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Read. Follow. Verify.Kentucky House Bill 583 requires participating school districts to bill Medicaid for student health services starting in 2027
Last action · March 25, 2026: received in Senate to Committee on Committees (S)Sponsors: Steve Riley and 10 others
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What This Bill Proposed
Beginning in the 2027-2028 school year, school districts in Kentucky that provide healthcare services through licensed professionals and obtain parental consent are required to bill the for eligible students. The legislation also permits school districts to bill for preventative oral health services provided by school nurses who have completed specialized training.
School districts choosing to offer in-house healthcare services must establish billing mechanisms and third-party vendor contracts that cover all Medicaid technical assistance codes, while districts partnering with community health centers or using federal grant funds for provider staffing remain exempt.
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.
school districts
School districts providing in-house healthcare services must bill the school-based Medicaid program and meet specific vendor contracting standards, unless exempt.
school nurses
School nurses become eligible for preventative oral health training and may provide and have services billed under the school-based Medicaid program.
Medicaid enrolled students
Students enrolled in Medicaid may receive medically necessary healthcare and preventative oral health services billed by participating school districts with parental consent.
Department for Public Health
The department is tasked with providing preventative oral health training to school nurses and developing service protocols in consultation with the Kentucky Board of Dentistry.
Key Facts
- Beginning in the 2027-2028 school year, school districts that elect to provide healthcare services through licensed professionals must bill the school-based Medicaid program for medically necessary services provided to enrolled students with parental consent.
- School districts using a third-party billing vendor must contract with a vendor capable of submitting claims for all codes in the current Medicaid Technical Assistance Guide, including nurse practitioner codes.
- School nurses are eligible to receive preventative oral health services training provided by the Department for Public Health.
- School districts are permitted to bill for preventative oral health services provided by school nurses within their scope of practice for Medicaid-enrolled students with parental consent.
Show all 8 facts
- Preventative oral health services must follow protocols developed by the Department for Public Health in consultation with the Kentucky Board of Dentistry.
- The requirements do not apply to school districts that contract with local health departments, federally qualified health centers, or other community-based providers.
- The legislation does not require school districts to provide healthcare services through a school nurse or modify existing school health requirements under KRS 156.160.
- The requirements do not apply to schools that utilize federal funds to employ healthcare providers for student services.
Frequently Asked Questions
Which school districts are required to bill the school-based Medicaid program?
Are all school districts forced to provide healthcare services through school nurses under this bill?
Are districts that partner with community health centers exempt from these billing mandates?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
This bill did not become law - Died at adjournment · passed the House · in the Senate.
Procedural history
8 actions- Mar 25, 2026SenateIntroducedreceived in Senate to Committee on Committees (S)
- Mar 24, 2026HouseFloor3rd reading, passed 86-0 with Floor Amendment (1)
- Mar 20, 2026Houseposted for passage in the Regular Orders of the Day for Tuesday, March 24 2026
- Mar 19, 2026Housefloor amendment (1) filed
- Mar 13, 2026HouseFloor2nd reading, to Rules
- Mar 12, 2026Housereported favorably, 1st reading, to Calendar
Show 2 earlier actions
- Feb 13, 2026HouseCommitteeto Health Services (H)
- Feb 6, 2026HouseIntroducedintroduced 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.
Sponsors
Show 6 more sponsors
Connected Entities
Sources
apps.legislature.ky.gov
Analysis Score
0–100- Significance20Lowered because this bill did not pass (its text scored 60)
- Controversy15Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz20Current news / social attention level
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