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KY Medicaid, and those who need it, may not survive new tax, work requirements

View OpEd: https://www.courier-journal.com/story/opinion/contributors/2025/09/03/kentucky-medicaid-one-big-beautiful-bill-provider-tax-work-requirements/85867703007/      
  

References:        
       
1. Medicaid in Kentucky. Kaiser Family Foundation. Accessed Sept. 6, 2025. https://files.kff.org/attachment/fact-sheet-medicaid-state-KY 

2. United States Census Bureau. https://www.census.gov/quickfacts/fact/table/KY/PST045224

3. An Act to provide for reconciliation
pursuant to title II of H. Con. Res. 14 (One Big Beautiful Bill). Senate Version (Same as final): https://www.congress.gov/119/bills/hr1/BILLS-119hr1eas.pdf
 
4. How the “One Big, Beautiful Bill” Targets Medicare and Medicaid. GovFacts. https://govfacts.org/explainer/how-the-one-big-beautiful-bill-targets-medicare-and-medicaid/
 
5. Medicaid work requirements in the states. BallotPedia. https://ballotpedia.org/Medicaid_work_requirements_in_the_states
 
6. Hinton E, Diana A, Rudowitz R. A Closer Look at the Work Requirement Provisions in the 2025 Federal Budget Reconciliation Law. Kasier Family Foundation. Jul. 30, 2025. https://www.kff.org/medicaid/a-closer-look-at-the-work-requirement-provisions-in-the-2025-federal-budget-reconciliation-law/
 
7. Federal Medical Assistance Percentage (FMAP) for Medicaid and Multiplier. https://www.kff.org/medicaid/state-indicator/federal-matching-rate-and-multiplier/
 
8. Health Care Provider Tax. KY. Dept of Revenue.https://revenue.ky.gov/Business/Health-Care-Provider-Tax/Pages/default.aspx   

9. 142.303 Tax on gross revenues of providers for hospital services -- Exception. https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=29203
 
10. 142.309 Phase out of tax on provision of physician services. https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=29205
 
11. Emergency Medical Treatment & Labor Act (EMTALA) CMS.Gov. https://www.cms.gov/medicare/regulations-guidance/legislation/emergency-medical-treatment-labor-act
 
12. A Discussion About the 60-Year-Old Federal and State Health Insurance Program. KET. PBS. Jan. 26, 2025. https://ket.org/program/kentucky-health/medicaid-coverage-in-kentucky/