Page 1 of 1 LRC 2025-BR131-HB61
COMMONWEALTH OF KENTUCKY FISCAL NOTE STATEMENT
LEGISLATIVE RESEARCH COMMISSION
2025 REGULAR SESSION
MEASURE
2025 BR NUMBER 131 HOUSE BILL NUMBER 61
TITLE AN ACT relating to Medicaid-covered nonemergency medical transportation.
SPONSOR Representative Steve Bratcher
FISCAL SUMMARY
STATE FISCAL IMPACT: YES NO UNCERTAIN
OTHER FISCAL STATEMENT (S) THAT MAY APPLY: ACTUARIAL ANALYSIS
LOCAL MANDATE CORRECTIONS IMPACT HEALTH BENEFIT MANDATE
APPROPRIATION UNIT(S) IMPACTED: Medicaid Services
FUND(S) IMPACTED: GENERAL ROAD FEDERAL RESTRICTED
FISCAL ESTIMATES 2024-2025 2025-2026 ANNUAL IMPACT AT
FULL IMPLEMENTATION
REVENUES
EXPENDITURES $4,400,000 – General Fund
$11,400,000 – Federal Funds
$4,400,000 – General Fund
$11,400,000 – Federal Funds
NET EFFECT ($15,800,000) ($15,800,000)
( ) indicates a decrease/negative
PURPOSE OF MEASURE: The purpose of the measure is to require the Department for
Medicaid Services (DMS) to oversee and administer the program for nonemergency medical
transportation services (NEMT) for Medicaid eligible individuals and to establish the parameters
of the NEMT.
FISCAL EXPLANATION : The Cabinet for Health and Family Services estimates that House
Bill (HB) 61 would result in increased costs for the DMS due to increased level of benefits,
utilization, and staffing needs. DMS estimates that additional costs of $15.2 million related to an
increased level of benefits and utilization would be incurred, with $4.1 million accounted for by
General Fund and the remaining $11.1 million accounted for by Federal Funds. DMS also
estimates an additional $600,000 would be incurred in administrative costs related to staffing
needs, with $300,000 accounted for by General Fund and $300,000 accounted for by Federal
Funds.
DATA SOURCE(S): Cabinet for Health and Family Services/Dept. for Medicaid Services
PREPARER: Miriam Fordham NOTE NUMBER: 6 REVIEW: JMR DATE: 2/7/2025