Kentucky health

The fact counts abortions performed in Kentucky in 2024, regardless of residence. Access, restrictions and reporting concern this occurrence-based measure. Procedures performed outside Kentucky are outside its scope. This connection does not establish causation. Actions after the measurement period cannot explain the earlier observed value.

Retained Kentucky evidence context: Abortion cases reported in Kentucky. This record’s connection to the topic does not establish an effect on the measured result.

Section 2. KRS 311.723 is amended to read as follows: (1) No abortion shall be performed, except the following when performed by a physician based upon his or her reasonable medical judgment: (a) A medical procedure performed with the intent to save the life or preserve the health of an unborn child; (b) Lifesaving miscarriage management, which includes medically necessary interventions when the pregnancy has ended or is in the unavoidable and untreatable process of ending due to spontaneous, missed, or incomplete miscarriage; (c) Sepsis and hemorrhage emergency medical interventions required when a miscarriage or impending miscarriage results in a life-threatening infection or excessive bleeding; (d) A medically necessary intervention, inducement, or delivery for the removal of a dead child from the uterine cavity; (e) The removal of an ectopic pregnancy or a pregnancy that is not implanted normally within the endometrial cavity; (f) The use of methotrexate or similar medications to treat an ectopic pregnancy; (g) The removal of a molar pregnancy; (h) The removal of an unborn child with a lethal fetal anomaly; (i) A medical procedure necessary based on reasonable medical judgment to prevent the death or substantial risk of death of the pregnant woman due to a physical condition, or to prevent serious, permanent impairment of a life- sustaining organ of a pregnant woman. However, the physician shall make reasonable medical efforts under the circumstances to preserve both the life of the mother and the life of the unborn child in a manner consistent with reasonable medical practice; (j) Medical treatment provided to the mother by a licensed physician, which results in the accidental or unintentional injury or death of the unborn human being; or (k) If, in the physician's reasonable medical judgment, the pregnancy is the result of rape under KRS 510.040, 510.050, or 510.060, or incest under KRS 530.020(2)(b) or (c), and the gestational age of the unborn child is twenty- two (22) weeks or less. (2) No treatment or procedure authorized under subsection (1) of this section shall be performed except in compliance with regulations which the cabinet shall promulgate to ensure that: (a) 1. Before the treatment or procedure is performed, the pregnant woman shall have a private medical consultation either with the physician who is to provide the treatment or perform the procedure or with the referring physician in a place, at a time and of a duration reasonably sufficient to enable the physician to determine whether, based upon his or her reasonable medical judgment, the action is necessary; 2. The physician shall document in the pregnant woman's medical record the pregnant woman's informed consent to the treatment or procedure following a discussion, acknowledged in writing by the woman, of the risks, benefits, and alternatives to the treatment or procedure, sufficient in scope for a reasonable person to make an informed decision; (b) The physician who is to provide the treatment or perform the procedure or the referring physician shall describe the basis for his or her reasonable medical judgment that the action is necessary on a form prescribed by the cabinet as required by KRS 213.101; and (c) 1. Paragraph (a) of this subsection shall not apply when, in the reasonable medical judgment of the attending physician based on the particular facts of the case before him or her, there exists a medical emergency. In the case of a medical emergency, the physician shall describe the basis of his or her reasonable medical judgment that an emergency exists on a form prescribed by the cabinet as required by KRS 213.101; and 2. If an emergency exists which limits the time available for documentation or the scope of the informed consent discussion, the physician shall promptly complete any required documentation when the emergency no longer exists. (3) Notwithstanding any statute to the contrary, nothing in this chapter shall be construed as prohibiting a physician from prescribing or a woman from using birth control methods or devices, including, but not limited to, intrauterine devices, oral contraceptives, or any other birth control method or device. (4) Nothing in this section shall be interpreted as permitting any violation of KRS 311.772. […] Section 8. KRS 311.772 is amended to read as follows: (1) As used in this section: (a) "Fertilization" means that point in time when a male human sperm penetrates the zona pellucida of a female human ovum; (b) "Medical emergency" or "medically necessary" has the same meaning as in Section 1 of this Act; (c) "Pregnant" means the human female reproductive condition of having a living unborn human being within her body throughout the entire embryonic and fetal stages of the unborn child from fertilization to full gestation and childbirth; and (d) "Unborn human being" means an individual living member of the species homo sapiens throughout the entire embryonic and fetal stages of the unborn child from fertilization to full gestation and childbirth. (2) The provisions of this section shall become effective immediately upon, and to the extent permitted, by the occurrence of any of the following circumstances: (a) Any decision of the United States Supreme Court which reverses, in whole or in part, Roe v. Wade, 410 U.S. 113 (1973), thereby restoring to the Commonwealth of Kentucky the authority to prohibit abortion; or (b) Adoption of an amendment to the United States Constitution which, in whole or in part, restores to the Commonwealth of Kentucky the authority to prohibit abortion. (3) Except as otherwise provided in Sections 2, 3, 4, 5, 7, 8, and 9 of this Act and subsections (4) and (6) of this section, no person may knowingly: (a) Administer to, prescribe for, procure for, or sell to any pregnant woman any medicine, drug, or other substance with the specific intent of causing or abetting the termination of the life of an unborn human being; or (b) Use or employ any instrument or procedure upon a pregnant woman with the specific intent of causing or abetting the termination of the life of an unborn human being. (4) The following shall not be a violation of subsection (3) of this section: (a) For a licensed physician to perform a medical procedure that is medically necessary in the reasonable medical judgment of the physician to prevent the death or substantial risk of death due to a physical condition, or to prevent the serious, permanent impairment of a life-sustaining organ of a pregnant woman. However, except as provided in paragraph (b) of this subsection, the physician shall make reasonable medical efforts under the circumstances to preserve both the life of the mother and the life of the unborn human being in a manner consistent with reasonable medical practice; (b) For a licensed physician to perform an abortion because of a lethal fetal anomaly; (c) For a licensed physician to perform an abortion if in the reasonable medical judgment of the physician the pregnancy is the result of rape under KRS 510.040, 510.050, or 510.060 or incest under KRS 530.020(2(b) or (c), and the gestational age of the unborn child is twenty-two (22) weeks or less; or (d) Medical treatment provided to the mother by a licensed physician which results in the accidental or unintentional injury or death to the unborn human being. (5) (a) Except as provided in this subsection, and notwithstanding any provision of law to the contrary, a physician who complies with the requirements of KRS 311.710 to 311.830 shall be immune: 1. From criminal liability and penalty for any harm or damage alleged to arise from an act or omission in the treatment of a woman related to the termination of a pregnancy or a lost pregnancy, except nothing in this paragraph limits any liability for gross negligence or wanton, willful, malicious, or intentional conduct; and 2. From civil liability for any personal injury or damages alleged to arise from the treatment of a pregnant woman, except nothing in this paragraph limits any civil liability for injury or damage arising from a deviation of the accepted medical standard of care, gross negligence, or willful, malicious, or intentional conduct. (b) Nothing in this subsection shall be construed to amend, repeal, or alter any other immunity, defense, limitation of liability, or procedure available or required under any other law or contract. (6) Nothing in this section may be construed to subject the pregnant mother upon whom any abortion is performed or attempted to any criminal conviction and penalty. (7) Nothing in this section may be construed to prohibit the sale, use, prescription, or administration of a contraceptive measure, drug, or chemical, if it is administered prior to the time when a pregnancy could be determined through conventional medical testing and if the contraceptive measure is sold, used, prescribed, or administered in accordance with manufacturer instructions. (8) The provisions of this section shall be effective relative to the appropriation of Medicaid funds, to the extent consistent with any executive order by the President of the United States, federal statute, appropriation rider, or federal regulation that sets forth the limited circumstances in which states must fund abortion to remain eligible to receive federal Medicaid funds pursuant to 42 U.S.C. sec. 1396 et seq.

Gross rent includes contract rent and tenant-paid utilities. Rental protections, assistance, and housing supply concern components of rental-market conditions; they do not set Kentucky’s median rent. This connection does not establish causation. Actions after the measurement period cannot explain the earlier observed value.

Retained Kentucky evidence context: Median gross rent. This record’s connection to the topic does not establish an effect on the measured result.

2.Availability of Continuum of Care funds for grantees requiring wraparound services or applying preconditionsSubtitle C of title IV of the McKinney-Vento Homeless Assistance Act (42 U.S.C. 11381 et seq.) is amended by adding at the end the following new section: 436.Availability of funds for grantees requiring wraparound services or applying preconditions (a)AvailabilityNotwithstanding any other provision of law, the Secretary may not, in making amounts available under this subtitle, prohibit, limit, or restrict the award or amount of grants made with such amounts to or for eligible entities, project sponsors, or recipients— (1)that require the provision of supportive services, such as counseling, job training, or addiction treatment, for individuals served by a program, project, or activity assisted with such amounts; (2)that require, as a condition for occupancy in a project, or assistance from a program, project, or activity, assisted with such amounts that individuals meet certain prerequisites, such as sobriety or lack of drug use; or (3)faith-based organizations. (b)Set asideNotwithstanding any other provision of law, in making available amounts under this subtitle for each fiscal year, the Secretary shall ensure that not less than 50 percent of such amounts shall be used by eligible entities, project sponsors, and recipients that provide or offer access to wraparound services. (c)AccountabilityNot later than 180 days after the completion of each fiscal year, the Secretary shall submit, to the House Committee on Financial Services of the House of Representatives and Committee on Banking, Housing and Urban Affairs of the Senate, for such fiscal year— (1)a written certification that the amounts made available for carrying out this subtitle were made available in compliance with subsections (a) and (b) of this section; and (2)a report specifying how the Notices of Funding Opportunity for such fiscal year for amounts made available for carrying out this subtitle evidence such compliance..

The fact counts Social Security retirement, survivors, and disability beneficiaries in current-payment status. Benefit administration concerns a component of that population; SSI, Medicare, and state pensions are separate programs. This connection does not establish causation. Actions after the measurement period cannot explain the earlier observed value.

Retained Kentucky evidence context: Social Security beneficiaries. This record’s connection to the topic does not establish an effect on the measured result.

SECTION 1. A NEW SECTION OF KRS CHAPTER 605 IS CREATED TO READ AS FOLLOWS: (1) (a) For all children in the care and custody of the cabinet, the cabinet shall determine within sixty (60) days after entry into care whether each child is receiving or eligible for earned federal benefits administered by the United States Social Security Administration or the United States Department of Veterans Affairs, including survivor or dependent benefits. (b) If the cabinet determines that a child is eligible or may be eligible for such earned benefits, the cabinet shall apply for the benefits on behalf of the child in accordance with federal law. (2) If a child began receiving earned federal benefits before entering the cabinet's care and custody, or if the cabinet applies for benefits on behalf of the child, the cabinet shall, in consultation with the child and the child’s attorney, identify an appropriate representative payee consistent with 20 C.F.R. secs. 404.2021 and 416.621 and may apply to become the representative payee only if no other suitable candidate is available. (3) If the cabinet is appointed to serve as the representative payee, the cabinet shall: (a) Not use any of the child’s earned federal benefits, savings, or assets to pay for or reimburse the cabinet or the Commonwealth for any cost of the child’s care, maintenance, supervision, or services; (b) Establish and maintain an account to conserve the child’s earned federal benefits in the child ’s best interests and consistent with federal and state asset and resource limits. Acceptable account types shall include: 1. A special needs trust; 2. A pooled special needs trust; 3. An Achieving a Better Life Experience (ABLE) account established pursua nt to 26 U.S.C. sec. 529A; or 4. Any other account or trust vehicle determined not to interfere with eligibility for public benefits; (c) Provide an annual accounting of the use, application, or conservation of the child’s earned federal benefits to the ch ild, the child’s attorney, and, if parental rights have not been terminated, to the child’s parents or guardians; and (d) Periodically review whether another qualified person or entity could serve as representative payee in the child’s best interests and, if so, shall assist in transferring that role. (4) The cabinet shall review each case annually to determine whether a child in care and custody has become newly eligible for earned federal benefits after the cabinet’s initial determination pursuant to subs ection (1) of this section. (5) The cabinet shall develop and implement a plan for each child in care and custody with conserved earned federal benefits to be called the Success Sequence Savings and Disbursement Plan. The plan shall allow a child who has completed a cabinet -approved financial literacy or savings readiness program to access a portion of conserved benefits upon completion of at least one (1) specific milestone that promotes independence and financial readiness, including but not limited to: (a) Obtaining a driver’s license or state identification card; (b) Graduating from high school or receiving a recognized equivalent; (c) Enrolling in a postsecondary education, vocational training, or apprenticeship program; or (d) Maintaining verified employment for at least six (6) consecutive months. (6) The cabinet shall: ACTS OF THE GENERAL ASSEMBLY 2 (a) Determine reasonable disbursement thresholds and amounts for each milestone to promote long - term savings while rewarding progress toward self-sufficiency; and (b) Ensure that all children participating in the program have access to financial literacy instruction and counseling to support effective use of milestone payments and long -term asset building. (7) Upon termination of the cabinet’s care and custody for the child, the cab inet shall release any remaining conserved funds to: (a) The child, if the child is at least eighteen (18) years of age or emancipated; or (b) The person responsible for the child, if the child remains a minor and is not emancipated. (8) The cabinet shall promulgate administrative regulations in accordance with KRS Chapter 13A and applicable federal laws to implement this section that include but are not limited to rules governing account management, milestone disbursements, reporting, financial literacy ed ucation, and oversight.

The fact counts abortions performed in Kentucky in 2024, regardless of residence. Access, restrictions and reporting concern this occurrence-based measure. Procedures performed outside Kentucky are outside its scope. This connection does not establish causation. Actions after the measurement period cannot explain the earlier observed value.

Retained Kentucky evidence context: Abortion cases reported in Kentucky. This record’s connection to the topic does not establish an effect on the measured result.

Section 21. KRS 311.723 is amended to read as follows: (1) No action that requires separating a pregnant woman from her unborn child shall be performed , except the following whe n performed by a physician based upon his or her reasonable medical judgment: (a) A medical procedure performed with the intent to save the life or preserve the health of an unborn child; (b) Lifesaving miscarriage management, which includes medically necessary interventions when the pregnancy has ended or is in the unavoidable and untreatable process of ending due to spontaneous or incomplete miscarriage; (c) Sepsis and hemorrhage emergency medical interventions required when a miscarriage or impending miscarriage results in a life-threatening infection or excessive bleeding; (d) A medically necessary intervention, inducement, or delivery for the removal of a dead child from the uterine cavity, when documented in the woman's medical record along with the results of an obstetric ultrasound test, confirming that fetal cardiac activity is not present at a gestational age when it should be present; (e) The removal of an ectopic pregnancy or a pregnancy that is not implanted normally within the endometrial cavity; (f) The use of methotrexate or similar medications to treat an ectopic pregnancy; (g) The removal of a molar pregnancy; (h) A medical procedure necessary b ased on reasonable medical judgment to prevent the death or substantial risk of death of the pregnant woman due to a physical condition, or to prevent serious, permanent impairment of a life-sustaining organ of a pregnant woman. However, the physician shal l make reasonable medical efforts under the circumstances to preserve both the life of the mother and the life of the unborn child in a manner consistent with reasonable medical practice; or (i) Medical treatment provided to the mother by a licensed physic ian, which results in the accidental or unintentional injury or death of the unborn human being . (2) No treatment or procedure authorized under subsection (1) of this section shall be p erformed except in compliance with regulations which the cabinet shall promulgate to ensure that: (a) 1. Before the treatment or procedure is performed, the pregnant woman shall have a private medical consultation either with the physician who is to provide the treatment or perform the procedure or with the referring physician in a place, at a time and of a duration reasonably sufficient to enable the physician to determine whether, based upon his or her reasonable medical judgment, the action is necessary; 2. The physician shall document in the pregnant woman's medical record the pregnant woman's informed consent to the treatment or procedure following a discussion, acknowledged in writing by the woman, of the risks, benefits, and alternatives to the treatment or procedure, sufficient in scope for a reasonable person to make an informed decision; (b) The physician who is to provide the treatment or perform the procedure or the referring physician will describe the basis for his or her reasonable medical judgment that the action is necessary on a form prescribed by the cabinet as required by KRS 213.101; and (c) 1. Paragraph (a) of this subsection shall not apply wh en, in the reasonable medical judgment of the attending physician based on the particular facts of the case before him or her , there exists a medical emergency. In the case of a medical emergency, the physician shall describe the basis of his or her reasonable medical judgment that an emergency exists on a form prescribed by the cabinet as required by KRS 213.101; and 2. If an emergency exists which limits the time available for documentation or the scope of the informed consent discussion, the physician shall endeavor to complete the requirements of this subsection to the extent possible without undue risk to the woman's life or health and shall promptly complete any required documentation when the emergency no longer exists . (3) Notwithstanding any statute to the contrary, nothing in this chapter shall be construed as prohibiting a physician from prescribing or a woman from using birth control methods or devices, including, but not limited to, intrauterine devices, oral contraceptives, or any other birth control method or device. (4) Nothing in this section shall be interpreted as permitting any violation of Section 22 of this Act.

The fact measures residents under 65 without health insurance. Insurance eligibility, enrollment, coverage continuity and premium assistance concern the covered population. Provider payments and covered services alone do not establish a coverage change, and Medicare-only changes mostly concern a different age population. This connection does not establish causation. Actions after the measurement period cannot explain the earlier observed value.

Retained Kentucky evidence context: People under 65 without health insurance. This record’s connection to the topic does not establish an effect on the measured result.

Section 1. KRS 205.5371 is amended to read as follows: (1) (a) The cabinet shall, no later than January 1, 2027, for applicable individuals as defined in 42 U.S.C. sec. 1396a(xx)(9), condition eligibility for enrollment or continued enrollment in the Medicaid program on demonstrated community engagement as defined in and required under 42 U.S.C. sec. 1396a(xx) . (b) In the case of an applicable individual who is applying for enrollment in the Medicaid program, in order to be eligible for enrollment the individual shall be requir ed to demonstrate community engagement for the month immediately preceding the month during which the individual applies for enrollment. (c) In the case of an applicable individual who is enrolled and receiving Medicaid benefits, in order to remain eligibl e for continued enrollment, at the time of eligibility redetermination, the individual shall be required to demonstrate community engagement for three (3) months during the period of time since the individual's most recent eligibility determination or redetermination. (2) Notwithstanding any provision of state law to the contrary, the cabinet shall not request an exemption, waiver, or any other delay, including but not limited to a good -faith-effort exemption, in implementing the requirements of 42 U.S.C. sec. 1396a(xx) or subsection (1) of this section that may be available to the state under 42 U.S.C. sec. 1396a(xx)(11) unless specifically authorized by the General Assembly to do so . (3) The cabinet shall begin, no later than September 1, 2026, providing notice to all applicable individuals, as defined in 42 U.S.C. sec. 1396a(xx)(9) , of the requirement to demonstrate community engagement as established under 42 U.S.C. sec. 1396a(xx) and subsection (1) of this section. Notice provided under this subsection shall comply with the requirements of 42 U.S.C. sec. 1396a(xx)(8) . (4) If at any time on or after the effective date of this Act, the federal community engagement requirements established in 42 U.S.C. sec. 1396a(xx) are abolished, repealed, or otherwise diminished, the cabinet shall: (a) Immediately prepare and submit a waiver application to the federal Centers for Medicare and Medicaid Services seeking authorization to condition the eligibility of applicable individuals, as ACTS OF THE GENERAL ASSEMBLY 2 defined in subsection (5) of this section, to enroll or continue to be enrolled in the Medicaid program on demonstrated community engagement, as defined in subsection (5) of this section; and (b) For applicable individuals, a s defined in subsection (5) of this section, and in accordance with subsection (1)(b) and (c) of this section, condition eligibility for enrollment or continued enrollment in the Medicaid program on demonstrated community engagement, as defined in subsecti on (5) of this section, if authorized to do so by the federal Centers for Medicare and Medicaid Services. (5) As used in subsection (4) of this section : (a) "Applicable individual" means an individual who is: 1. At least nineteen (19) years of age but less than sixty-five (65) years of age; 2. Eligible for enrollment or currently enrolled in the Medicaid program under 42 U.S.C. sec. 1396a(a)(10)(A)(i)(VIII) or a waiver that provides coverage that is equivalent to minimum essential coverage as described in Section 5000A(f)(1)(A) of the Internal Revenue Code of 1986; and 3. Not: a. Currently, or was not previously, placed in the foster care system if the individual is under twenty-six (26) years of age; b. Eligible for coverage under the Indian Health Service; c. A parent, guardian, caretaker relative, or family caregiver, as defined in the RAISE Family Caregivers Act, Pub. L. No. 115 -119, of a dependent child thirteen (13) years of age or under or a disabled individual; d. A disabled veteran with a disability rated as total under 38 U.S.C. sec. 1155; e. Medically frail or otherwise has special medical needs, including an individual: i. Who is blind or disabled; ii. With a substance use disorder; iii. With a disabling mental condition; iv. With a physical, intellectual, or developmental disability that significantly impairs his or her ability to perform one (1) or more activities of daily living; or v. With a serious or complex medical condition; f. An individual subject to work or community engagement requirements imposed under the Supplemental Nutrition Assistance Program or Temporary Assistance for Needy Families, if the individual is in compliance with such requirements; g. An individual participating in a drug addiction or alcohol addiction recovery program recognized by the secretary through the promulgation of administrative regulations in accordance with KRS Chapter 13A; h. An inmate at a public institution; i. Pregnant or eligible for coverage under KRS 205.592; or j. An individual experiencing a short -term hardship as defined by the secretary through the promulgation of administrative regu lations in accordance with KRS Chapter 13A; and (b) "Demonstrated community engagement" means satisfying one (1) or more of the following conditions on a monthly basis: 1. Working, as defined in 7 C.F.R. sec. 273.24, not less than eighty (80) hours; 2. Completing not less than eighty (80) hours of community service; 3. Participating in a work program, as defined in 7 C.F.R. sec. 273.24, for not less than eighty (80) hours; 4. Participating at least half -time in an education program recognized by the secreta ry through the promulgation of administrative regulations in accordance with KRS Chapter 13A; 5. Engaging in any combination of activities described in subparagraphs 1., 2., 3., and 4. of this paragraph for a total of not less than eighty (80) hours; 6. Having a verifiable monthly income that is not less than applicable state minimum wage established in KRS 337.275 multiplied by eighty (80) hours; or 7. Having a verifiable average monthly income over the previous six (6) months that is not less than applicable state minimum wage established in KRS 337.275 multiplied by eighty (80) hours if the individual is a seasonal worker as described in Section 45R(d)(5)(B) of the Internal Revenue Code of 1986.

The fact counts abortions performed in Kentucky in 2024, regardless of residence. Access, restrictions and reporting concern this occurrence-based measure. Procedures performed outside Kentucky are outside its scope. This connection does not establish causation. Actions after the measurement period cannot explain the earlier observed value.

Retained Kentucky evidence context: Abortion cases reported in Kentucky. This record’s connection to the topic does not establish an effect on the measured result.

(2) Every individual has a fundamental right to choose or refuse to bear a child or obtain an abortion prior to the viability of the fetus, or to protect the life or health of the pregnant person. (3) The state shall not, in the regulation or provision of benefits, facilities, services, or information, deny or interfere with an individual's fundamental rights, including individuals under state supervision, custody, or control to choose or refuse: (a) Contraception or sterilization; or (b) To bear a child or obtain an abortion. (4) The state shall not discriminate in the protection or enforcement of these fundamental rights on the basis of sex, disability, race, ethnicity, gender identity, age, marital status, national origin, immigration status, religion, or sexual orientation. (5) Any state or local official who is charged with violating this section shall be subject to an action in federal or state court for injunctive relief and damages, which may be brought by any person or entity that may be aggrieved by the official's actions.