Representatives of the state's health department and various hospital executives say almost two years later they are still having payment issues with Medicaid managed care organizations.
Speaking before a House budget subcommittee on health issues, the two groups described situations in which payment for care they administrated months ago were still outstanding claims.
Scott Lockard works in the Clark County Health Department and told lawmakers the state public health department was still owed more than $18 million in late payments. More than $14 million of that is with Kentucky Spirit, which is trying to break its contract and leave the system.
But he added that conversations about those payments are ongoing.
A bill aimed at allowing victims of sexual assault to ask for quick HIV testing of their alleged attackers has cleared the Kentucky House.
Under current laws, only prosecutors can ask for HIV testing of the accused person, and they can only ask after a conviction. The bill would allow a victim or the prosecutor to ask for such a test before a conviction.
Bill sponsor Joni Jenkins says medical advances can prevent HIV from advancing into AIDS if caught early, but convictions often take up to three years.
"So it's critical for victims to know the offender's HIV status as soon as possible and not wait 1 to 3 years for the completion of trial for such information," said Rep. Jenkins.
Kentucky House Speaker Greg Stumbo says he doesn't expect a tax reform package to be brought up for a vote in the current legislative session.
Stumbo told reporters Tuesday that such a package doesn't have the 60 votes necessary to pass in the House.
A special commission appointed by the governor proposed reforms that could generate about $690 million a year in additional revenue.
Stumbo said one of the proposals made by the commission could surface in days ahead as a method of shoring up Kentucky's weakening pension system for government retirees. That proposal calls for raising the cigarette tax from 60 cents to $1 a pack, which could generate $100 million for the pension system.
Gov. Steve Beshear says he's a fan of Instant Racing for Kentucky's horse racing tracks—but he's not sure if legalizing the gambling format would be used to fund the state's struggling pension system.
Meanwhile, Beshear said casino gambling is not happening this year.
House Democratic leaders says they are looking at legalizing the slots-like game statewide to help generate at least $25 million a year to help fully fund pension obligations. Only two tracks, Ellis Park and Kentucky Downs, currently have the game.
Beshear did not commit fully to the idea, but said he will not allow lawmakers to ask for budget cuts in 2014 to help pay for pensions.