Recognize May 2025 as Amyotrophic Lateral Sclerosis Awareness Month in Kentucky.

Amend KRS 311B.020 to redefine "limited X-ray machine operator" and "medical imaging technologist"; allow a limited X-ray machine operator to only perform limited diagnostic radiography.

Amend KRS 439.3401 to include kidnapping in the definition of "violent offender."

Create a new section of KRS Chapter 6 to allow members and members-elect of the General Assembly to prefile bills and resolutions for introduction at the next succeeding regular legislative session; require the prefiled bills and resolutions to be published on the Legislative Research Commission's website.

Amend KRS 304.47-010 to modify the definition of "statement"; make technical amendments; amend KRS 304.47-020 to establish that statements that misrepresent the scope of damages associated with a property, casualty, or property and casualty insurance claim are fraudulent insurance acts; make technical amendments.

Create a new section of KRS Chapter 216B to define "freestanding birthing center"; require the Cabinet for Health and Family Services to promulgate administrative regulations to establish licensure standards for freestanding birthing centers; establish criteria for a medical director; establish requirements for obtaining written informed consent; require a written patient transfer agreement with a hospital that provides obstetric services; require a written patient transfer agreement with an emergency medical transportation service; exempt a center with no more than four beds from certificate-of-need requirements for establishing and licensing a freestanding birthing center; state intent not to limit or expand liability of a center or health care provider or facility; require medical malpractice insurance for freestanding birthing centers; prohibit abortions in freestanding birthing centers; amend KRS 216B.015 to include freestanding birthing centers in the definition of "health facility"; amend KRS 216B.020, 196.173, 211.122, 211.647, 211.660, 213.046, 214.155, 214.565, 214.567, 214.569, 216.2920, 216.2921, 216.2923, 216.2925, 216.2927, and 216.2970 to conform; require the cabinet to promulgate updated administrative regulations by December 1, 2025; provide that the Act may be cited as the Mary Carol Akers Birth Centers Act.

Amend KRS 158.175 to require moments of silence or reflection at the start of each school day and establish guidelines.

Amend KRS 161.030 to specify authority of the Education Professional Standards Board over educators hired by public schools only; amend KRS 199.894 to define "learning pod" and exclude them from the definition of "child-care center" and "family child-care home"; amend KRS 194A.381 to exclude learning pods from certain youth camp requirements.

Create a new section of KRS Chapter 532 to provide that any person who has been convicted of, pled guilty to, or entered an Alford plea to a sex crime in which the victim was under the age of 12 shall undergo medroxyprogesterone acetate treatment; provide that treatment shall begin no later than one month before the person is released from custody; provide that treatment shall continue until the person is released from probation, parole, or postincarceration supervision; provide that the person shall be evaluated by a licensed physician prior to treatment to determine if the person is an appropriate candidate for treatment; provide that the Department of Corrections shall administer the treatment; authorize the Department of Corrections to promulgate administrative regulations to implement the requirements.

Amend KRS 258.005 to define "veterinarian" and "veterinary technician"; amend KRS 258.015 to require that a Kentucky-licensed veterinary technician authorized to vaccinate a dog, cat, or ferret against rabies be under the direct supervision of a veterinarian that is located on the premises of the facility.

Amend KRS 139.495 to exempt purchases and sales of tangible personal property, digital property, or services made by qualifying resident nonprofit educational, charitable, or religious institutions from state sales and use taxes.

Create a new section of KRS Chapter 141 to establish an income tax credit for qualified contributions made to a domestic violence shelter or rape crisis center in this state; amend KRS 141.019 and 141.039 to disallow the deduction for charitable contributions if the income tax credit is claimed; create new sections of KRS Chapter 141 to establish an income tax credit for a taxpayer that rents a residential unit to a protected tenant and allow an income tax credit for the conversion of condemned property into a domestic violence shelter; amend KRS 141.0205 to order the credits; and amend KRS 131.190 to allow the Department of Revenue to report on the credits.

Amend KRS 525.125 to define "animal fight" and remove the definition of "dog fight"; provide that a person is guilty of cruelty to animals in the first degree when he or she knowingly causes an animal to engage in an animal fight, participates in the organization or operation of an animal fight, is present at an animal fight, or allows a minor to attend an animal fight; provide that falconry authorized by a valid permit and hunting license shall not constitute a violation of this section; provide that cruelty to animals in the first degree is a Class A misdemeanor if a person is present at an animal fight or allows a minor to attend an animal fight; require the court to forfeit the animal that is the subject of the violation, terminate or limit a person's ability possess animals, and transfer the animal to the original owner or the county animal control officer; allow restitution to be ordered for the cost and care of an animal transferred to the original owner or the county animal control officer; amend KRS 525.130 and 436.610 to conform and make technical corrections.

Amend KRS 186.444 to create a medical review board for the purpose of considering a person's ability to drive due to a physical or mental disability; establish the number and qualifications of members; require the Transportation Cabinet consult with a medical professional licensed in the area relevant to the case; require the medical review board to accept the statement of a person's medical professional that the person does not have a condition that impairs his or her ability to operate a motor vehicle; amend KRS 186.570 to conform; amend KRS 131.1817 to remove the possible suspension of an operator's license for a person found to be a delinquent taxpayer.

Amend KRS 500.130 to define terms; provide that the use of an unmanned aircraft system is not prohibited in the case of recreational or professional use if there is not intent to conduct surveillance on private property and there is no unauthorized use or publication of images of individuals or areas of private property, or in the case of an insurance company for purposes of underwriting a risk or investigating damage; create a new section of KRS Chapter 411 to establish a civil action; create a new section of KRS Chapter 413 to establish a statute of limitations for the civil action.