[{"_1":2,"_88":-5,"_89":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6340263,"mediaKeyId","2259717-057a0a1e2592e047eb4903d65240133c","parentId",2259717,"title","Committee approves bill letting public EMS agencies opt into Medicaid supplemental payment program","audioSeconds",514,"startMs",679000,"endMs",1193000,"viewUrl","/Search/View?dp=1&key=2259717-057a0a1e2592e047eb4903d65240133c&start=679&end=1193","thumbnailUrl","https://assets.pipeline.soar.com/2259717-057a0a1e2592e047eb4903d65240133c/thumbnail_679000.jpg","articleUrl","/articles/6340263/Kentucky/Committee-approves-bill-letting-public-EMS-agencies-opt-into-Medicaid-supplemental-payment-program","mediaUrl","https://secure.pipeline.soar.com/6340263-bb26b389dd638a45e26f92d501b2403d/orig.mp4?Expires=1771143612&Signature=fAEEBNngorD499D8xi2paomdCf0SlF5-qfpPURGjWahpqYpanrfIkBkTsxGn0hSC6AR63tLEdUBaY3Myx-CKydwRUOSlTT7YEH6D689SwKVvlcchU5TLHP7zbUfF63eUP5Ry8o8D0kLe2Gw6IKk5Ytkt5FUOesStfhwi-ozyMMS1CU~vXMR1Hbmpy1mWOI7QIvwLAK2C-21~Kd0DgQRiIV8nbGZbCxX5WEr5j0rnbjBApUC1hJMt8vYW2eP6FMlS7d50GiAFlenreKNgePIAOVKaYtdMeYrqDlSF6Tg--6QV-e9zZZ5iDpeojCkW0qLSZcY3tFV0a4Mt1318opcKLQ__&Key-Pair-Id=KUT5TJCACFTXG","author","KY LRC Committee Meetings","date","2025-02-11T00:00:00Z","article","The House Standing Committee on Veterans, Military Affairs and Public Protection on Feb. 2025 reported House Bill 152 favorably after testimony from lawmakers and local fire and EMS officials that the measure allows public EMS agencies to voluntarily opt into a Medicaid supplemental payment program.

State Representative Michael Meredith sponsored the bill and described the mechanics: a public EMS agency may make an intergovernmental transfer (IGT) to the state Medicaid department; the state then draws down additional federal funds to supplement Medicaid payments. The substitute amendment approved by the committee adjusts the program's start date, caps the administrative fee at $200,000, and specifies that no state general fund dollars would be used to run the program.

Chief Nick Clark of Saint Matthew's Fire and EMS in Jefferson County and Todd Early, deputy chief of Fern Creek Fire and EMS, testified about local fiscal impacts. Clark said that for Medicaid medical runs in February 2023 his agency's total costs were about $2,100,000 and that collections were about $336,000 (approximately 16.5 percent of costs). He said passage of the program would have allowed his agency to draw an additional roughly $1,100,000, bringing Medicaid-related collections to about $1,400,000 (about 68 percent of costs), with the agency voluntarily supplying a state-match payment of about $31,000 to draw down an additional $80,000 in federal funds in the example he gave.

Committee members asked how agencies determine a Medicaid run (answer: determination comes after the run when insurance/payment is processed) and whether changes to Medicaid matching rates could affect the program (answer: yes, changes to match rates would change the federal/state draw-downs). The committee recorded a motion and second, and the bill passed committee with a favorable recommendation as amended.

House Bill 152 now proceeds to the full House with committee endorsement.","mediaType","Video","parentTitle","House Standing Committee on Veterans, Military Affairs, & Public Protection (2-11-25)","oneSentenceSummary","House Bill 152 cleared committee after proponents — including local fire/EMS chiefs — said the bill allows public EMS agencies to voluntarily use intergovernmental transfers to draw down federal Medicaid funds, increase reimbursement for Medicaid runs and place no requirement on the general fund.","taxTitle","2025 Legislature KY, Kentucky","taxId",77680,"location","Kentucky","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6340268,"Committee advances bill to extend state veteran cemetery burial benefits to certain Guard and Reserve members",287,381000,668000,"/Search/View?dp=1&key=2259717-057a0a1e2592e047eb4903d65240133c&start=381&end=668","https://assets.pipeline.soar.com/2259717-057a0a1e2592e047eb4903d65240133c/thumbnail_381000.jpg","/articles/6340268/Kentucky/Committee-advances-bill-to-extend-state-veteran-cemetery-burial-benefits-to-certain-Guard-and-Reserve-members","https://secure.pipeline.soar.com/6340268-99d4555fd96dc5f05f1359ea7d1fc82b/orig.mp4?Expires=1771143612&Signature=R68vb-wEFw2r1BYIJ9b1zwenAkuPmnrTrWIEcRxab3UEbTL2-WvDi06lVwUc1pWDXOLTA8i95Oyu6h3caNwlal3niCZT~QFZoCyHTXz9XJAREGiKH6PRv9XD8eQ8Fh1qr3anpBqUdu3iCdpme164OJCTI7czFOO-1y2dEF4DFOvhc~57Yu5ajU0JHdZTYmpHuXcxJfyThULwZltZBcnkFM1vNxro9arI6OjpWYTvMMmyCIwHfofnGjf5v2-sRdelM0TAl7meE3eCtqp2lYC14zT93iG1nKUdneSyWhAoRfDcnnvAmN~LTdDFA6A8N3C~aP0IJ7WRH-jkrf4cRXjo9A__&Key-Pair-Id=KUT5TJCACFTXG","The House Standing Committee on Veterans, Military Affairs and Public Protection on Feb. 2025 advanced House Bill 191 to extend burial eligibility at state veteran cemeteries to certain National Guard and reserve members who were never called to Title 10 active duty.

State Representative Aaron Thompson introduced the measure and said it implements a federal change from 2022 that allows burial benefits for a group of guard and reserve veterans previously ineligible. Al Duncan, Division Director for State Veteran Cemeteries, said the change covers members who served monthly duty (\"one week in a month, two weeks a year\") with honorable discharges but who were not federalized by presidential executive order.

Silas Session, executive director for the Office of Kentucky Veteran Services at the Kentucky Department of Veterans Affairs (KDVA), also spoke in support. Committee members described the bill as a reasonable way to recognize the service of Guardsmen and reservists who supported state responses to disasters, including floods in Eastern Kentucky and tornado recovery in Western Kentucky.

The committee also approved a title amendment before voting. A motion and second were recorded, and the committee reported the bill favorably as amended to the full House.

The presentation and committee discussion focused on which categories of service the change would cover and on confirming that eligible service is tied to honorable discharge and absence of Title 10 activation. Committee members did not request additional changes to the bill during the session.

House Bill 191 now moves to the full House with the committee's favorable recommendation.

Votes at the committee: The committee passed House Bill 191 as amended with a favorable report. The roll call in the transcript records explicit affirmative votes from Representative Blanton; Representative Bratcher; Representative Dawson; Representative Freeland; Representative Fugate; Representative Gooch; Representative Johnson; Representative Massaroni; Representative Moore; Representative Proctor; Representative Sharp; Representative Stevenson; Representative Thomas; Representative Wesley; and Chair McCool.","The House Standing Committee on Veterans, Military Affairs and Public Protection voted to give House Bill 191 a favorable report after testimony that a federal change in 2022 allows burial benefits for some National Guard and reserve members who were never called to Title 10 active duty.","actionData","errors"]

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Committee approves bill letting public EMS agencies opt into Medicaid supplemental payment program

Committee advances bill to extend state veteran cemetery burial benefits to certain Guard and Reserve members