08/31/2026
LEGISLATIVE UPDATE
State Representative Samara Heavrin, 18th District
Week in Review: Medicaid, Agriculture, Tourism
The legislature continued preparing for the 2027 Regular Session with four interim joint committees (IJCs), one statutory committee, and two subcommittees meeting to hear updates and discuss issues. Chief on the agenda was harnessing data and information to make the state’s Medicaid program to make it both more effective at helping Kentuckians get healthier, and efficient in investing taxpayer dollars to help those who are truly eligible. Lawmakers then took the legislative process to the people with a series of meetings at the Kentucky State Fair. At the Fair, discussions focused on agriculture, the Fair’s impact on the Commonwealth, and tourism and economic development investments.
Medicaid Oversight and Advisory Board: Members received an overview of Aetna’s Supporting Kentucky Youth (SKY) Managed Care Specialty Health Plan, which serves youth in Kentucky’s child welfare and juvenile justice systems. Presenters highlighted the program’s goals and successes in family engagement, community connection, keeping youth close to home, behavioral health, and well-child visits. Legislators then heard about Children's Alliance Independent Provider Association’s (CA-IPA) value-based partnership with Aetna, which brings providers together to increase access to and improve the quality of behavioral health services for Kentucky’s at-risk children and families. The presentation covered participating providers, quality measures, and key results.
Healthcare Transparency Dashboard Subcommittee: Legislators heard from the Cabinet for Health and Family Services about the data it collects and how it can be used to help make policy decisions. They also learned about Medicaid dashboards and partnerships that help bring different sources of health data together. Members then heard how Florida developed its Health Plan Transparency Dashboard, including how it chose the numbers and benchmarks used to measure performance. The meeting wrapped up with an overview of public dashboards created by the Legislative Research Commission’s Office of Health Data Analytics, which give the public a clearer look at Kentucky’s health care data.
Waiver Waitlist Management Subcommittee: Lawmakers first received an update on 1915(c) Home and Community-Based Services (HCBS) waiver enrollment and waitlist data, including how many people on a waitlist are already waiting for another waiver or already have a slot allocated in another waiver. Members then learned about Louisiana’s waiver waitlist management system, known as Screening for Urgency of Need (SUN) that prioritizes people for HCBS waiver opportunities based on urgency of need, considering factors such as current support needs, sustainability of existing supports, and potential consequences if additional supports are unavailable.
IJC on Agriculture: Legislators received an update on the Kentucky State Fair, including its role in promoting Kentucky agriculture and giving farmers, producers and agricultural organizations an opportunity to showcase their work. The fair also provides educational opportunities for families and visitors and helps highlight the importance of agriculture to Kentucky’s economy and communities. Members also received the University of Kentucky College of Agriculture’s 2025 Kentucky To***co Research and Development Center Annual Report.
IJC on Licensing, Occupations, and Administrative Regulations: Members were updated by the Kentucky Lottery Corporation on key milestones and accomplishments during Fiscal Year 2026. In Fiscal Year 2026, the Lottery transferred a record $419.2 million to the Commonwealth to support scholarships and grant programs. Members also adopted a proposed administrative regulation establishing licensure requirements for the operation, services, and facility specifications of freestanding birthing centers in Kentucky. The regulation implements House Bill 90 from the 2025 Regular Session.
IJC on Economic Development and Workforce Investment and the IJC on Tourism, Small Business, and Information Technology: Lawmakers on these two committees met jointly heard about the transformation of a former landfill into the Waterfront Botanical Gardens and how the project has created a unique community asset while bringing new opportunities for education, recreation and tourism. Members also heard about the economic impact of conservation and outdoor recreation at Breaks Interstate Park, including how the park draws visitors to Eastern Kentucky and supports local businesses and communities.
As always, I can be reached anytime through the toll-free message line in Frankfort at 1-800-372-7181. You can also contact me via email at [email protected] and keep track through the Kentucky legislature’s website at legislature.ky.gov.