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HB676 • 2026

AN ACT relating to the Kentucky statewide health data utility.

AN ACT relating to the Kentucky statewide health data utility.

Technology
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
R. Raymer
Last action
2026-04-14
Official status
04/14/26: became law without Governor's Signature (Acts Ch. 150)
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

AN ACT relating to the Kentucky statewide health data utility.

AN ACT relating to the Kentucky statewide health data utility.

What This Bill Does

  • AN ACT relating to the Kentucky statewide health data utility.

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

HCS1

House Committee Substitute 1

Delete original provisions, create new sections of KRS Chapter 7 to establish the Kentucky statewide health data utility; define terms; establish purposes and a restricted fund for the utility; permit the Legislative Research Commission (Commission) to elect to develop, implement, operate, and maintain the utility, contract with vendors to operate and govern the utility, and promulgate administrative regulations to carry out those duties; establish permissible functions and content of utility; establish duties of the Commission in operating and governing the utility; establish administration and operation requirements for the Commission; establish the Kentucky Health Information Technology Advisory Board; establish advisory duties of the board; require the utility's participants to comply with health information sharing and submission requirements within certain timeframes; require the Attorney General to enforce the mandatory reporting requirements for the utility's participants; establish enforcement powers of Attorney General including civil penalty assessment; amend KRS 194A.030, 194A.103, 194A.095, 205.640, 205.6489, 211.474, and 214.375, and create a new section of KRS 216.2920 to 216.2929, to conform; require the Cabinet for Health and Family Services 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).

Plain English: UNOFFICIAL COPY 26 RS HB 676/HCS 1 Page 1 of 56 HB067630.100 - 968 - XXXX 3/5/2026 1:21 PM House Committee Substitute AN ACT relating to the Kentucky statewide health data utility.

  • UNOFFICIAL COPY 26 RS HB 676/HCS 1 Page 1 of 56 HB067630.100 - 968 - XXXX 3/5/2026 1:21 PM House Committee Substitute AN ACT relating to the Kentucky statewide health data utility.
  • 1 Be it enacted by the General Assembly of the Commonwealth of Kentucky: 2 SECTION 1.
  • A NEW SECTION OF KRS CHAPTER 7 IS CREATED TO 3 READ AS FOLLOWS: 4 (1) The Kentucky statewide health data utility is established in Sections 1 to 9 of this 5 Act to effectuate the following purposes: 6 (a) Create a seamless, transparent, and secure approach to health information 7 sharing and exchange among broad health care and he alth care 8 coordination settings that: 9 1.
  • Uses health information technology to support health -related 10 functions, including without limitation: 11 a.
HFA1

House Floor Amendment 1 • R. Raymer

Retain original provisions, except make technical amendments; add state agencies as an authorized recipient of information in the statewide health data utility; subject to the availability of funding, staffing, and other resources, require the Office of Health Policy, Analytics, and Accountability within the Legislative Research Commission (Commission) to develop, implement, operate, and maintain all functions of the statewide health data utility; authorize the Commission to contract with Kentucky's public health universities; require the Commission to submit an annual written report to the Interim Joint Committee on Health Services; require the Kentucky Health Information Technology Advisory Board to convene and seek recommendations from stakeholders and to have 2 members of academia who oversee, or have experience in, health care policy or health care data research; provide that federal law that may preempt participation by a participant includes the Employee Retirement Income Security Act of 1974.

Plain English: HOUSE OF REPRESENTATIVES KENTUCKY GENERAL ASSEMBLY AMENDMENT FORM 2026 REGULAR SESSION Amend printed copy of HB 676/HCS 1 Amendment No.

  • HOUSE OF REPRESENTATIVES KENTUCKY GENERAL ASSEMBLY AMENDMENT FORM 2026 REGULAR SESSION Amend printed copy of HB 676/HCS 1 Amendment No.
  • HFA Rep.
  • Rep.
  • Rebecca Raymer Committee Amendment Signed: Floor Amendment LRC Drafter: Adopted: Date: Rejected: Doc.
HFA2

House Floor Amendment 2 • R. Raymer

Retain original provisions, except make technical corrections; add state agencies as an authorized recipient of information in the statewide health data utility; add state agencies as a participant in the statewide health data utility; subject to the availability of funding, staffing, and other resources, require the Office of Health Policy, Analytics, and Accountability within the Legislative Research Commission (Commission) to develop, implement, operate, and maintain all functions of the statewide health data utility; authorize the Commission to contract with Kentucky's public health universities; require the Commission to submit an annual written report to the Interim Joint Committee on Health Services; require the Kentucky Health Information Technology Advisory Board to convene and seek recommendations from stakeholders and to have 2 members of academia who oversee, or have experience in, health care policy or health care data research; provide that federal law that may preempt participation by a participant includes the Employee Retirement Income Security Act of 1974; delete amendments to existing health data exchange and collection laws; amend KRS 216.2921 to require the Cabinet for Health and Family Services to cooperate, support, and provide assistance to the Commission in the implementation of the statewide health data utility.

Plain English: HOUSE OF REPRESENTATIVES KENTUCKY GENERAL ASSEMBLY AMENDMENT FORM 2026 REGULAR SESSION Amend printed copy of HB 676/HCS 1 Amendment No.

  • HOUSE OF REPRESENTATIVES KENTUCKY GENERAL ASSEMBLY AMENDMENT FORM 2026 REGULAR SESSION Amend printed copy of HB 676/HCS 1 Amendment No.
  • HFA 2 Rep.
  • Rep.
  • Rebecca Raymer Committee Amendment Signed: Floor Amendment LRC Drafter: Adopted: Date: Rejected: Doc.
HFA3

House Floor Amendment 3 • R. Raymer

Delete original provisions; require the Legislative Research Commission (Commission) to conduct a study on the development of a Kentucky statewide health data utility; provide authority to the Commission in carrying out the study; require a written report to be submitted to the Commission for referral to the Interim Joint Committee on Health Services by December 1, 2026.

Plain English: HOUSE OF REPRESENTATIVES KENTUCKY GENERAL ASSEMBLY AMENDMENT FORM 2026 REGULAR SESSION Amend printed copy of HB 676 Amendment No.

  • HOUSE OF REPRESENTATIVES KENTUCKY GENERAL ASSEMBLY AMENDMENT FORM 2026 REGULAR SESSION Amend printed copy of HB 676 Amendment No.
  • HFA Rep.
  • Rep.
  • Rebecca Raymer Committee Amendment Signed: Floor Amendment LRC Drafter: Adopted: Date: Rejected: Doc.

Bill History

  1. 2026-04-14 Kentucky Legislative Research Commission

    became law without Governor's Signature (Acts Ch. 150)

  2. 2026-04-13 Kentucky Legislative Research Commission

    filed without Governor's signature with the Secretary of State

  3. 2026-04-01 Kentucky Legislative Research Commission

    enrolled, signed by Speaker of the House enrolled, signed by President of the Senate delivered to Governor

  4. 2026-03-31 Kentucky Legislative Research Commission

    3rd reading, passed 37-1 received in House

  5. 2026-03-26 Kentucky Legislative Research Commission

    2nd reading, to Rules as a consent bill posted for passage in the Consent Orders of the Day for Friday, March 27 2026

  6. 2026-03-25 Kentucky Legislative Research Commission

    reported favorably, 1st reading, to Consent Calendar

  7. 2026-03-24 Kentucky Legislative Research Commission

    to Health Services (S)

  8. 2026-03-20 Kentucky Legislative Research Commission

    received in Senate to Committee on Committees (S)

  9. 2026-03-19 Kentucky Legislative Research Commission

    3rd reading, passed 93-0 with Floor Amendment (3)

  10. 2026-03-18 Kentucky Legislative Research Commission

    floor amendment (3) filed

  11. 2026-03-17 Kentucky Legislative Research Commission

    posted for passage in the Regular Orders of the Day for Wednesday, March 18 2026

  12. 2026-03-16 Kentucky Legislative Research Commission

    floor amendment (2) filed to Committee Substitute

  13. 2026-03-10 Kentucky Legislative Research Commission

    floor amendment (1) filed to Committee Substitute

  14. 2026-03-06 Kentucky Legislative Research Commission

    2nd reading, to Rules

  15. 2026-03-05 Kentucky Legislative Research Commission

    reported favorably, 1st reading, to Calendar with Committee Substitute (1)

  16. 2026-02-26 Kentucky Legislative Research Commission

    to Health Services (H)

  17. 2026-02-19 Kentucky Legislative Research Commission

    introduced in House to Committee on Committees (H)

Official Summary Text

AN ACT relating to the Kentucky statewide health data utility.

Current Bill Text

Read the full stored bill text 
UNOFFICIAL COPY 26 RS HB 676/GA
Page 1 of 2
HB067610.100 - 968 - XXXX 3/19/2026 4:07 PM GA
AN ACT relating to the Kentucky statewide health data utility. 1
Be it enacted by the General Assembly of the Commonwealth of Kentucky: 2
Section 1. The staff of the Legislative Research Commission is directed to 3
conduct a study on the development of a Kentucky statewide health data utility. The 4
study shall analyze and provide: 5
(1) Policy options for establishing a Kentucky statewide health data utility that: 6
(a) Is the sole statewide network for the sharing and exchange of health 7
information; 8
(b) Aggregates health information received from participants; and 9
(c) Provides access, in a form and manner that ensures the privacy and security of 10
personal health information as required under federal and state law, to health information 11
in the statewide health data utility to authorized recipients for the purposes of: 12
1. Collecting and analyzing data to inform the authorized recipients as to health 13
care access, utilization, cost, safety, and quality in Kentucky; 14
2. Enabling health care professionals and health facilities to evaluate and 15
monitor care and treatment of patients; and 16
3. Enabling patients to access, through a technology enabled interface, the 17
patient's electronic longitudinal health record; 18
(2) Strategies for the direction and governance of the statewide health data utility 19
by and through the Legislative Research Commission; and 20
(3) Strategies for development of the statewide health data utility in a timely, 21
efficient, secure, sustainable, and cost-effective manner. 22
Section 2. In carrying out the duties in Section 1 of this Act, the Legislative 23
Research Commission may: 24
(1) Consult with officials and other entities in this state and other states to study 25
how they are engag ing in the development, implementation, and operation of health data 26
utilities and collection efforts; 27
UNOFFICIAL COPY 26 RS HB 676/GA
Page 2 of 2
HB067610.100 - 968 - XXXX 3/19/2026 4:07 PM GA
(2) Retain a consultant or other vendor; and 1
(3) Convene a working group to inform and make recommendations to 2
Commission staff. 3
Section 3. A written report of staff findings, policy options, and strategies shall 4
be submitted to the Legislative Research Commission for referral to the Interim Joint 5
Committee on Health Services by December 1, 2026. 6
Section 4. Provisions of this Act to the contrary notwithstanding, the 7
Legislative Research Commission shall have the authority to alternatively assign the 8
issues identified herein to an interim joint committee or subcommittee thereof, and to 9
designate a study completion date. 10
Section 5. Sections 1 to 4 of this Act shall have the same legal status as a House 11
Concurrent Resolution. 12