Amend KRS 139.495 to define "educational or charitable institution" and "religious institution"; exempt purchases and sales of tangible personal property, digital property, or services made by qualifying religious institutions from state sales and use taxes; make technical changes.

Create a new section of KRS Chapter 510 to establish the offense of grooming a minor; amend KRS 510.010 to define "course of conduct," "grooming behavior," and "sexual conduct"; amend various sections to conform; make technical corrections.

Create new sections of KRS Chapter 197 to establish the Kentucky Community and Technical College System Prison Education Program within the Department of Corrections in partnership with the Kentucky Community and Technical College System (KCTCS) to provide inmates with job training; require KCTCS to construct a facility to house the program at Northpoint Training Center; establish convictions that preclude participation in the program; require the parties to enter into a memorandum of agreement establishing the responsibilities of each party; amend KRS 196.281 to establish entitlement to a certificate of employability upon successful completion of the program and require reporting by the department; amend KRS 335B.020 to establish that a person shall not be disqualified from public employment or obtaining an occupational license solely because of previous criminal conviction and obtaining a certificate of employment from the department shall constitute rebuttable evidence of rehabilitation and fitness for the occupation; amend KRS 355B.030 to remove a conviction of a Class A felony, Class B felony, or any other felony offense other than a conviction that would qualify the individual as a registrant as defined in KRS 17.500 as supportive of a rebuttable presumption of a connection between that conviction and a license issuance request.

Civil Actions - Water fluoridation, optional participation, civil and criminal immunity Local Government - Water fluoridation programs, optional participation, determination by governing body Public Health - Water fluoridation programs, optional participation, determination by governing body Public Officers And Employees - Water fluoridation, optional participation, civil and criminal immunity Special Districts - Water fluoridation programs, optional participation, determination by governing body Water Supply - Water fluoridation programs, optional participation, determination by governing body

Background Checks - School district applicants, disclosure statement Boards And Commissions - Education Professional Standards Board, records Education, Elementary And Secondary - Misconduct involving minors, nondisclosure agreement, prohibition Education, Elementary And Secondary - School district applicants, disclosure of abusive conduct Education, Elementary And Secondary - School district applicants, employment history request, deadline State Agencies - Department of Education, certified nonpublic schools, requirements State Agencies - Department of Education, development of training for school employees, appropriate conduct Teachers - Background check, requirement Teachers - Felony charge, disclosure Teachers - Misconduct involving minors, nondisclosure agreement, prohibition Teachers - Misconduct involving minors, reporting requirement

Children And Minors - KCHIP, pharmacist services, reimbursement requirement, establishment Health And Medical Services - KCHIP, pharmacist services, reimbursement requirement, establishment Health And Medical Services - Medicaid, pharmacist services, reimbursement requirement, establishment Medicaid - Pharmacist services, reimbursement requirement, establishment Pharmacists - KCHIP, pharmacist services, reimbursement requirement, establishment Pharmacists - Medicaid, pharmacist services, reimbursement requirement, establishment Public Assistance - KCHIP, pharmacist services, reimbursement requirement, establishment Public Assistance - Medicaid, pharmacist services, reimbursement requirement, establishment State Agencies - Department for Medicaid Services, pharmacist services, reimbursement requirement, establishment

Amend KRS 15.020 to define "entity of the executive branch"; require the Attorney General, in consultation with the Finance and Administration Cabinet, to review and approve or disapprove any settlement of pending or threatened litigation within 180 days before a gubernatorial inauguration that exceeds $1,000,000; amend KRS 18A.111 to require a 24-month probationary period to any person who at any time in 18 months prior to a gubernatorial inauguration is appointed to a position in the classified service and who held a position that was unclassified under KRS 18A.115; deny that person any preferences in hiring or reemployment; amend KRS 45A.095 to define "executive branch agency"; require any contract executed or renewed through noncompetitive negotiation within 180 days preceding a gubernatorial inauguration be certified as necessary due to an emergency condition by the State Treasurer and secretary of the Finance and Administration Cabinet; amend KRS 171.530 to require certain records be preserved in the 12 months preceding a gubernatorial inauguration for the Governor-elect and his or her transition team; amend KRS 171.990 to find any person who violates KRS 171.530 be guilty of a Class A misdemeanor; grant the Attorney General concurrent original jurisdiction to enforce.

Create a new section of KRS Chapter 14 to elect for the Commonwealth to participate in the qualified elementary and secondary education scholarship federal tax credit; designate the Secretary of State as the sole official authorized to report the state's election and submit the required list to the United States Secretary of the Treasury; require the Secretary of State to publish associated administrative regulations and other guidance on a website; authorize the Secretary of State to promulgate administrative regulations to carry out the program; authorize the Secretary of State to collect a fee and accept private contributions to pay for necessary costs and establish requirements for the administration of the funds; waive Eleventh Amendment immunity for the section; amend KRS 141.019 to exclude qualified contributions made to scholarship granting organizations from allowed individual income tax dedications.

Amend KRS 205.5371 to require the Cabinet for Health and Family Services to condition eligibility for enrollment or continued enrollment in the Medicaid program on demonstrated community engagement as required under federal law; require the cabinet to continue to condition eligibility on demonstrated community engagement if federal requirements are abolished, repealed, or otherwise diminished; amend KRS 205.6312 to require the cabinet and any contracted Medicaid managed care organization to impose cost-sharing requirements for Medicaid enrollees as required under federal law no later than January 1, 2027; establish minimum cost-sharing amounts; amend KRS 205.556 and 205.618 to conform; create new sections of KRS Chapter 205 to require the cabinet to, no later than July 1, 2026, begin conducting Medicaid eligibility redeterminations once every 6 months as required under federal law; require the cabinet to access and review certain data when conducting eligibility redeterminations; establish a process for identifying and, when appropriate, disenrolling individuals who are concurrently enrolled in the Kentucky Medicaid program and a Medicaid program administered by another state or states; amend KRS 205.178 to require the cabinet to receive and review information from the Kentucky Lottery Corporation, Department of Corrections, and the Kentucky Horse Racing and Gaming Corporation on at least a monthly basis, the Kentucky Department of Revenue on at least an annual basis, and the Kentucky Transportation Cabinet on a quarterly basis; require the Department for Medicaid Services to enter into a data sharing agreement with the Social Security Administration to receive the full file of death information on at least a quarterly basis; prohibit the cabinet from seeking or requesting an exemption or waiver from federal community engagement requirements related to county unemployment rates unless specifically authorized by the General Assembly to do so; amend KRS 205.5375 to require hospitals to assist presumptively eligible individuals in submitting a full Medicaid application; amend KRS 205.200 to prohibit the cabinet from accepting self-attestation of income, residency, or age for the purpose of determining eligibility for Medicaid or compliance with community engagement requirements; create new sections of KRS Chapter 205 to establish Medicaid managed care organization contracting requirements and penalties; establish the Medicaid managed care organization compliance fund within the State Treasury; establish that amounts in the fund not appropriated at the close of a fiscal year shall not lapse and shall be carried forward; prohibit the expenditure of funds in the account unless expressly appropriated by the General Assembly; require the Department for Medicaid Services to submit recommendations for use of monies in the fund to the Legislative Research Commission by November 1, 2027, and November 1, of each following odd-numbered year; amend KRS 205.533 to require Medicaid managed care organizations to include certain information for providers on their websites; amend KRS 205.534 to require managed care organizations to allow providers 120 days to file an appeal or grievance related to a reduction of denial of a claim; establish penalties for a managed care organization's failure to ensure the timely disposition of any appeal or grievance; require payment of any amount owed to a provider following an appeal to be paid within 30 days; require payments made following an appeal to include interest and reasonable attorney's fees; establish standards and requirements for provider audits; require the inclusion of additional information in the monthly report filed by managed care organizations; require the Department for Medicaid Services to submit an annual report to the Legislative Research Commission related to Medicaid claims, appeals, and grievances; authorize the Department for Medicaid Services to promulgate administrative regulations; create new sections of KRS Chapter 205 to establish requirements for administration of the Medicaid-covered nonemergency medical transportation services; establish requirements for the administration of 1915(c) Medicaid waiver programs; require the Department for Medicaid Services to develop and implement a tiered priority system for assigning 1915(c) Medicaid waiver program slots by January 1, 2027; require administration of Medicaid-covered dental services by an administrative service organization; establish that the administrative service organization shall not assume any financial or insurance risk; limit compensation paid to the administrative service organization to no more than 2% of the actual Medicaid-covered dental service claims paid on an annual basis; require the Department for Medicaid Services to establish a Dental Program Advisory Panel; require the Department for Medicaid Services to employ a dental director; require the Department for Medicaid Services to submit an annual report on the Medicaid dental program to the Legislative Research Commission; create new sections of KRS 7A.270 to 7A.290 to establish legislative findings; require the cabinet to provide the Legislative Research Commission with access to all databases, datasets, electronic records, and files pertaining to any aspect of the Medicaid program determined by the director of the Legislative Research Commission to be necessary for the meaningful and effective discharge of the General Assembly's legislative duties; require the Legislative Research Commission, the University of Kentucky, and the University of Louisville to enter into a partnership to design and develop a web-based healthcare transparency dashboard; require the dashboard be overseen by a subcommittee of the Medicaid Oversight and Advisory Board; require the dashboard be maintained and operated by the Legislative Research Commission; amend KRS 7A.283 to allow the appointment of individuals who are not members of the board to advisory committees or subcommittees upon approval of the Legislative Research Commission; create a new section of KRS Chapter 43 to require the Auditor of Public Accounts to conduct an examination of the state's Medicaid program and Kentucky Children's Health Insurance Program; establish audit reporting requirements; require the Auditor to conduct a review of the Medicaid program and Kentucky Children's Health Insurance Program to assess progress in addressing issues identified in previous examinations; establish that the Office of Program Performance in the Commonwealth Office of the Ombudsman shall conduct all quality control reviews of the Department for Community Based Services for the Medicaid program, Supplemental Nutrition Assistance Program, and Temporary Assistance for Needy Families to comply with federal law and regulations; establish that no other state agency shall conduct these quality control reviews unless otherwise authorized by the General Assembly; amend KRS 7A.286 to establish that examinations conducted by the Auditor may constitute fulfillment of certain duties assigned to the Medicaid Oversight and Advisory Board at the discretion of the Legislative Review Commission; repeal KRS 205.515 related to administration of the Medicaid program; repeal KRS 311A.172 related to nonemergency medical transportation services; appropriate $500,000 in General Fund moneys in fiscal year 2025-2026 for staffing and technology needs in the Office of the Auditor of Public Accounts; create a new section of KRS Chapter 6 to establish a Medicaid impact statement; require any legislation that makes or directs a change to the Medicaid program to be accompanied by a Medicaid impact statement; require certain factors to be analyzed and included in a Medicaid impact statement; require Medicaid impact statements to be completed by an economic consulting firm retained by the Legislative Research Commission; create a new section of KRS Chapter 13A to require the cabinet to provide a draft copy of certain administrative regulations related to the Medicaid program to the Medicaid Oversight and Advisory Board for comment at least 30 days before filing the administrative regulation with the regulations compiler; direct the Medicaid Oversight and Advisory Board to establish a Dental Services Transition Subcommittee; establish membership and duties of the Dental Services Subcommittee; require any contract between the Department for Medicaid Services and a Medicaid managed care organization entered into, renewed, or extended after the effective date of this Act to include notice to the managed care organization of the department's intent to transition to an administrative service organization delivery model for Medicaid-covered dental services; require the cabinet 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); direct the Medicaid Oversight and Advisory Board to evaluate the nonemergency medical transportation program and submit findings and recommendations to the Legislative Research Commission by December 31, 2026; APPROPRIATION; EMERGENCY.

Confirm the reappointment of Stephen Allen Trimble to the Kentucky Board of Education for a term expiring April 14, 2028.

Confirm the appointment of Joshua Cummins to the Fish and Wildlife Resources Commission for a term expiring December 31, 2028.

Recognize the Lexington Legends Baseball Club as they begin their 25th anniversary season.

Adjourn in honor and loving memory of Deborah Darlene "Debbie" Ritchie.

Create new sections of KRS Chapter 198A to define terms; establish the first-generation homebuyer trust fund, establish eligible activities and use of trust fund; require Kentucky Housing Corporation to submit annual reports to the Legislative Research Commission.

Amend KRS 224.43-350 to prohibit the Energy and Environment Cabinet from allowing metallurgic, industrial solid waste from being treated as a residual solid waste regardless of whether the waste is reprocessed in the solid waste facility's manufacturing or industrial processes.