Kentucky House Bill HR97

Kentucky 2024 Regular Session

• Introduced: 2/21/24
• Refer: 2/21/24

Caption

A RESOLUTION urging the Kentucky Department for Medicaid Services to initiate communication with the Commonwealth's neighboring states regarding the possibility of establishing and entering into an interstate compact with the Commonwealth of Kentucky to permit 1915(c) Home and Community-Based Medicaid waiver services beneficiaries to receive covered waiver services in any of the compact states.

Impact

If adopted, HR97 could significantly change how Medicaid beneficiaries in Kentucky access services, particularly those living in border counties. Currently, more than 20,000 Kentuckians benefit from these waivers, with many awaiting enrollment. By allowing interstate service delivery, the resolution seeks to alleviate the strain on local service providers while potentially improving the lives of recipients who may need care outside their home state. This would align Kentucky with other states considering similar compacts.

Summary

House Resolution 97 urges the Kentucky Department for Medicaid Services to begin discussions with neighboring states about forming an interstate compact. The proposed compact would allow beneficiaries of the 1915(c) Home and Community-Based Medicaid waiver services to receive covered services across state lines. This initiative aims to enhance access to essential services for individuals with intellectual and developmental disabilities who currently experience restrictions due to state lines.

Sentiment

The sentiment around HR97 appears to be positive among advocates for individuals with disabilities, who view the resolution as a progressive step towards better service access. Supporters believe that it could address longstanding issues related to care shortages and waiting lists by allowing for more flexible service delivery. However, there could be apprehensions regarding the capability of neighboring states to adequately provide these services and maintain standards.

Contention

Notably, discussions around HR97 may spark debate regarding the implications of interstate compacts on Medicaid funding and service quality. While many support the potential for expanded access to services, concerns about the sustainability of service delivery and the ability of states to agree upon uniform standards and funding mechanisms could arise. Additionally, this resolution calls into question the degree of autonomy that states have when managing Medicaid services.