Create a new section of KRS Chapter 205 to require the Department for Medicaid Services to include coverage for adult day health care and in-home attendant services in all 1915(c) waiver programs that enroll adults; require coverage of at least 40 hours per week separately for adult day health care and in-home attendant services; prohibit aggregating coverage limits for adult day health care and in-home attendant services; require the department to promulgate administrative regulations; require the Cabinet for Health and Family Services or the department to seek federal approval if they determine that such approval is necessary; provide authorization from the General Assembly to make changes to the Medicaid program as required under KRS 205.5372(1).

Amend KRS 156.160 to require the Kentucky Board of Education to promulgate administrative regulations for an alternate high school diploma and a modified high school diploma; specify requirements for alternate and modified high school diplomas; create a new section of KRS Chapter 158 to require the Department of Workforce Development to identify, compile, and publish a list of employers willing to employ individuals possessing an alternate high school diploma; amend KRS 158.140, 164.787, and 164.7882 to conform.

Amend KRS 189A.010 to provide that a person who is convicted of a fourth or subsequent violation of this section shall be prohibited from purchasing alcohol for his or her period of license suspension and for 2 years after; make technical corrections; create a new section of KRS Chapter 189A to require that any ignition interlock license or hardship license issued to a person who has been convicted of a fourth or subsequent offense of driving under the influence contain the language "No Alcohol Sale" and a prominent red stripe; create a new section of KRS Chapter 507 to provide that any person who is convicted of an offense in which a death resulted from the person's operation of a motor vehicle while under the influence shall be prohibited from purchasing alcohol during any period of supervision and for 2 years following any period of supervision; require the defendant to surrender his or her license; require the court to notify the Transportation Cabinet; create a new section of KRS 186.400 to 186.640 to require that any operator's license issued to a person convicted of a fourth or subsequent offense of driving under the influence or of an offense in which a death resulted from the person's operation of a motor vehicle while under the influence contain the language "No Alcohol Sale" and a prominent red stripe; create a new section of KRS Chapter 244 to prohibit the sale or distribution of alcohol to any person who is prohibited from purchasing alcohol issued to a person convicted of a fourth or subsequent offense of driving under the influence or of an offense in which a death resulted from the person's operation of a motor vehicle while under the influence.

Create a new section of KRS Chapter 176 to define terms; require the Transportation Cabinet to fully shield outdoor lights encroaching on agricultural land; EMERGENCY.

Amend KRS 157.320 to define "at risk" and "teaming partner"; amend KRS 157.3175 to require each local school district to provide preschool to 4 year olds who reside in a household with an income at or below 160% of the poverty level until the end of the 2030-2031 school year and beginning with the 2031-2032 school year, require each local school district to provide preschool to each 4 year old who is at risk; provide requirements for program guidelines; require the Kentucky Department of Education to establish and maintain a statewide unified data system; create a new section of KRS Chapter 157 to require local school districts to maintain certification from the Head Start director that Head Start is fully utilized; provide penalties; require local school districts to prepare and submit preschool expansion plans to the deparment; require the department to promulgate administrative regulations regarding preschool expansion; require the department to submit a report the the Legislative Research Commission annually regarding preschool expansion.

Amend KRS 121.015 to define "executive committee of a political party"; amend KRS 121.150 to specify that a qualified political party committee, including a state or county executive committee, may endorse, support, oppose, and make contributions or expenditures to nonpartisan candidates.

Amend KRS 157.320 to define "eligible child" and "teaming partner"; amend KRS 157.3175 to require each local school district to provide preschool to 4 year olds who reside in a household with an income at or below 160% of the poverty level until the end of the 2033-2034 school year, and beginning with the 2034-2035 school year require each local school district to provide preschool to each eligible child; provide requirements for program guidelines; require the Kentucky Department of Education to establish and maintain a statewide unified data system; create a new section of KRS Chapter 157 to require local school districts to maintain certification from the Head Start director that Head Start is fully utilized; provide penalties; require local school districts to prepare and submit preschool expansion plans to the deparment; require the department to promulgate administrative regulations regarding preschool expansion; require the department to submit a report the the Legislative Research Commission annually regarding preschool expansion.

Amend KRS 140.090, relating to the inheritance tax, to increase the funeral expense deduction for decedents with date of death on or after August 1, 2026.

Create a new section of KRS Chapter 141 to establish a nonrefundable income tax credit for alternative jet fuel producers; require the Department of Revenue, in conjunction with the Department of Agriculture and the Energy and Environment Cabinet, to promulgate administrative regulations; require the department to report on the credit to the Legislative Research Commission; amend KRS 141.0205 to order the credit; amend KRS 131.190 to allow the Department of Revenue to report on the credit.

Amend KRS 131.150 to insert gender neutral language.

Amend KRS 131.030 to make technical corrections.

Create a new section of KRS Chapter 216 to define terms; prohibit a health care provider from performing a pelvic, rectal, or prostate examination without the informed consent of the patient or the person authorized to make health care decisions for the patient; provide for certain exceptions including a court order; require violators to be subject to discipline by the appropriate professional licensing board or accrediting agency.

Create a new section of KRS Chapter 216B to define "pregnancy resource center"; require pregnancy resource centers to be licensed; require the Cabinet for Health and Family Services to promulgate administrative regulations to establish licensure standards for pregnancy resource centers; provide that operation or advertisement of a pregnancy resource center without a license is a Class A misdemeanor; provide that a pregnancy resource center's or health care provider's liability is neither limited nor expanded by the licensure requirement; amend KRS 216B.990 to establish penalties for violations by pregnancy resource centers.

Create a new section of KRS Chapter 405 to define "child" and "parent"; establish specific fundamental rights of parents relating to care, custody, and control of their children, including the right and duty to make decisions regarding a child's use of cellular phones; provide a cause of action against the Commonwealth or its political subdivisions for violations of a parent's fundamental rights.

Create a new section of KRS 230.805 to 230.826 to define "suspicious wagering activity"; prohibit sports wagering licensees and services providers from limiting the size or frequency of deposits or wagers unless the wagering activity constitutes suspicious wagering activity or indicates that a person is a problem or compulsive gambler; require a sports wagering licensee or service provider to send an electronic notification within 24 hours of issuing a limit or ban; require sports wagering licensees and service providers to establish an appeal process and notify a person of the determination of the appeal within 1 week; amend KRS 230.805 to change the age of access to sports wagering from 18 to 21; amend KRS 2.015 to conform; provide that the Act may be cited as the Kentucky Fair Play Act.