Kentucky Cancer Registry
Statewide Cancer Surveillance Program
Established by Statute
KRS Chapter 214
Legal Framework

Statutes &
Regulations

The Kentucky Cancer Registry operates under the authority of state law. This page documents the enabling statutes, administrative regulations, and related legal authorities that govern cancer reporting and data use in the Commonwealth.

1990
Year Established KCR formally authorized by the Kentucky General Assembly
12
Reporting Sections Statutes governing mandatory cancer reporting
900+
Reporting Facilities Hospitals, labs & clinicians required to report

The Kentucky Cancer Registry (KCR) is a population-based cancer surveillance program established and maintained pursuant to the Kentucky Revised Statutes (KRS). All persons, facilities, and organizations required to report under these statutes must comply with reporting requirements outlined therein and in the Kentucky Administrative Regulations (KAR).

Failure to report in accordance with these statutes may result in civil penalties. The information reported to KCR is confidential and protected by state law; access is governed by the provisions below and applicable regulations.

Primary Authority

Enabling Statutes

KRS Online

This is the foundational statute authorizing the Kentucky Cancer Registry as a statewide cancer surveillance program. It establishes the Cabinet for Health and Family Services' authority to collect, analyze, and disseminate cancer incidence data throughout the Commonwealth.

§ (1)
Establishment of Registry
Directs the Cabinet for Health and Family Services to establish and maintain a statewide cancer registry to collect data on the occurrence of cancer in Kentucky.
§ (2)
Mandatory Reporting Entities
Specifies that hospitals, physicians, laboratories, and other health care providers are required to report cancer diagnoses to KCR as prescribed by administrative regulation.
§ (3)
Confidentiality Protections
Establishes that individual-level cancer data collected by the registry is confidential and not subject to inspection except as authorized by statute or regulation.
§ (4)
Data Use & Research Authorization
Permits use of registry data for statistical analysis, cancer control research, and public health planning under protocols approved by the Cabinet.

Establishes the specific obligations for reporting entities and provides civil penalty authority for noncompliance. All covered health care facilities must comply within the timeframes established by administrative regulation.

§ (1)
Reporting Obligation
Any hospital, physician, dentist, osteopath, or other health care provider who diagnoses or treats a reportable cancer shall report that case to the Kentucky Cancer Registry.
§ (2)
Penalty for Noncompliance
Any person or entity that knowingly fails to report as required shall be subject to a civil penalty of not more than $500 per unreported case, as determined by the Cabinet.
§ (3)
Immunity from Liability
Persons who report in good faith to KCR pursuant to this statute shall be immune from civil or criminal liability arising from disclosure of the information.

Governs the confidentiality of registry data and specifies the limited circumstances under which identifiable cancer data may be disclosed. Research data requests must comply with both this statute and the governing administrative regulations.

§ (1)
Confidentiality Declaration
All individually identifiable data in the Kentucky Cancer Registry is confidential and exempt from the Open Records Act.
§ (2)
Authorized Disclosures
Data may be disclosed for cancer research purposes approved by an IRB, for public health surveillance activities, and to federal cancer surveillance programs.
§ (3)
Prohibition on Re-disclosure
Recipients of individually identifiable data shall not re-disclose such data except as specifically authorized by the Cabinet and as stipulated in an executed data use agreement.

Delegates rulemaking authority to the Cabinet for Health and Family Services to promulgate administrative regulations necessary to implement the cancer reporting program, including specific case definitions, reporting timelines, and data content.

§ (1)
Rulemaking Authority
The Cabinet shall promulgate administrative regulations necessary for implementation of KRS 214.556 to 214.560, including case definitions and reporting procedures.
§ (2)
Reportable Conditions List
The Cabinet shall maintain and update by regulation a list of reportable neoplasms consistent with national standards for cancer surveillance.
Kentucky Administrative Regulations

Implementing Regulations

LRC Online
902 KAR 8:010

Cancer Reporting — Definitions and Scope

Defines terms used throughout the cancer reporting regulations and establishes the scope of the Kentucky Cancer Registry program, including covered neoplasms and excluded conditions.

View Regulation
902 KAR 8:020

Reporting Procedures & Timelines

Specifies what information must be included in a cancer report, the format for submission, and the deadlines by which covered entities must submit cases to KCR.

View Regulation
902 KAR 8:030

Data Release & Research Access

Establishes procedures for requesting access to KCR data for research purposes, including required application materials, IRB documentation, and data use agreement terms.

View Regulation
902 KAR 8:040

Electronic Reporting Standards

Governs electronic data submission, including HL7, XML, and flat file formats; required transmission security protocols; and testing requirements for new submitters.

View Regulation
Administrative Regulation Updates

Kentucky Administrative Regulations are updated periodically. For the most current text of any regulation, visit the Kentucky Legislative Research Commission (LRC) online database. The KCR also maintains a subscriber list for notification of regulatory changes affecting cancer reporting requirements.

Related Legal Authority

Additional Statutes

The general disease surveillance statute under which KCR operates in conjunction with the cancer-specific statutes. Establishes broad public health surveillance authority for the Cabinet.

§ (1)
Surveillance Authority
Authorizes the Cabinet to maintain surveillance of communicable and chronic diseases, including cancer, for the protection of the public health.

KRS 61.878(1)(a) exempts from the Open Records Act any record the disclosure of which would constitute a clearly unwarranted invasion of personal privacy. Cancer registry data is specifically protected under the cancer registry statutes and this general privacy exemption.