Create a new section of KRS Chapter 209A to require the Criminal Justice Statistical Analysis Center to compile data on domestic violence fatalities and occurrences of dating violence and abuse or domestic violence and abuse; amend KRS 209A.120 to indicate when Kentucky State Police is to report data to the Criminal Justice Statistical Analysis Center; amend KRS 403.785 and 456.090 to mandate reporting of JC-3 forms; amend KRS 209A.100 to include the reporting of suspected dating violence and abuse or domestic violence and abuse deaths to the Criminal Justice Statistical Analysis Center.

Designate the Richard and James C. Duncan Memorial Bridge in Metcalfe County.

Amend KRS 156.690 to insert gender-neutral language.

Create new sections of KRS Chapter 189 to define the terms "agency," "owner," "recorded images," and "traffic control signal monitoring system"; establish a civil penalty of $50 if a motor vehicle is recorded failing to obey the instructions of a traffic control device; set forth forms and procedures; outline defenses for citations for failing to obey a traffic control device; mandate that a person who refuses to pay the civil penalty and does not appear to contest the citation shall have the vehicle's registration suspended and to mandate that civil penalties shall not result in points against the violator's driving record; amend KRS 189.231 and KRS 189.990 to conform; APPROPRIATION.

Amend KRS 311B.020 to redefine"limited X-ray machine operator" and "medical imaging technologist" to provide limited exemptions from the place-of-employment restrictions on limited X-ray machine operators.

Create a new section of KRS Chapter 141 to establish the employers' organ and bone marrow donation tax credit; amend KRS 141.0205 to provide the ordering of the credit; amend KRS 131.190 to allow disclosure of certain information on the credit to the Legislative Research Commission; declare short title to be the Living Organ and Bone Marrow Donor Assistance Act of 2022.

Amend KRS 156.070 to require KHSAA to promulgate administrative regulations or bylaws requiring schools to designate all interscholastic athletics based upon the biological sex of the students eligible to participate; prohibit male students from participating in girls' athletics; establish how to designate biological sex; prohibit designated agencies from entertaining complaints or investigations of policies; create a cause of action against a school that violates these provisions; create a new section of KRS Chapter 164 to require a public postsecondary education institution or private postsecondary education institution that is a member of a national intercollegiate athletic association to designate all intercollegiate and intramural athletics authorized by the institution based on biological sex of students eligible to participate; require that institutions prohibit male students from participating in womens' athletics; prohibit designated agencies from entertaining complaints or investigations of policies; create a cause of action against a postsecondary institution that violates these provisions; title the Act "Fairness in Womens' Sports Act."

Create a new section of KRS Chapter 156 to allow the installation of auxiliary lighting on school buses; establish auxiliary lighting use restriction; require the Kentucky Department of Education to establish standards and specifications.

Create a new section of KRS Chapter 337 to prohibit employer-sponsored health plans from imposing a waiting period; amend KRS 337.990 to establish penalties; amend KRS 304.17A-220 and 304.17A-750 to conform; provide that Section 1 of the Act shall apply to health plans issued or renewed on or after the effective date of the Act.

Create a new section of KRS 16.505 to 16.652 to change the retirement benefits for members participating in the State Police Retirement System (SPRS) or in a hazardous position in either the Kentucky Employees Retirement System (KERS) or County Employees Retirement System (CERS) who are hired after January 1, 2014, but before January 1, 2023, so that, in lieu of continued participation in the hybrid cash balance plan (Tier 3 benefits), these members receive the benefits provided to members in a hazardous position who began participating immediately prior to January 1, 2014 (Tier 2 benefits); for members participating in a hazardous position who are subject to a change from Tier 3 to Tier 2 benefits, presume that service credit in a hazardous duty position earned after January 1, 2014, is service credit earned immediately prior to January 1, 2014, and require that accumulated contributions remain in the member’s account, although any employer credit will be transferred to the retirement allowance account; allow a member participating in a hazardous position subject to a change from Tier 3 to Tier 2 benefits to make a one-time election to opt out of the change of benefits, to be made for an actively employed member, no later than January 31, 2023, or for a member returning to a qualified position, within 30 days of returning to employment; establish exclusions; amend KRS 16.576, 16.577, and 78.5514 to allow a new member who begins participating in SPRS or in a hazardous position in KERS or CERS on or after January 1, 2023, or a member who is eligible under Section 1 of the Act, to calculate retirement allowance using the same benefit factors and service credit as those members in a hazardous position who began participating immediately prior to January 1, 2014 (Tier 2 members); amend KRS 16.583 and 78.5516 to limit the hybrid cash balance plan (Tier 3 benefits) only to members participating in SPRS or in hazardous positions in KERS or CERS who make an election to opt out of Tier 2 benefits under Section 1 of the Act or who make an election, prior to the effective date of the Act, under KRS 61.5955; amend KRS 61.5955 to provide that only a member in a nonhazardous position who began participating in KERS or CERS as a Tier 2 member may elect to receive Tier 3 benefits in the hybrid cash balance plan in lieu of Tier 2 benefits; amend KRS 16.505, 61.510, and 78.510 to amend definitions of various terms to conform and make technical changes; amend KRS 16.560, 61.575, and 78.640 to allow interest credited on the accounts of members participating in SPRS or in a hazardous position in KERS or CERS to be adjusted to conform; amend KRS 16.578 to allow a beneficiary of a member participating in SPRS or in a hazardous position in KERS or CERS who begins participating on or after January 1, 2023, or who is eligible under Section 1 of the Act, to receive the same death benefits as a Tier 2 member; amend KRS 16.582 and 78.5524 to allow a member participating in SPRS or in a hazardous position in KERS or CERS who begins participating on or after January 1, 2023, or who is eligible under Section 1 of the Act to receive the same disability benefits as a Tier 2 member; amend KRS 61.546 and 78.616 to allow a member participating in SPRS or in a hazardous position in KERS who begins participating on or after January 1, 2023, or who is eligible under Section 1 of the Act, to receive the same service credit for unused sick leave as a Tier 2 member; amend KRS 61.552 to allow a member participating in SPRS or in a hazardous position in KERS or CERS, who begins participating on or after January 1, 2023, or who is eligible under Section 1 of the Act, who is also vested, to purchase service credit; amend KRS 61.597 and 78.5512 to permit early retirement from both the Tier 2 and Tier 3 plans for a member eligible for Tier 2 hazardous benefits under Section 1 of the Act, who also has nonhazardous service credit as a Tier 3 member of either KERS or CERS; amend KRS 61.615 and 78.5528 to allow, if a disability retirement allowance is reduced or discontinued, for a member participating in SPRS or in a hazardous position in KERS or CERS who begins participating on or after January 1, 2023, or who is eligible under Section 1 of the Act, to apply for early retirement benefits as provided for and subject to the same limitations as Tier 2 members; amend KRS 61.680 to require that a member who is eligible under Section 1 of the Act and who has nonhazardous service credit as a Tier 3 member of either KERS or CERS to have his or her nonhazardous and hazardous service consolidated to determine eligibility and benefits; amend KRS 78.545 to add Section 1 of this Act as one of the provisions that shall be administered for the CERS in the same manner as for the KERS.

Amend KRS 431.066 and 431.520 to require that conditions of pretrial release for a person released on an unsecured bond be the least restrictive to reasonably mitigate the risk of flight or danger to others.

Create a new section of KRS Chapter 141 to establish a refundable income tax credit for certain volunteer firefighters; declare the purpose of the credit; require annual reporting to the Legislative Research Commission to evaluate the impact of the credit; amend KRS 141.0205 to provide the ordering of the credit; amend KRS 131.190 to allow confidential tax return information to be shared with the Legislative Research Commission.

Create new sections of KRS Chapter 311 to define terms; establish a qualified terminally ill individual's right to voluntarily request medication to self-administer to cause death; require conditions for making request; permit individual to rescind request at any time; permit an attending health care provider to provide medication; establish requirements for attending health care provider to inform individuals and document request; require disposal of unused medications; establish residency requirements for qualified individuals; require report by the Cabinet for Health and Family Services; establish provisions for contracts, insurance policies, and beneficiaries; state that a health care provider is not required to provide medication to a qualified individual; permit health care providers to prohibit persons or entities from participating in a qualified individual's request during or on the premises of employment; prohibit reporting a health care provider to a licensing board for participating in a qualified individual's request; state that actions do not constitute suicide or homicide; create a form for a qualified individual to make a request; create a new section of Subchapter 12 of KRS Chapter 304 to establish provisions for insurance policies and beneficiaries of qualified individuals; amend KRS 507.020 and KRS 507.030 to create an affirmative defense to a charge of murder and manslaughter in the first degree; provide a severability clause; create the short title, the "Kentucky Our Care, Our Options Act."

Amend KRS 189A.010 to remove the penalty enhancement for refusal of a blood test; amend KRS 189A.104 to remove blood tests from the list of alcohol or substance tests that are subject to enhancement of penalties; amend KRS 189A.105 to remove the limitations for obtaining a search warrant for a blood test and provide that a refusal of a blood test will not result in the enhancement of any criminal penalty; amend KRS 189A.107 to describe that the refusal of a blood, breath, or urine test will subject a person to license suspension; amend KRS 189A.110 to include an alcohol concentration reading of 0.15 percent as a qualifying result for the minimum four hour detention requirement; EMERGENCY.

Amend KRS 514.140 to include common carriers and delivery services in protection against theft of mail matter.