue by $2.2 million to the Department of Parks by offering Kentucky residents a 15% discount on all lodging, golf passes, and golf rates. Historical data shows 60% of accommodations are occupied by Kentucky residents.
HB 224 – AN ACT relating to state parks.
House Bill 224 is estimated to cost $10 million to implement a grant management module within the Commonwealth's financial management system. Based upon discussion with the Commonwealth's vendor partner, it would cost approximately $4.7 million to first convert the financial management system to the cloud before the new grant module could be implemented for an additional $5 million. The cloud conversion project is included in the Governor's recommended budget. Ongoing costs are estimated to be $275,000 per year for software maintenance.
HB 230 – AN ACT relating to health care price transparency.
House Bill 230 is estimated to cost $431,000 for four additional staff positions and related operating costs to monitor, evaluate complaints and audit facility websites for compliance with health care price transparency.
HB 249 – AN ACT relating to involuntary commitment.
House Bill 249 is estimated to cost $1.7 million for the first year and $3.5 million for each subsequent year due to the expected increase in involuntary commitments resulting from a violation of sexual abuse in the first degree.
HB 257 GA – AN ACT relating to education assessment and accountability system.
House Bill 257 is estimated to cost $3.4 million in the first year and $800,000 in each subsequent year for six additional staff to assist local school districts with development and implementation of indicators of quality. The first-year costs include $2.6 million in one-time costs to provide up to $15,000 per district to offset costs incurred in development of locally developed indicators of quality.
HB 278 – AN ACT relating to hospital price transparency.
House Bill 278 is estimated to cost $431,000 for four additional staff positions and related operating costs to monitor, evaluate complaints and audit facility websites for compliance with hospital price transparency.
HB 286 – AN ACT relating to the Veteran Entrepreneurs.
House Bill 286 is estimated to cost $250,000 for two additional staff and operating expenses for the Veteran Entrepreneur Program to assist veterans who start or own one or more small businesses.
HB 308 AN ACT relating to sex crimes.
House Bill 308 is estimated to cost $820,000 annually for additional treatment, reentry, and offender information staff to oversee the offenders in the community and placements and audits that will require medroxyprogesterone acetate treatment. The cost of healthcare and pharmaceutical expenses is unknown.
HB 311 GA – AN ACT relating to railroad crossings.
House Bill 311 is estimated to cost $400,000 for the state share of workforce and related costs.
HB 321 – AN ACT relating to child care.
House Bill 321 is estimated to have a cost increase of $3.8 million annually from state funds. As written, HB 321 is not an allowable use of Child Care Assistance Program federal funds.
HB 332 – AN ACT relating to the issuance of identity documents.
House Bill 332 is estimated to cost $2,219,650 to $3,794,450 for the first year and for subsequent years, a range of $931,900 to $2,506,800, assuming all 91 counties without a regional driver's license office choose to participate. The first-year costs of $1,287,650 ($14,150 each for 91 locations) include the purchase and installation of the necessary equipment, including support and access. The annual costs range from $931,900 (91 county clerks only) to $2,506,800 (91 other county officials). The costs are less for county clerks as they have existing isolated network access.
HB 344 – AN ACT relating to local government.
House Bill 344 is estimated to cost $345,000 per year including $125,000 for one additional position to provide administrative oversight for contractors with registered apprenticeship programs, and $220,000 for two additional positions to enforce city enacted ordinances related to public works projects with costs greater than $1,000,000.
HB 355 – AN ACT relating to real property appraisers.
House Bill 355 is estimated to cost $975,000 for additional staff and operating expenses to establish the Real Property Appraisers Board as an independent agency. Board would have ability to raise fees to cover these costs, but the House budget would prohibit increase in the Board's appropriation after it is enacted.
HB 371 – AN ACT relating to outdoor recreation.
House Bill 371 is estimated to cost $810,000 for four additional staff and operating costs for the Office of Outdoor Recreation Industry to develop and promote outdoor recreation. This bill would have no fiscal impact if placed within the Department of Tourism that have existing staff that promote outdoor recreation in Kentucky.
HB 380 – AN ACT relating to the regulation of virtual currency kiosk business.
House Bill 380 is estimated to cost $953,000 for five additional staff and operating costs for examinations, licensure and regulation of virtual currency kiosk businesses. With a sufficient appropriation level, the Department of Financial Institutions has the available resources to cover these additional costs.
HB 391 – AN ACT relating to elementary literacy and making an appropriation therefor.
House Bill 391 sets up a Kids Love to Read Program with the intention of providing books to each public-school K-5th grade student. If funds are available, the program would provide 50% of the cost with a cap of $120 per student per year, including outside matching funds. House Bill 391 also appropriates $500,000 from the Budget Reserve Trust Fund for the program.
HB 414 – AN ACT relating to booking procedures in local jails.
House Bill 414 is estimated to cost $2,720,000 in year one for Kentucky State Police to purchase additional test kits, supplies, equipment, and furniture, and hire additional laboratory and records management personnel to process additional tests and to process expungements requiring removal of any DNA information from their database. Ongoing costs would be $2,172,000.
HB 422 – AN ACT relating to crimes and punishments.
House Bill 422 is estimated to result in significant increase in the length of incarceration that will result in a higher inmate population. That will cause future increases in costs for state correctional institutions. At this point, the total fiscal impact is unknown, but the impact will compound over multiple fiscal year but not a material impact in the 2026-2028 biennium. As enhanced penalties and longer prison sentences result from legislative changes it decreases the number and type of felons that cannot be housed in jails. Additional prison capacity may become necessary in the future. This bill would require modifications to Kentucky Offender Management System to incorporate new statutory requirements and system reports, with an estimated one-time implementation cost of $150,000.
HB 437 – AN ACT relating to unemployment benefits.
House Bill 437 is estimated to increase the benefits paid from the Unemployment Trust Fund by $19 million in FY 2027 and $20.3 million in FY 2028 by removing the one-week waiting period for the availability of an eligible unemployment claim.
HB 471 – AN ACT relating to Medicaid coverage for doula services.
House Bill 471 is estimated to cost $630,000-$1,050,000 total ($189,000-$315,000 General Fund) to provide coverage for doula services.
HB 473 – AN ACT relating to the foster care system.
House Bill 473 is expected to increase spending by $98.5 million ($2.2 million federal Title IV-E Reimbursement and $93.3 million state General fund) annually to stabilize foster care placements through enhanced foster care rates and specialized agreements.
HB 485 – AN ACT relating to the care and treatment of individuals with mental illness.
House Bill 485 is estimated to cost $5 million annually from the General fund due to an increase in individuals committed to state hospitals and an increase in the length of stay.
HB 488 – AN ACT relating to the Medicaid home and community based waiver program.
House Bill 488 is estimated to cost $70 million ($20.6 million state funds) for every 1,000 Home and Community Based waiver recipients to receive assisted living services. There are currently 17,800 funded Home and Community Based waiver slots.
HB 498 – AN ACT establishing the Adult Workforce Diploma Pilot Program.
House Bill 498 is estimated to cost $3.0 million per year for five additional staff and provider payments based on student milestones for the Adult Workforce Diploma Pilot Program.
HB 506 GA – An ACT relating to the Department of Fish and Wildlife Resources.
House Bill 506 is estimated to cost the Kentucky Law Enforcement Foundation Program fund over $665,000 each year to absorb the cost of training stipends for eligible Fish and Wildlife officers currently financed from the Fish and Game fund. The funding is available but not included in the Criminal Justice Training appropriations in the current biennial budget bill. The House budget would prohibit increases in the appropriation after it is enacted.
HB 538 – AN ACT relating to Medicaid managed care organizations.
House Bill 538 imposes new requirements on managed care organizations' work with health care providers. The level of additional requirements on managed care organizations is uncertain; therefore, the fiscal impact is not yet known.
HB 550 – AN ACT relating to reproductive health services.
House Bill 550 is estimated to cost $457,000 ($45,700 state funds) to provide family planning services for low-income individuals who are under 95% of the federal poverty level and do not qualify for full coverage under the Medicaid program.
HB 553 – AN ACT relating to gender transition services.
House Bill 553 is estimated to cost the Medicaid program $6.3-$9.8 million ($540,000-$1.95 million in General Fund) for increased behavioral and mental health services for 5,000-10,000 persons. The increase in services expected include an additional six hours of behavioral health counseling and therapy, an increase in pharmacy costs, and increased psychiatric hospitalization.
HB 557 – AN ACT relating to correctional services.
House Bill 557 is estimated to cost at least $145 million annually due to a 69 percent increase in the per diem reimbursements to county jails to house state felons and new payments to county jails for the amount of time served prior to a felony conviction judgment.
HB 560 – AN ACT relating to funding school districts that have a high percentage of tax-exempt property.
House Bill 560 is estimated to cost at least $2.75 million annually for an in-lieu-of property taxes payment to Frankfort Independent Schools.
HB 578 – AN ACT relating to unemployment insurance.
House Bill 578 could result in cost savings related to postage for the Office of Unemployment Insurance through the utilization of electronic notifications instead of traditional mail. The savings would be based on the number of individuals who opt for paperless options.
HB 579 – AN ACT relating to unemployment benefits.
House Bill 579 is estimated to increase the benefits paid from the Unemployment Trust Fund by $19 million in FY 2027 and $20.3 million in FY 2028 by removing the one-week waiting period for the availability of an eligible unemployment claim.
HB 646 – AN ACT relating to the use of pharmaceuticals to intentionally terminate life.
House Bill 646 is estimated to cost $308,700 annually to fund two additional staff to handle the expected increase in requests for consultation, educational programming, and technical assistance regarding which medications would qualify as unlawful Schedule IV drugs.
HB 652 (HCS 1) – AN ACT relating to critical facility mapping, making an appropriation therefor, and declaring an emergency.
House Bill 652 with House Committee Substitute 1 is estimated to cost $6.4 million per year for a minimum of four years to meet school mapping standards set for Kentucky. It moves the School Mapping Data Program from the Center for School Safety to the Kentucky 911 Services Board. This cost includes additional staff and associated operating costs, as well as geographic information system data management and storage capabilities.
HB 669 – AN ACT relating to child welfare.
House Bill 669 is estimated to cost $14.6 million annually due to modification in the permitted uses of earned federal benefits for children in care and custody of the Cabinet for Health and Family Services. Bill would result in the inability to use $11.4 million of earned federal benefits currently used to cover a portion of the cost of children in care and custody of the state and would also have additional costs of $3.2 million to oversee, establish and maintain about 1,000 trust accounts for earned federal benefits for use in the child's best interests.
HB 676 – AN ACT relating to the Kentucky statewide health data utility.
House Bill 676 is estimated to cost between $8.3 million and $15.3 million ($4.2 million to $7.7 million state funds) for the establishment and maintenance of new system and required staffing and contracts for the sharing and exchange of health information.
HB 677 – AN ACT relating to geological sequestration of carbon dioxide.
House Bill 677 is estimated to cost $143,000 annually for one additional employee and $500,000 over the biennium for a consultant to develop the new regulations and the primacy package for the development and approval of underground carbon dioxide sequestration and sequestration facilities.
HB 684 – AN ACT relating to constables and declaring an emergency.
House Bill 684 is estimated to cost $2,311,600, which includes a two-week basic training course and a one-week annual in-service for constables and deputy constables at a cost of $1,540,000, $445,000 for Kentucky State Police audit staff for additional authorized users of criminal justice information systems, and $326,600 for the Kentucky Law Enforcement Council staff and contracted monitoring to create regulations for approving curriculum, basic training academies, instructors, and tracking and providing regular notifications to constables, deputy constables and county judge/executives regarding training status, and conducting decertification proceedings.
HB 689 – AN ACT relating to the establishment of a Medicaid state-directed payment program.
House Bill 689 is estimated to $36 million ($10 million state restricted funds) for the establishment of a state-direct payment program for qualifying hospitals and universities. The state match for this program would be funded by the qualifying hospital or university, but the House budget would prohibit the necessary appropriation increase to expend these funds.
HB 691 – AN ACT relating to high acuity youth.
House Bill 691 is estimated to cost $2.7 million ($790,000 state funds) annually for behavioral assessment and treatment of child determined to be a high acuity youth
HB 712 PHS 1 – An Act relating to public protection.
House Bill 712 PHS 1 is estimated to cost the Medicaid program $3.6 million ($714,000 state) annually to cover cooling scalp therapy treatment during cancer chemotherapy treatment.
HB 718 – AN ACT relating to expungement.
House Bill 718 is estimated to cost up to $500,000 to cover the costs of automatic nonviolent felony expungements for eligible convictions. The Department of Libraries and Archives serves as the records center and archives for the judicial branch records. All of the hard copy and digitized records must be redacted to complete the expungement.
HB 749 – AN ACT relating to the establishment of the Offi ce of Public Defense.
House Bill 749 is estimated to cost $750,000 - $1,000,000 to create a registry and regul atory framework for a category of machine gun-type firearms and establishing the Office of Public Defense within the Kentucky State Police.
HB 773 – AN ACT relating to domestic violence.
House Bill 773 is estimated to cost $1,565,000 in the first-year and ongoing cost of $684,000 for the Justice and Public Safety Cabinet to create and maintain a registry of domestic violence offenders.
HB 778 – AN ACT relating to child welfare.
House Bill 778 is estimated to cost $8 million ($6.9 million state funds) including $3.5 million ($3 million state funds) for 28 additional staff, $4.3 million ($3.8 million state funds) in additional foster care costs, and one-time costs of approximately $144,000 ($72,000 state funds) to initiate contact and complete a safety assessment for all substance-exposed infants born in a hospital or birthing center facility and for modifications to information technology systems .
HB 814 – AN ACT relating to employment.
House Bill 814 is estimated to cost $220,000 per year for two additional investigator staff positions within the Department of Workplace Standards to enforce unlawful terminations.
HB 914 – AN ACT relating to the protection of children.
House Bill 914 is estimated to cost $6.2 million in state funds for the costs assoc iated with equipment, storage, training and supporting infrastructure for body worn cameras for social service workers. These costs are not eligible for federal reimbursement.
HB 930 – An Act relating to crimes and punishments.
House Bill 930 is estimated to cost up to $40 million annually, plus the likely need to construct additional facilities, as it will increase the number of youths in pre-adjudication detention and post-adjudication youth development centers, group homes and on community supervision.
It is likely that these proposed changes will result in the number of youths in Juvenile Justice facilities exceeding the system's capacity. Acknowledging that judges will have discretion on imposing detentions and confinements up to the maximum, the potential impacts of the bill are additional costs due to the lengthening of probation periods, longer detention for probation violations, longer periods of confinement, and an increase in commitments, in addition to the likely need for additional facilities. The current estimated construction cost of a new 28 bed facility is $45 million.
HB 935 – AN ACT relating to workers' compensation.
House Bill 935 is estimated to have a one-time cost of $320,000 to perform information technology system modifications to the Insurance Coverage Look-Up database and to provide an online portal in which an employee may electronically submit their notice of rejection, or the withdrawal, as it relates to business' workers compensation coverage.
SB 7 – AN ACT relating to the issuance of identity documents.
Senate Bill 7 is estimated to cost $2,219,650 to $3,794,450 for the first year and for subsequent years, a range of $931,900 to $2,506,800, assuming all 91 counties without a regional driver's license office choose to participate. The first-year costs of $1,287,650 ($14,150 each for 91 locations) include the purchase and installation of the necessary equipment, including support and access. The annual costs range from $931,900 (91 county clerks only) to $2,506,800 (91 other county officials). The costs are less for county clerks as they have existing isolated network access.
SB 8 GA – AN ACT relating to public utilities and declaring an emergency.
Senate Bill 8 is estimated to cost $822,200 to increase the members of the Public Service Commission from three to five and additional staff.
SB 21 – AN ACT relating to music therapy.
Senate Bill 21 is estimated to cost $110,000 for an additional position for the administrative duties to establish a licensing board for professional music therapists. The Board has the ability to raise fees to cover these costs, but the House budget would prohibit increases in the Board's appropriation after it is enacted.
SB 22 – AN ACT relating to the dual credit scholarship program.
Senate Bill 22 is estimated to cost $104,100 beginning in fiscal year 2028 and ramp up to $470,000 by fiscal year 2032 to allow students in a registered teacher apprenticeship program to receive the dual credit scholarship for a total of 20 courses, which is 8 more than is currently covered by the program.
SB 34 – An ACT relating to the transfer of property upon death.
Senate Bill 34 is estimated to reduce General Fund inheritance tax revenue by approximately $2.3 million beginning in fiscal year 2028 because it removes property from the inheritance tax base for class B and C beneficiaries, similar to the treatment of class A beneficiaries.
SB 49 – AN ACT relating to battery stewardship.
Senate Bill 49 is estimated to cost $142,800 in the first year and $136,900 in each subsequent year for an additional staff position to administer the voluntary battery stewardship program, including reviewing registrations, operational plans and annual reports, maintaining webpage with battery collection sites and education the public on battery disposal. The first-year costs include $15,000 in one-time costs for database modifications.
SB 55 – AN ACT relating to water fluoridation programs.
Senate Bill 55 is estimated to cost between $19.7-$59.1 million total ($3.9-11.8 million state funds) for increased dental services, assuming a 10-30% percentage of the population with non-fluoridated drinking water.
SB 60 – AN ACT relating to waste tires.
Senate Bill 60 is estimated to cost $212,400 from the Waste tire trust fund for two additional staff positions to handle the increased volume of waste tire operator registrations and inspections. The bill will need to suspend KRS 224.50-880(1) to accommodate these additional costs from the fund.
SB 92 – AN ACT relating to Medicaid coverage for palliative care.
Senate Bill 92 is estimated to cost $72 million ($21.6 million state funds) in year one and $144.4 million ($33.6 million state funds) in each subsequent year for palliative care to increase the coverage for palliative care from six months to two years.
SB 109 – AN ACT relating to the Department of Alcoholic Beverage Control and declaring an emergency.
Senate Bill 109 is estimated to cost $489,400 for three additional staff and associated operating expenses for increased inspections to meet the 45 day turnaround application and licensure process.
SB 117 – AN ACT relating to worker fairness in the construction industry.
Senate Bill 117 is estimated cost $1.83 million in the first year and $330,000 for each subsequent year for three additional staff to enforce requirements related to employee misclassification. The first-year costs include $1.5 million in one-time costs for modifications to the current unemployment information technology system and the new information technology system which is currently under development.
SB 145 – AN ACT relating to the Department of Alcoholic Beverage Control and declaring an emergency.
Senate Bill 145 is estimated to cost $489,400 for three additional staff and associated operating expenses for increased inspections to meet the 45 day turnaround application and licensure process.
SB 147 – AN ACT relating to vital records.
Senate Bill 147 is estimated to result in additional revenue to the Department for Public Health of up to $2.7 million due to fee increases for birth certificates.
SB 189 – AN ACT relating to the regulation of virtual currency kiosk business.
Senate Bill 189 is estimated to cost $953,000 for five additional staff and operating costs for examinations, licensure and regulation of virtual currency kiosk businesses. With a sufficient appropriation level, the Department of Financial Institutions has the available resources to cover these additional costs.
SB 190 – AN ACT relating to chronic pain treatment.
Senate Bill 190 is estimated to cost the Medicaid program at least $27 million ($5.4 million state) for coverage of up to 20 visits of chronic pain treatments per event for specified licensed professionals for an estimated five percent of the Medicaid population.
SB 191 – AN ACT relating to the Kentucky Kindergarten Readiness Performance-Based Child Care Incentive Pilot Program.
Senate Bill 191 is estimated to cost $1.8 million for the University of Kentucky to implement and evaluate a pilot program to provide financial incentives to child care centers and low-income families in the amount of $2,000 per child once a child is designated by a newly established assessment process as kindergarten ready.
SB 201 – AN ACT relating to Medicaid coverage for evaluation and management services.
Senate Bill 201 is estimated to cost $200,000 ($100,000 state) in the form of IT contractor hours to update systems to allow for billing of multiple healthcare encounters in a single visit.
SB 218 – AN ACT relating to the establishment of a Medicaid state-directed payment program.
Senate Bill 218 is estimated to $36 million ($10 million state restricted funds) for the establishment of a state-direct payment program for qualifying hospitals and universities. The state match for this program would be funded by the qualifying hospital or university, but the House budget would prohibit the necessary appropriation increase to expend these funds.
SB 257 – AN ACT relating to Supplemental Nutrition Assistance Program eligibility.
Senate Bill 257 is estimated to cost $1.6 million for the first year ($1.2 million state funds) and $243,900 for each subsequent year for two additional staff, training and client communications due to modifications to eligibility for the Supplemental Nutrition Assistance Program (SNAP). The first-year costs include $1,360,000 ($334,000 state funds) in one-time costs for information technology modifications. Increased complexities in determining SNAP eligibility will increase the risk of the SNAP payment error rate exceeding the federal 6% threshold as established in H.R.1 that would result in SNAP benefit cost sharing of between $63 and $188 million for the state.
SB 259 – AN ACT relating to domestic violence.
Senate Bill 259 is estimated to cost $1,565,000 in the first-year and ongoing cost of $684,000 for the Justice and Public Safety Cabinet to create and maintain a registry of domestic violence offenders.
SB 290 – AN ACT relating to criminal history.
Senate Bill 290 is estimated to cost $3,288,000 starting in 2030 to support initial programming and additional staff to comply with a new 30-day turnaround for the Kentucky State Police to automatically expunge certain convictions. The annual ongoing cost is estimated to be $2,485,000.
SB 299 – AN ACT relating to operator's licenses.
Senate Bill 299 is estimated to cost $663,800 in the first-year to purchase equipment and for changes to the testing system with annual operating costs thereafter of $152,300 for testing fees for the Kentucky State Police to operate a pilot program to offer driver permit testing in six counties where there is not a regional driver licensing office.
SB 340 – AN ACT relating to the Kentucky all-payer claims database.
Senate Bill 340 is estimated to cost between $3 - $5 million ($300,000 - $500,000 state funds) in the first year to develop the all-payer claims database and $3 million ($1.5 million state funds) in each subsequent year to maintain and operate the database including two additional staff and contractual agreements.
SB 348 – AN ACT relating to ambulatory surgical centers.
Senate Bill 348 is estimated to cost $850,000 for 10 additional staff to inspect ambulatory surgical centers providing ophthalmic surgery or endoscopic procedures that would not be exempt from certificate of need requirements.