Kentucky Legislature (healthcare bills) · April 14, 2026 · Primary source
KY HJR 24: A JOINT RESOLUTION directing the Cabinet for Health and Family Services to withdraw all waiver applications that have been submitted to the Centers for Medicare and Medicaid Services to establish a community engagement program, and declaring an emergency.
Summary
Kentucky enacted House Joint Resolution 24, which became law without the Governor's signature, directing the Cabinet for Health and Family Services to withdraw the 1115(a) demonstration waiver application submitted to CMS on June 25, 2025, that sought to implement a mandatory community engagement program for Medicaid enrollees. The resolution took effect as an emergency measure under Acts Chapter 151. The withdrawal directive eliminates the pending federal waiver that would have conditioned Medicaid eligibility on community engagement or work requirements in Kentucky.
What this may mean
The mandatory withdrawal of Kentucky's 1115(a) community engagement waiver application ends the state's pending effort to impose work or community engagement requirements as a Medicaid eligibility condition, directly affecting Medicaid managed care enrollment projections and eligibility administration for the state. CMS will no longer process or approve that specific application, removing a potential eligibility restriction that could have reduced Medicaid enrollment in Kentucky. Health plans and providers serving Kentucky Medicaid beneficiaries will not face enrollment disruptions tied to community engagement compliance under this application.
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