AN ACT relating to the school-based Medicaid program.
Summary
Create a new section of KRS Chapter 160 to require school districts that elect to provide health care services through a school nurse to bill the school-based Medicaid program for medically necessary services provided to a student enrolled in Medicaid; establish requirements for third-party Medicaid billing vendors contracted by school districts; permit school nurses to receive preventative dental services training from the Department for Public Health; permit the school district to bill the school-based Medicaid program for preventative dental services that are within a school nurse's scope of practice.
Bill status
passed
3 of 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
House Passage
Mar 2026
Senate Passage
Governor
Introduced Feb 6, 2026
Last action Mar 25, 2026
Maddy AI version diff · 1 comparison
What changed between versions
Introduced
→
Current/Final
·
4 edits
MODERATE
The bill was expanded to allow school nurses to bill Medicaid for preventative oral health services, provided they receive specific training and follow protocols developed with the Kentucky Board of Dentistry. This change broadens the scope of services school nurses can perform and bill for, moving beyond traditional medical care to include dental care. The bill also updated the list of entities exempt from these requirements to include federally qualified health centers and community-based providers.
Scope change
The bill's scope expanded from only medical services to include preventative oral health services, and the list of exempt entities was broadened.
ELIGIBILITY
School nurses are now eligible to bill Medicaid for preventative oral health services if they have received training and follow specific protocols.
REQUIREMENT
School districts must obtain parental consent before billing Medicaid for these new oral health services.
Protocols for oral health services must be developed by the Department for Public Health in consultation with the Kentucky Board of Dentistry.
EXEMPTIONS
The list of school districts exempt from these requirements was expanded to include those contracting with federally qualified health centers or community-based providers.
Floor votes · House Mar 24, 2026
How they voted
90–0
Passed · 15 other
Total votes 105
Mar 24, 2026
D
Democratic21
100% Yea
R
Republican84
82% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
10
Key actions
2
Committee
4
Amendments
1
Mar 25, 2026
Committee
to Committee on Committees (S)
upper
Mar 24, 2026
Lower · Passed
3rd reading, passed 86-0 with Floor Amendment (1)
lower
Mar 19, 2026
Introduced
floor amendment (1) filed
lower
Mar 12, 2026
Lower · Passed
reported favorably, 1st reading, to Calendar
lower
Feb 13, 2026
Committee
to Health Services (H)
lower
Feb 6, 2026
Committee
to Committee on Committees (H)
lower
Feb 6, 2026
Introduced
introduced in House
lower
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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