KY HB778

Prohibits Cabinet for Health and Family Services from approving foster care, relative caregiver, fictive kin placements, or adoptions for individuals who are registered sex offenders or have sex offenders living in their home

Expands age limit for youth to extend or reinstate foster care commitment from 19 to 20 years and 6 months, allowing up to 3 extensions without commissioner approval to receive transitional living support until age 21

Creates "Plan of Safe Care" program requiring mandatory notification to the department when infants are suspected of prenatal substance exposure, with comprehensive urine drug screening including synthetic opioids like fentanyl and xylazine

Requires law enforcement agencies to adopt written policies for pediatric controlled substance ingestion cases, including seeking search warrants for drug testing of supervising adults; adds mandatory training on this topic for police officers, social workers, nurses, EMTs, and child care providers

Raises age threshold for criminal abuse/neglect charges from 12 to 13 years old and adds controlled substance ingestion/inhalation to the definition of abuse; expands external child fatality review panel authority to compel testimony from investigating agencies