Amend KRS 205.5371 to require the Cabinet for Health and Family Services to condition eligibility for enrollment or continued enrollment in the Medicaid program on demonstrated community engagement as required under federal law; require the cabinet to continue to condition eligibility on demonstrated community engagement if federal requirements are abolished, repealed, or otherwise diminished; amend KRS 205.6312 to require the cabinet and any contracted Medicaid managed care organization to impose cost-sharing requirements for Medicaid enrollees as required under federal law no later than January 1, 2027; establish minimum cost-sharing amounts; amend KRS 205.556 and 205.618 to conform; create new sections of KRS Chapter 205 to require the cabinet to, no later than July 1, 2026, begin conducting Medicaid eligibility redeterminations once every 6 months as required under federal law; require the cabinet to access and review certain data when conducting eligibility redeterminations; establish a process for identifying and, when appropriate, disenrolling individuals who are concurrently enrolled in the Kentucky Medicaid program and a Medicaid program administered by another state or states; amend KRS 205.178 to require the cabinet to receive and review information from the Kentucky Lottery Corporation, Department of Corrections, and the Kentucky Horse Racing and Gaming Corporation on at least a monthly basis, the Kentucky Department of Revenue on at least an annual basis, and the Kentucky Transportation Cabinet on a quarterly basis; require the Department for Medicaid Services to enter into a data sharing agreement with the Social Security Administration to receive the full file of death information on at least a quarterly basis; prohibit the cabinet from seeking or requesting an exemption or waiver from federal community engagement requirements related to county unemployment rates unless specifically authorized by the General Assembly to do so; amend KRS 205.5375 to require hospitals to assist presumptively eligible individuals in submitting a full Medicaid application; amend KRS 205.200 to prohibit the cabinet from accepting self-attestation of income, residency, or age for the purpose of determining eligibility for Medicaid or compliance with community engagement requirements; create new sections of KRS Chapter 205 to establish Medicaid managed care organization contracting requirements and penalties; establish the Medicaid managed care organization compliance fund within the State Treasury; establish that amounts in the fund not appropriated at the close of a fiscal year shall not lapse and shall be carried forward; prohibit the expenditure of funds in the account unless expressly appropriated by the General Assembly; require the Department for Medicaid Services to submit recommendations for use of monies in the fund to the Legislative Research Commission by November 1, 2027, and November 1, of each following odd-numbered year; amend KRS 205.533 to require Medicaid managed care organizations to include certain information for providers on their websites; amend KRS 205.534 to require managed care organizations to allow providers 120 days to file an appeal or grievance related to a reduction of denial of a claim; establish penalties for a managed care organization's failure to ensure the timely disposition of any appeal or grievance; require payment of any amount owed to a provider following an appeal to be paid within 30 days; require payments made following an appeal to include interest and reasonable attorney's fees; establish standards and requirements for provider audits; require the inclusion of additional information in the monthly report filed by managed care organizations; require the Department for Medicaid Services to submit an annual report to the Legislative Research Commission related to Medicaid claims, appeals, and grievances; authorize the Department for Medicaid Services to promulgate administrative regulations; create new sections of KRS Chapter 205 to establish requirements for administration of the Medicaid-covered nonemergency medical transportation services; establish requirements for the administration of 1915(c) Medicaid waiver programs; require the Department for Medicaid Services to develop and implement a tiered priority system for assigning 1915(c) Medicaid waiver program slots by January 1, 2027; require administration of Medicaid-covered dental services by an administrative service organization; establish that the administrative service organization shall not assume any financial or insurance risk; limit compensation paid to the administrative service organization to no more than 2% of the actual Medicaid-covered dental service claims paid on an annual basis; require the Department for Medicaid Services to establish a Dental Program Advisory Panel; require the Department for Medicaid Services to employ a dental director; require the Department for Medicaid Services to submit an annual report on the Medicaid dental program to the Legislative Research Commission; create new sections of KRS 7A.270 to 7A.290 to establish legislative findings; require the cabinet to provide the Legislative Research Commission with access to all databases, datasets, electronic records, and files pertaining to any aspect of the Medicaid program determined by the director of the Legislative Research Commission to be necessary for the meaningful and effective discharge of the General Assembly's legislative duties; require the Legislative Research Commission, the University of Kentucky, and the University of Louisville to enter into a partnership to design and develop a web-based healthcare transparency dashboard; require the dashboard be overseen by a subcommittee of the Medicaid Oversight and Advisory Board; require the dashboard be maintained and operated by the Legislative Research Commission; amend KRS 7A.283 to allow the appointment of individuals who are not members of the board to advisory committees or subcommittees upon approval of the Legislative Research Commission; create a new section of KRS Chapter 43 to require the Auditor of Public Accounts to conduct an examination of the state's Medicaid program and Kentucky Children's Health Insurance Program; establish audit reporting requirements; require the Auditor to conduct a review of the Medicaid program and Kentucky Children's Health Insurance Program to assess progress in addressing issues identified in previous examinations; establish that the Office of Program Performance in the Commonwealth Office of the Ombudsman shall conduct all quality control reviews of the Department for Community Based Services for the Medicaid program, Supplemental Nutrition Assistance Program, and Temporary Assistance for Needy Families to comply with federal law and regulations; establish that no other state agency shall conduct these quality control reviews unless otherwise authorized by the General Assembly; amend KRS 7A.286 to establish that examinations conducted by the Auditor may constitute fulfillment of certain duties assigned to the Medicaid Oversight and Advisory Board at the discretion of the Legislative Review Commission; repeal KRS 205.515 related to administration of the Medicaid program; repeal KRS 311A.172 related to nonemergency medical transportation services; appropriate $500,000 in General Fund moneys in fiscal year 2025-2026 for staffing and technology needs in the Office of the Auditor of Public Accounts; create a new section of KRS Chapter 6 to establish a Medicaid impact statement; require any legislation that makes or directs a change to the Medicaid program to be accompanied by a Medicaid impact statement; require certain factors to be analyzed and included in a Medicaid impact statement; require Medicaid impact statements to be completed by an economic consulting firm retained by the Legislative Research Commission; create a new section of KRS Chapter 13A to require the cabinet to provide a draft copy of certain administrative regulations related to the Medicaid program to the Medicaid Oversight and Advisory Board for comment at least 30 days before filing the administrative regulation with the regulations compiler; direct the Medicaid Oversight and Advisory Board to establish a Dental Services Transition Subcommittee; establish membership and duties of the Dental Services Subcommittee; require any contract between the Department for Medicaid Services and a Medicaid managed care organization entered into, renewed, or extended after the effective date of this Act to include notice to the managed care organization of the department's intent to transition to an administrative service organization delivery model for Medicaid-covered dental services; require the cabinet or the Department for Medicaid Services to seek federal approval if it is determined that such approval is necessary; provide authorization from the General Assembly to make changes in the Medicaid program as required under KRS 205.5372(1); direct the Medicaid Oversight and Advisory Board to evaluate the nonemergency medical transportation program and submit findings and recommendations to the Legislative Research Commission by December 31, 2026; APPROPRIATION; EMERGENCY.

KY HB2 2026

Kentucky Medicaid Reform Act

Amend KRS 61.870 to change the definition of "resident of the Commonwealth"; amend KRS 61.872 to allow the official custodian of public records to require government-issued photo identification that includes an address from an applicant requesting to inspect records as proof that they are a resident of the Commonwealth; allow the agency to require a different form of identification or proof if the applicant does not possess photo identification; amend KRS 61.876 to conform.

KY HB567 2026

Require government-issued photo ID to access public records 

Amend KRS 65.013 to define terms; expand the prohibition on using tax dollars to advocate for or against a public question on the ballot to prohibit using any resources, and to explicitly apply prohibition to school districts, regional educational cooperatives, and recalls on a ballot; establish a criminal penalty and a prohibition against holding a position of public trust or profit for 10 years for a person found guilty of violating the prohibition; create a cause of action for a citizen aggrieved by a violation of the prohibition; establish a statute of limitations to commence suit and the appropriate venue; provide when the suit accrues; specify damages recoverable per violation; allow for class action; include a prohibition against holding a position of public trust or profit for 10 years for a person held civilly liable; amend KRS 48.025 and 132.017 to conform.

KY SB59 2026

Tax Money Election Advocacy Ban Election Integrity

Create a new section of KRS Chapter 237 to define "provisional license" and "standard license"; authorize the Department of Kentucky State Police (KSP) to issue provisional licenses to carry concealed firearms and other deadly weapons to persons who are 18 to 20 years of age; require KSP to provide notice of expiration of provisional licenses and an application to switch from a provisional license to a standard license; allow the provisional license holder to apply by paper to his or her sheriff or online to KSP for a standard license; allow KSP to promulgate administrative regulations to administer provisional and standard license issuance.

KY HB312 2026

AN ACT relating to concealed firearms and deadly weapons.

Create a new section of KRS Chapter 205 to define terms; establish an annual Medicaid state plan and Kentucky Children's Health Insurance Program state plan legislative review process; EMERGENCY.

KY SB173 2026

Medicaid Legislative Oversight

Amend KRS 117.228 to remove Social Security cards and public benefits cards, which do not include a person's photograph, from the available list of additional documents that may be offered to establish identity when a person seeking to cast a ballot in an election cannot provide proof of identification as required in KRS 117.225.

KY SB154 2026

Remove Social Security Cards and Benefits Cards from Voting ID 

Create new sections of KRS Chapter 344 to define terms; prohibit discrimination against mental health care professionals, mental health care institutions, and ordained ministry for providing protected counseling services; prohibit discrimination against individuals for offering information, training, and referrals for protected counseling services; prohibit discrimination against parents and guardians who consent to their child receiving protected counseling services; prohibit reporting of a mental health care professional or mental health care institution to a hiring or licensing authority solely on the basis that it provides protected counseling services; prohibit a hiring or licensing authority from investigating a mental health care professional or mental health care institution solely on the basis that it provides protected counseling services; establish a civil cause of action for a person injured by a violation; provide that the Act may be cited as the Mental Health Counseling Protection Act; EMERGENCY.

KY HB495 2025

Conversion Therapy Protection / Medicaid Trans Care Ban

Direct the Historic Properties Advisory Commission to return to permanent display on the New State Capitol grounds the granite Ten Commandments monument given to the Commonwealth of Kentucky in 1971 by the Fraternal Order of Eagles.

KY HJR15 2025

Restore Ten Commandments Monument 

Create new sections of KRS Chapter 164 to define terms; prohibit a public postsecondary education institution from providing differential treatment or benefits on the basis of an individual's religion, race, sex, color, or national origin; from influencing the composition of the student body or scholarship recipients on the basis of religion, race, sex, color, or national origin; from implementing a student housing assignment plan on the basis of religion, race, color, or national origin with designated exceptions; from expending any resources on diversity, equity, and inclusion, the promotion of discriminatory topics, or bias incident investigations; from soliciting statements on an applicant's experience with or views on religion, race, sex, color, or national origin; from requiring a course dedicated to discriminatory concepts; or disseminating or profiting from any research, work product, or material that promotes or justifies discriminatory concepts; prohibit a public postsecondary education institution from requiring any individual to endorse or condemn a specific ideology or viewpoint; prohibit the Council on Postsecondary Education from providing differential treatment or benefits on the basis of an individual's religion, race, sex, color, or national origin or from expending any resources on diversity, equity, and inclusion or discriminatory topics; establish exclusions for legal compliance; require each governing board of a public postsecondary education institution to ensure compliance with specific sections of this Act no later than June 30, 2025; authorize the Attorney General to bring an action for a writ of mandamus to compel the council or a public postsecondary education institution to comply; create a cause of action to permit a qualified individual to file a civil action against council or a public postsecondary education institution for injunctive relief and limited damages arising from a violation of certain sections of this Act; waive sovereign and governmental immunity for the limited purpose of bringing this claim; prohibit retaliation; require each public postsecondary education institution to submit and publish a certified annual report on governmentally mandated discrimination to the Legislative Research Commission by October 1 each year; provide that a public postsecondary education institution or the council cannot claim a federal, state, judicial, contractual, or accreditation mandate as a defense to a civil action filed under this Act unless the policy, practice, or procedure upon which the complaint is founded is listed and clearly and accurately described in the public institution's annual report filed in accordance with this Act; require each public postsecondary education institution to provide the Personnel Cabinet and State Treasurer the name, job title, duty station, and salary or wages of each employee each month beginning January 1, 2025, and to post its itemized annual budget; amend KRS 164.020 to prohibit the Council on Postsecondary Education from approving a degree, certificate, or diploma program that includes discriminatory concepts or diversity, equity, and inclusion iniatives; amend KRS 164.011, 164.131, 164.321, and 164.821 to conform; direct the Council on Postsecondary Education to consider certain enumerated conditions when considering the elimination of an existing program; direct each public postsecondary education institution and the Council on Postsecondary Education to discontinue designated programs and follow designated procedures when implementing this Act; provide specific instructions for public postsecondary education institutions and the Council on Postsecondary Education to follow in implementing this Act; direct public postsecondary education institutions and the council to submit a report on implementation of this Act.

KY HB4 2025

DEI Ban at Public Universities

Amend KRS 446.350 to define terms; outline appropriate relief if the statute is violated; apply to laws adopted before or after the effective date; include severability clause; waive sovereign and governmental immunity.

KY SB60 2025

Religious Freedom Restoration Act updates

Create new section of KRS Chapter 197 to define terms; prohibit hormone treatment or elective surgery for gender reassignment.

KY SB2 2025

Transgender Inmate Care Ban

Amend KRS 141.020 to reduce the individual income tax rate from 4% to 3.5% for taxable years beginning on or after January 1, 2026.

KY HB1 2025

Income Tax Cut to 3.5%

Create a new section of KRS Chapter 158 to establish definitions; require specific parental notifications from public schools; require school districts to adopt specific procedures related to parental rights; limit authority of the Kentucky Board of Education and Kentucky Department of Education in relation to parental rights and a student's use of pronouns; prohibit district or school policies with the intent of keeping student information confidential for parents; prohibit a school district from requiring school personnel or pupils to use pronouns for students that do not conform to that student's biological sex; provide school districts and district personnel authority to seek emergency medical services for a student; provide conditions for student confidentiality; amend KRS 158.1415 to establish requirements for any public school's course, curriculum, or program on the subject of human sexuality.

KY SB150 2023

Transgender Youth Healthcare & Schools Ban

Create a new section of KRS Chapter 237 to prohibit identified entities from enforcing federal firearm bans; prohibit identified entities from adopting rules, regulations, or ordinances that require enforcement of federal firearm bans; and prohibit identified entities from allocating public resources or moneys in the enforcement of federal firearm bans; RETROACTIVE to January 1, 2021; EMERGENCY.

KY HB153 2023

Second Amendment Sanctuary 

Amend KRS 156.070 to require the Board of Education or agency designated by the Board of Education to manage interscholastic athletics to promulgate administrative regulations or bylaws requiring schools that participate in interscholastic athletics to designate all athletic teams, activities, and sports based upon the biological sex of the students eligible to participate; prohibit male students from participating in athletic teams, activities, and sports designated as "girls"; prohibit designated agencies from entertaining complaints or investigations of policies; create a new section of KRS Chapter 158 to create a cause of action against a school that violates these provisions; require that an action be brought within two years; provide that the Act may be cited as the Save Women’s Sports Act.

KY SB83 2022

Save Women's Sports Act

Amend KRS 15.243 to expand the Attorney General's independent inquiry of potential election irregularities from not fewer than 5% of Kentucky counties to not fewer than 12 counties; amend KRS 117.228 to remove credit or debit card as a voter's secondary form of proof of identification; amend KRS 117.125 to require all voting systems to be approved in accordance with prescribed requirements by January 1, 2024, and prohibit a voting systems' capability of connecting to any network, including the Internet, or with any device external to the voting system; amend KRS 117.135 to prescribe requirements relating to the county clerk's duties of securing and protecting voting equipment; and amend KRS 117.295 to expand the time in which voting equipment is to remain locked against voting after the election and require the voting equipment and ballot boxes to be under video surveillance.

KY SB216 2022

Election Security Enhancements

(S1301B01) Amend various sections of KRS Chapter 5 to divide the Commonwealth into the following senatorial districts: DISTRICT 1 - Calloway KY, Crittenden KY, Fulton KY, Graves KY, Hickman KY, Lyon KY, Trigg KY; DISTRICT 2 - Ballard KY, Carlisle KY, Livingston KY, Marshall KY, McCracken KY; DISTRICT 3 - Caldwell KY, Christian KY, Muhlenberg KY; DISTRICT 4 - Henderson KY, Hopkins KY, Union KY, Webster KY; DISTRICT 5 - Breckinridge KY, Butler KY, Grayson KY, Meade KY, Ohio KY; DISTRICT 6 - Jefferson KY (part), Oldham KY, Trimble KY; DISTRICT 7 - Anderson KY, Henry KY, Jefferson KY (part), Shelby KY; DISTRICT 8 - Daviess KY, Hancock KY, McLean KY; DISTRICT 9 - Barren KY, Edmonson KY, Green KY, Hart KY, Warren KY (part); DISTRICT 10 - Hardin KY, Jefferson KY (part); DISTRICT 11 - Boone KY (part); DISTRICT 12 - Boyle KY, Fayette KY (part), Mercer KY, Woodford KY; DISTRICT 13 - Fayette KY (part); DISTRICT 14 - Larue KY, Marion KY, Nelson KY, Spencer KY, Washington KY; DISTRICT 15 - Clinton KY, Cumberland KY, Pulaski KY, Russell KY, Wayne KY; DISTRICT 16 - Adair KY, Allen KY, Metcalfe KY, Monroe KY, Taylor KY, Warren KY (part); DISTRICT 17 - Fayette KY (part), Grant KY, Kenton KY (part), Scott KY; DISTRICT 18 - Boyd KY, Carter KY, Greenup KY, Lewis KY; DISTRICT 19 - Jefferson KY (part); DISTRICT 20 - Boone KY (part), Carroll KY, Franklin KY, Gallatin KY, Kenton KY (part), Owen KY; DISTRICT 21 - Casey KY, Laurel KY, Lincoln KY, Rockcastle KY; DISTRICT 22 - Fayette KY (part), Garrard KY, Jessamine KY; DISTRICT 23 - Kenton KY (part); DISTRICT 24 - Bracken KY, Campbell KY, Kenton KY (part), Pendleton KY; DISTRICT 25 - Clay KY, Jackson KY, Knox KY, McCreary KY, Owsley KY, Whitley KY; DISTRICT 26 - Jefferson KY (part); DISTRICT 27 - Bourbon KY, Fayette KY (part), Fleming KY, Harrison KY, Mason KY, Nicholas KY, Robertson KY, Rowan KY; DISTRICT 28 - Bath KY, Clark KY, Fayette KY (part), Menifee KY, Montgomery KY; DISTRICT 29 - Bell KY, Floyd KY, Harlan KY, Knott KY, Letcher KY; DISTRICT 30 - Breathitt KY, Estill KY, Lee KY, Leslie KY, Magoffin KY, Morgan KY, Perry KY, Powell KY, Wolfe KY; DISTRICT 31 - Elliott KY, Johnson KY, Lawrence KY, Martin KY, Pike KY; DISTRICT 32 - Logan KY, Simpson KY, Todd KY, Warren KY (part); DISTRICT 33 - Jefferson KY (part); DISTRICT 34 - Fayette KY (part), Madison KY; DISTRICT 35 - Jefferson KY (part); DISTRICT 36 - Jefferson KY (part); DISTRICT 37 - Jefferson KY (part); DISTRICT 38 - Bullitt KY, Jefferson KY (part); PLAN INTEGRITY VERIFIED; amend KRS 5.010 to change dates to conform; specify how county and precinct names are to be displayed depending on whether the territory of the county or precinct is included in a particular legislative district in its entirety or in part; direct county boards of elections to change precinct boundaries to conform to legislative district boundaries; EMERGENCY

KY SB2 2022

Statewide Mask Mandate Ban / Healthcare Vaccine Mandate Ban

Create new sections of KRS Chapter 13A to nullify 902 KAR 2:213E and 702 KAR 1:195E; direct each school district to have a COVID-19 operations in place; direct the Department for Public Health to develop a model "test to stay" COVID-19 model for school districts; direct local health departments to assist school districts in implementing their COVID-19 operation plans; provide a temporary remote instruction option for school districts to use at the school, classroom, grade, or group level; provide that districts may submit 2018-2019 or 2019-2020 attendance data for the 2021-2022 school year; require all certified staff and classified staff designated by a school district to work on-site during a nontraditional instruction day; for the 2021-2022 school year, temporarily revise requirements for emergency substitute certification, allow instructional activities to be performed by classified staff, and allow a district to temporarily hire staff upon receipt of a preliminary background check; direct the Kentucky State Police and Cabinet for Health and Family Services to prioritize school district background checks; temporarily revise retirement reemployment provisions until January 15, 2022; allow a school district to submit a school calendar plan to receive a waiver of 170 required student attendance days if 1,062 hours are achieved for the 2021-2022 school year; EMERGENCY.

KY SB1 2021

School Mask Mandate Nullification 

Propose to create a new section of the Constitution of Kentucky to state that Kentucky's Constitution does not secure or protect a right to abortion or funding of abortion.

KY HB91 2021

No Right to Abortion Constitutional Amendment Referral 

Amend KRS 214.036 to provide exemptions from mandatory immunization for any child, emancipated minor, or adult who, personally or by a parent or guardian, submits a written sworn statement objecting to the immunization based on conscientiously held beliefs; prohibit any administrative regulation, administrative order, or executive order from requiring during an epidemic the immunization of persons who submit either a written sworn statement objecting to the immunization based on conscientiously held beliefs or the written opinion of the person's physician that such immunization would be injurious to the person's health; require the Cabinet for Health and Family Services to develop and make available on its Web site a standardized form relating to the exemptions from mandatory immunization and to accept the form after it is submitted; amend KRS 209.552 and 214.034 to conform; EMERGENCY.

Gerald Neal

Kentucky | District 33

11.90

Lifetime Key Issues Score

Learn More About Gerald Neal

American Culture

00.00%

Big Tech & Free Speech

N/A

Border Security

N/A

Election Integrity

00.00%

Educational Freedom

00.00%

Second Amendment

25.00%

Health & Medical Freedom

22.22%

Taxes and Spending

00.00%

Votes

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Bill	TPAction Position	Nealposition	Comments	Year
KY HB2 2026	Y	N	Kentucky Medicaid Reform Act	2026
KY HB567 2026	Y	N	Require government-issued photo ID to access public records	2026
KY HB2 2026	Y	N	Kentucky Medicaid Reform Act	2026
KY SB59 2026	Y	N	Tax Money Election Advocacy Ban Election Integrity	2026
KY HB312 2026	Y	NV	AN ACT relating to concealed firearms and deadly weapons.	2026
KY SB173 2026	Y	N	Medicaid Legislative Oversight	2026
KY SB154 2026	Y	N	Remove Social Security Cards and Benefits Cards from Voting ID	2026
KY HB495 2025	Y	N	Conversion Therapy Protection / Medicaid Trans Care Ban	2025
KY HJR15 2025	Y	N	Restore Ten Commandments Monument	2025
KY HB4 2025	Y	N	DEI Ban at Public Universities	2025
KY SB60 2025	Y	N	Religious Freedom Restoration Act updates	2025
KY SB2 2025	Y	N	Transgender Inmate Care Ban	2025

RioSlum Studio

11.90

Lifetime Key Issues Score

Learn More About Gerald Neal

American Culture

00.00%

Big Tech & Free Speech

N/A

Border Security

N/A

Election Integrity

00.00%

Educational Freedom

00.00%

Second Amendment

25.00%

Health & Medical Freedom

22.22%

Taxes and Spending

00.00%

Votes

Vote Key

DONATE