Part ofHealthcare →

The civic record

Read. Follow. Verify.

HB 407KENTUCKYSession 2026RSState Billdead

Did Not Advance

Kentucky HB 407 streamlines health facility certificate of need procedures and limits hearing participation to applicants

Original title: AN ACT relating to certificate of need.

Last action · April 15, 2026: recommitted to Appropriations & Revenue (H)Sponsors: Marianne Proctor and 14 others

Bill progressHistory & official text ↓

Introduced

Committee

Floor Vote

Passed

Law

Track this bill to get notified when it advances a stage. One tap to stop, anytime.

What This Bill Proposed

Kentucky HB 407 modifies the review process for health facilities by restricting public hearing requests and administrative appeals exclusively to applicants rather than all affected persons. The bill also establishes expedited criteria for certain physician-operated ambulatory surgical centers and long-term care bed conversions.

Why it matters

Changes how health care facilities contest or secure state operating permits by narrowing legal standing to direct applicants, altering the timeline and cost factors for regional health facility expansions.

Background

Certificate of need laws in Kentucky regulate the establishment and expansion of health care facilities and services. context

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

Health Facility Applicants

Applicants gain exclusive standing to request public hearings, seek reconsideration, and file judicial appeals regarding certificate of need decisions.

Directly affected

Ambulatory Surgical Centers

Certain physician-operated ambulatory surgical centers meeting specific historical operation and accreditation criteria become eligible for mandatory nonsubstantive review status.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Who is allowed to request a public hearing on a certificate of need application under this bill?

Only the direct applicant for the may request a public hearing, replacing prior rules that allowed any affected person to do so.

What is the timeline for the cabinet to make a final decision on an application?

The cabinet must issue a final decision on an application within ninety days from the commencement of the review unless the applicant agrees to defer.

What level of ownership interest must be disclosed in a certificate of need application?

Applicants must disclose the name and business address of any owner, investor, or stockholder whose ownership interest is greater than ten percent.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Follow the record

Votes, people, money & the original source

Where This Stands

This bill did not become law - Died at adjournment · in House committee.

Procedural history

5 actions

Apr 15, 2026HouseCommittee
recommitted to Appropriations & Revenue (H)
Mar 6, 2026HouseFloor
2nd reading, to Rules
Mar 5, 2026House
reported favorably, 1st reading, to Calendar with Committee Substitute (1)
Jan 23, 2026HouseCommittee
to Health Services (H)
Jan 15, 2026HouseIntroduced
introduced in House to Committee on Committees (H)

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Narrowing of Legal Standing

The bill shifts administrative appeal and hearing request rights from any affected person strictly to the direct applicant.

Cabinet for Health and Family Services

Connected Entities

Department of Law, Franklin Circuit Court, Office of Administrative Hearings and 3 more

OrganizationDepartment of Law“Houses the Office of Administrative Hearings”Map →

locationFranklin Circuit Court“Court designated for judicial appeals of final cabinet decisions”Map →

OrganizationOffice of Administrative Hearings“Provides hearing officers for public hearings”Map →

OrganizationCabinet for Health and Family Services“Administers certificate of need chapter and reviews applications”Map →

OrganizationGeneral Assembly of the Commonwealth of Kentucky“Enacting body of the legislation”Map →

OrganizationAccreditation Association for Ambulatory Health Care“Accrediting body for specific ambulatory surgical centers”Map →

Sources

Open source document

apps.legislature.ky.gov

Analysis Score

0–100

Significance20
Lowered because this bill did not pass (its text scored 75)
Controversy60
Intensity of disagreement among stakeholders
Entertainment5
Compellingness for a non-policy-wonk reader
Buzz30
Current news / social attention level

Publisher tools