Kentucky
Will Kentucky have Medicaid work requirements? What the state is planning under new law

Facts About the Kentucky General Assembly
Discover key facts about the Kentucky General Assembly, including its history, structure, and state government functions.
Kentucky officials laid out how they plan to enact new Medicaid requirements in a public notice published May 13.
According to the notice, the state’s Department for Medicaid Services is seeking federal approval to implement a community engagement waiver program, with the goal of supporting “individuals in gaining economic stability” by connecting them to educational and job assistance programs.
The request comes after the Kentucky General Assembly passed a bill during the 2025 legislative session that requires some “able-bodied adults” to participate in such a program, after being approved and established by the Cabinet for Health and Family Services.
It also comes amid discussion of work requirements for Medicaid recipients nationally, with House Republicans proposing changes to the program as they attempt to reduce billions in spending.
Here’s what to know about the state’s proposal.
Who would be required to participate in Kentucky’s community engagement waiver program?
According to the public notice, the program would apply to adults in the state’s Medicaid expansion, who have been enrolled for more than 12 months and:
- Are between 19 and 60 years old;
- Are physically and mentally able to work, as defined by the Cabinet for Health and Family Services;
- Are not primarily responsible for the care of a dependent child or disabled adult relative.
Who could be exempt from Kentucky’s program?
The notice states the Department for Medicaid Services will review members for possible exemptions and will not require participation for those who meet one or more criteria, including:
- People with diagnosed substance use disorder or serious mental illness;
- People with a chronic disease or acute medical condition that prevents them from complying with requirements;
- People who have been deemed disabled;
- People with verified earned income or who receive unemployment insurance;
- Pregnant women;
- People who are victims of domestic violence;
- People who are homeless or were recently homeless;
- People who have recently been impacted by a catastrophic event, such as a natural disaster or death of a family member in their household;
- Former foster youth up to age 26.
How will Kentucky’s community engagement waiver program work?
Under the proposal, the Department for Medicaid Services will refer eligible adults to the Kentucky Education and Labor Cabinet’s Department of Workforce Development.
That department will then reach out to members with available job placement assistance programs.
“For individuals who agree to receive support, DWD will connect them with supports such as apprenticeships, career development, education, employment and training, and will provide support in preparing them to enter the workforce, advance their careers, improve job performance, and fill skills gaps,” the notice states.
How many people are expected to be eligible for the program?
The public notice estimates around 75,000 people will be “subject to the requirements of this waiver.”
About 488,000 people were covered by Kentucky’s Medicaid expansion as of 2024, according to federal data.
Officials expect “a minimal impact to enrollment” as recipients “are able to identify gainful employment through the community engagement process and therefore are no longer eligible for Medicaid,” the notice states.
How could the program effect spending on Medicaid?
Kentucky officials expect to spend less on Medicaid as expansion recipients gain employment through the community engagement waiver program.
According to the notice, the state expects to spend $184 million less over five years than it would without the program.
Why is Kentucky seeking a community engagement waiver program?
Earlier this year, lawmakers passed House Bill 695, which made sweeping changes to the state’s Medicaid program.
That included the controversial requirement for able-bodied adults to participate in a community engagement waiver program, including potentially requiring recipients to work 20 hours per week.
The bill drew widespread support from Republicans and criticism from Democrats. Critics of work requirements say they’re “another way to cut coverage,” while supporters say it “demands that those who can put forth the effort do.”
A similar measure was previously introduced by former Gov. Matt Bevin in 2018, which would have required able-bodied adults to work or volunteer at least 20 hours a week or facing losing health coverage. That decision drew a lawsuit from health law advocates, and Bevin’s proposal was eventually blocked by a federal judge.
How can Kentuckians have input in the program?
The Department for Medicaid Services will hold two public forums on the program, one virtually and another in person.
The virtual forum will take place at 10 a.m. May 22. Find information for the call in the public notice at chfs.ky.gov/agencies/dms/Pages/Medicaid-SUD-1115-Waiver.aspx.
An in-person forum will take place at 10 a.m. May 23 at the Kentucky Transportation Cabinet auditorium at 200 Mero St. in Frankfort.
Public comments can also be submitted by June 12 by email to KY1115CommEngagement@mslc.com or by mail to Kentucky Medicaid Section 1115 Comment, c/o DMS Commissioner’s Office, 275 E. Main St. 6W-A, Frankfort, KY 40621.
Reach reporter Hannah Pinski at hpinski@courier-journal.com or follow her on X, formerly known as Twitter, at @hannahpinski.

Kentucky
Kentucky football hires Derek Shay as tight ends coach: What to know about new assistant

Kentucky football: Mark Stoops addresses the team’s need for consistency
Kentucky football coach Mark Stoops addresses the Wildcats’ need for consistency and is excited to see continuity with his players.
LEXINGTON — Mark Stoops didn’t take long to find his new tight ends coach. Nor did he have to look far.
Stoops, entering his 13th season as Kentucky football’s coach, named Derek Shay to the position Friday. The announcement came one day after Vince Marrow, who had served in the role for the first 12 years of Stoops’ tenure, switched sides in the Bluegrass rivalry, becoming Louisville’s executive director of player personnel and recruiting.
Stoops didn’t need to leave the Joe Craft Football Training Facility to find Marrow’s replacement: Shay already was part of the Wildcats’ staff.
Here’s what to know about Shay, UK’s newest assistant coach:
Shay has been part of UK’s support staff since March 2024. He worked as a senior offensive analyst/run game specialist the last 16 months.
Prior to joining Kentucky, Shay was Marshall’s tight ends coach (2023-24).
He also has worked for Missouri (senior offensive analyst; 2022-23), LSU (graduate assistant/tight ends; 2020-22), McNeese State (tight ends/offensive tackles; 2019-20), IMG Academy (co-offensive coordinator/offensive line; 2017-19), Warren Central High School in Indianapolis (co-offensive coordinator/offensive line; 2015-17), Bowling Green (graduate assistant/tight ends; 2014-15) and Eastern Illinois (student assistant/tight ends/offensive line; 2011-13).
An Illinois native, Shay started his college career at Western Illinois, where he played on the offensive line. He later transferred to Eastern Illinois. Shay received his bachelor’s degree from Eastern Illinois in 2013 and earned his master’s degree from LSU in 2021.
“I’m very excited for the opportunity that coach Stoops and (offensive coordinator) coach (Bush) Hamdan have given me,” Shay said in a statement. “There is a good mix of experience and young talent in the tight end room and I’m looking forward to coaching them. Additionally, being a part of the Big Blue Nation is truly an honor and I’m ready to get to work and represent this incredible fanbase in this new role.”
“We are fortunate to have someone already on our staff who has coached tight ends at a high level and led those rooms successfully,” Stoops said. “He is familiar with coach Hamdan’s system and I’m very confident in his abilities.
“His versatility, football IQ, and on-field toughness will be a valuable addition to our offense.”
“We get to see every day how coach Shay operates and the intensity he brings, and we are excited to have him leading our room. He knows our system inside and out, and he’s incredibly passionate about the game and coaching. Adding him to our room is a seamless transition.”
— Josh Kattus, Kentucky senior tight end
“Derek is a very knowledgeable coach with an outstanding work ethic. Our players and coaches at LSU loved him — not just as a coach, but as a man. He’s an outstanding recruiter with tireless energy and a passion for developing young talent. Additionally, he’s a great family man who brings character and integrity to everything he does. The University of Kentucky is getting a great one. He’s a great hire.”
— Ed Orgeron, former LSU head football coach
Reach Kentucky men’s basketball and football reporter Ryan Black at rblack@gannett.com and follow him on X at @RyanABlack.
Kentucky
Here’s where ‘No Kings’ protests are happening in and around Kentucky today
On Saturday, June 14, demonstrators will gather across the Bluegrass State.
It’s the same day a massive military parade is set to take to the streets of Washington in an elaborate showcase of troops, tanks, weapons and aircraft.
The parade, estimated to cost $40 million, coincides with both the U.S. Army’s 250th anniversary and President Donald Trump’s 79th birthday.
In response to the extravagantly costly display, a mobilization of “No Kings” protests have been organized nationwide.
Here’s what you should know.
What are ‘No Kings’ protests?
The protest organizer’s website describes “No Kings” as a “nationwide day of defiance” in response to Trump and the military parade, saying, “we’re taking action to reject authoritarianism.”
With an emphasis on nonviolent activism, the website outlines the movement’s broad appeal, “from city blocks to small towns,” and makes a promise to battle Trump’s “ego” in a fight for democracy.
“On June 14th, we’re showing up everywhere he isn’t – to say no thrones, no crowns, no kings,” the website reads.
Story continues below gallery.
When and where are protests in Kentucky?
The locations of the June 14 protests scheduled in Kentucky can be found below. Exact locations and more details can be found after signing up on the “No Kings” website.
- Louisville: Noon-4 p.m.
- Bowling Green: 11:30 a.m.-1 p.m.
- Danville: 10-11 a.m.
- Elton: 11 a.m.-1 p.m.
- Frankfort: Noon-2 p.m.
- Franklin: 11 a.m.-1 p.m.
- Hazard: Noon-3 p.m.
- Henderson: 5:30-7 p.m.
- Hopkinsville: Noon-1:30 p.m.
- Jackson: 5-7 p.m.
- Lexington: Noon-3 p.m.
- Madisonville: 11 a.m.-1 p.m.
- Morehead: Noon-3 p.m.
- Owensboro: 11 a.m.-1 p.m.
- Paducah: 1-2:30 p.m.
- Shelbyville: 1-3 p.m.
When and where are protests in Southern Indiana?
- Madison: 10 a.m.-noon
- New Albany: 10 a.m.-3 p.m.
- Evansville: 1-3 p.m.
When are ‘No Kings’ protests in the Cincinnati area?
Find more Ohio protests at nokings.org.
- Cincinnati: 11 a.m.-1 p.m. and noon-4 p.m.
- Hamilton: Noon-2 p.m.
- Loveland: 3-5 p.m.
- Mason: Noon-2 p.m.
- Middletown: Noon-2 p.m.
- West Chester: Noon-2 p.m.
This story was updated to add a video.
Kentucky
Kentucky Announces Promotion of Derek Shay as Tight Ends Coach

Mark Stoops did not wait around to find a replacement for Vince Marrow. A little more than 24 hours after his move to Louisville became official, Kentucky announced that Derek Shay will be the Wildcats’ next tight ends coach.
“We are fortunate to have someone already on our staff who has coached tight ends at a high level and led those rooms successfully,” Kentucky head coach Mark Stoops said in a statement.
“He is familiar with Coach (Bush) Hamdan’s system and I’m very confident in his abilities. His versatility, football IQ, and on-field toughness will be a valuable addition to our offense.”
Shay is familiar with Hamdan’s system because it’s not the first time the two have coached together. They first interacted when Shay was a member of the Missouri support staff, working alongside Hamdan. Shay is one of the only people Hamdan brought with him to Kentucky. He sat next to the offensive coordinator in the booth throughout the 2024 season.
In between stints with Hamdan, Shay served as the tight ends coach at Marshall in 2023. He also coached in the LSU tight end room as a GA. That’s where his high-major coaching career began, a year after the Tigers won the National Championship.
“Derek is a very knowledgeable coach with an outstanding work ethic. Our players and coaches at LSU loved him—not just as a coach, but as a man,” said former LSU head coach Ed Oregeron.
“He’s an outstanding recruiter with tireless energy and a passion for developing young talent. Additionally, he’s a great family man who brings character and integrity to everything he does. The University of Kentucky is getting a great one. He’s a great hire.”
Shay has a lot of talent to work with this fall. The Wildcats took two transfers, Henry Boyer (Illinois) and Elijah Brown (UCF), who can be road-graders in the run game. Willie Rodriguez showed a ton of promise during his freshman season and true freshman Mikkel Skinner was the highest-ranked player in the Wildcats’ 2025 recruiting class. Rodriguez and Josh Kattus have worked with Shay for the last 16 months, and the latter is fired up to see Shay in a more prominent role.
“We get to see every day how Coach Shay operates and the intensity he brings, and we are excited to have him leading our room. He knows our system inside and out, and he’s incredibly passionate about the game and coaching. Adding him to our room is a seamless transition.”
You can hear more from other players and coaches who worked with Shay as he takes the next step in his coaching career.
Derek Shay Coach Record
Year | Position | School | Bowl Games |
2011-13 | Student Assistant / Tight Ends / Offensive Line | Eastern Illinois | |
2014-15 | Graduate Assistant / Tight Ends | Bowling Green State | |
2015-17 | Co-Offensive Coordinator/Offensive Line | Warren Central High School | |
2017-19 | Co-Offensive Coordinator/Offensive Line | IMG Academy | |
2019-20 | Tight ends/Offensive Tackles | McNeese State | |
2020-22 | Graduate Assistant / Tight Ends | LSU | Texas Bowl (2021) |
2022-23 | Senior Offensive Analyst | Missouri | Gasparilla Bowl (2022) |
2023-24 | Tight Ends | Marshall | Frisco Bowl (2023) |
2024 | Senior Offensive Analyst/Run Game Specialist | Kentucky | |
2025-present | Tight Ends | Kentucky |
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