Amend KRS 173.490 and 173.730 to allow a county judge/executive to fill vacancies on a library board, with the approval of the fiscal court, without being required to consider recommendations made the board or the state librarian if the county has adopted an alternative appointment process.

Amend KRS 211.190 to make water fluoridation programs optional; allow the governing bodies of water systems subject to regulation by the Cabinet for Health and Family Services to decide whether they participate in water fluoridation programs; provide that a water fluoridation program in place on the effective date of the Act continues until action is taken by its governing body to end its participation; provide that any decision regarding participation in a water fluoridation program made by the governing body of a water system shall be binding on all water systems it supplies; provide that a governing body, a member or employee of a governing body, or any public or private entity that may be held liable for the actions of a governing body that makes any decision regarding its participation in an optional water fluoridation program shall be immune from civil or criminal liability for acts carried out reasonably and in good faith regarding its decision of whether to participate in the water fluoridation program.

Create a new section of KRS Chapter 205 to prohibit the Department for Medicaid Services, any Medicaid managed care organization contracted by the department, and the Medicaid state pharmacy benefit manager from denying coverage for a nonopioid analgesic in favor of opioid analgesic or establishing more restrictive or more extensive utilization controls for nonopioid analgesics than the least restrictive or extensive utilization controls for any opioid or narcotic analgesic; require the Cabinet for Health and Family Services or the Department for Medicaid to seek federal approval if it is determined 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).

Create new sections of KRS Chapter 61 to prohibit public agencies from denying permits or licenses for reasons not specified by law; implement a 30-day time frame for ruling on applications for a permit or license if no time frame is otherwise specified by law; establish procedures for applications for a permit or license which are not ruled upon during the applicable time frame or are denied; for appeal process.

Create a new section of KRS Chapter 65 to define terms; allow local governments to regulate short-term rentals.

Amend KRS 156.029 to make members on the Kentucky Board of Education who represent each of the Supreme Court districts be elected in partisan elections instead of appointed; provide that the term of office will be 4 years from the first Monday in January following the election; provide that the initial term of a member elected to represent an even-numbered Supreme Court District will be 2 years and the initial term of a member elected to represent an odd-numbered Supreme Court District will be 4 years; remove language regarding the requirement to balance the demographic composition of the board; require the members elected to represent a Supreme Court district to reside in the district for at least 12 months prior to the election and for the duration of their terms; provide that general election laws apply and that removal is in accordance with KRS 415.050 and KRS 415.060; permit the board to appoint the student member of the board in April of the student's sophomore year, rotate nonvoting member appointments by Supreme Court district instead of congressional district; povide that a vacancy shall be filled in accordance with Section 152 of the Constitution of Kentucky; amend KRS 156.040, 118.105, 118.165, 118.305, 118.315, 118.325, 118.356, 118.365, and 160.220 to conform; repeal KRS 156.031, 156.147, and 156.1475; provide that the terms of members appointed between the effective date of this Act and January 3, 2028, expire on that date; EMERGENCY.

Amend KRS 161.155 to allow school district employees to use sick leave for observance of religious holidays not otherwise included on the school's calendar if the employee submits a personal statement verifying the observance and gives advance notice to the district; permit local school districts to compensate teachers and employees prior to retirement for accrued accumulated sick leave above 15 days at up to 30% of the teacher's or employee's daily wage; provide that compensation for sick leave compensated prior to retirement shall not impact retirement benefits or contributions to the Teachers' Retirement System or County Employees Retirement System and shall be considered as payment for services rendered; require the Kentucky Department of Education to annually report to the Legislative Research Commission on school districts who have established a program to compensate unused sick leave prior to retirement; amend KRS 78.616 and 161.220 to conform and to make technical amendments.

Amend KRS 424.110 to define "advertisement" and "published statement of ownership"; amend KRS 424.120 to determine where newspaper advertisements shall be placed when 2 or more newspapers meet the initial qualifications; determine when alternative publication procedures may be used when there is no newspaper in the county containing the government seeking to make the advertisement or no suitable newspaper in an adjoining similarly sized county; define "adjoining similarly sized county", and set publication parameters for advertisements, along with parallel advertising in the largest association of newspapers within the Commonwealth; set time requirements for publication; provide when digital newspapers may be used for advertising and when publication is deemed to have occurred; amend KRS 424.147 to expand remedial advertising to satisfy not only the provisions found in KRS Chapter 424, but the remainder of the Kentucky Revised Statutes relating to timing or manner of publication; amend KRS 424.160 to set the rates for advertising; require contractual terms offered to public agencies of the Commonwealth that are offered to commercial customers; require the rate charged by a newspaper shall be the lowest advertising rate provided for in KRS 424.215; provide volume discounts for display forms; amend KRS 132.027, 68.245, 132.023, and 160.470 to specify that publication shall be made in the qualified newspaper under KRS 424.120 rather than in the largest newspaper within the county; remove the requirement for display type and column inch minimum; expand the requirement that publication be made not less than 7 days nor more than 21 days.

Create a new section of KRS 42.720 to 42.742 to define terms; establish the Kentucky Health Command in the Commonwealth Office of Technology; require the Kentucky Health Command to contract with a private sector entity to develop and provide standards and qualifications for the utilization of an artificial intelligence-assited virtual health platform; establish a process by which rural health care providers and facilities may contract for use of the aritificial intelligence-assisted virtual health platform; establish a process for distribution of net advertising revenue; establish activities the virtual health platform may perform; prohibit the virtual health platform from engaging in the practice of medicine or diagnosing or treating any disease, illness, or medical condition; amend KRS 42.724 to conform.

Amend KRS 243.033 to modify alcoholic beverage caterer duties and privileges; remove caterer Sunday sales restrictions; prohibit the Department of Alcoholic Beverage Control from imposing or attempting to enforce minimum customer thresholds or maximum event limits for caterers; amend KRS 243.090 to require the department to approve or deny a license application within 45 days after receipt of the application; EMERGENCY.

Create new sections of KRS Chapter 198A to define terms; establish the abandoned home pool fund to be administered by the Kentucky Housing Corporation; specify eligible recipients, activities, and uses of fund; amend KRS 64.012 to increase county clerk recording fees and add a $2 fee to be deposited in the abandoned home pool fund; appropriate $25,000,000 from the General Fund to the abandoned home pool fund; APPROPRIATION; EMERGENCY, effective July 1, 2026.

Amend KRS 160.210 to establish new numbers for membership of a local board of education based on district enrollment; require the Kentucky Board of Education to determine the required number of members every 10 years; provide for the election of additional members and for the reduction of membership; require local boards of education to report new electoral divisions to the Kentucky Board of Education and the Legislative Research Commission; amend KRS 160.200, 160.160, 160.042, and 116.200 to conform; require the Kentucky Board of Education to make initial determinations of board size by December 31, 2026, and local boards to conduct required division changes with created positions being treated as vacancies under KRS 160.190.

Amend KRS 56.020 to insert gender-neutral language.

Amend KRS 117.045 to increase election officer pay to $120 per election day served.

Amend KRS 2.147, relating to Juneteenth National Freedom Day, to include emphasis on roles of African-Americans in the history of the Commonwealth of Kentucky.