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Senate adopts resolution to study 'Accountable Communities for Health' Medicaid pilot after floor debate on managed-care costs
Summary
Senate Concurrent Resolution 9 was adopted directing the Legislative Research Commission to procure a vendor to study the feasibility of an Accountable Communities for Health Medicaid delivery model pilot; sponsor cited rising Medicaid costs and alleged large administrative/float losses to managed-care organizations, prompting member questions about the figures.
The Kentucky Senate adopted Senate Concurrent Resolution 9, directing the Legislative Research Commission to procure a vendor to conduct a feasibility study on implementing an Accountable Communities for Health model as a Medicaid delivery pilot.
Senator from Grayson presented the resolution, characterizing it as a response to rapidly rising Medicaid costs and arguing the state needs new models to improve outcomes and reduce spending. He asserted managed-care organizations receive roughly "10¢ of every Medicaid dollar" and estimated administrative or related costs "in excess of $2,000,000,000," saying conservative math places float income at over $1,000,000,000. He framed the resolution as a feasibility study to explore community-owned, nonprofit models that bring local partners together to address social determinants of health.
Senator from Bourbon asked the sponsor to clarify the dollar estimates; the sponsor reiterated his figures and said they were conservative estimates based on his experience. Other senators voiced support, and the clerk recorded a unanimous floor vote (37 yes, no nays) to adopt the resolution.
The resolution is a study directive; it does not itself change Medicaid policy or funding but instructs the Legislative Research Commission to procure a vendor to evaluate a possible pilot model.
