HB 583 Kentucky House · 2026 Regular Session

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

900
Passed · 15 other
Total votes 105
Mar 24, 2026
D Democratic21
21 Yea
100% Yea
R Republican84
69 Yea 15
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.