The bridge was named for Kentucky's longest serving congressman at the time, Brent Spence, who served in the U.S. Congress for over thirty years before retiring in 1962. The bridge, which opened a year after his retirement, was named in his honor by then Kentucky governor Bert T. Combs. Spence did not feel that he deserved the honor, and lobbied for the Bridge to be named for President Kennedy. Combs, however, resisted this effort as modesty by Spence and kept the name, though Combs would name the John F. Kennedy Memorial Bridge in Louisville, Kentucky after the late president just days after Kennedy's assassination.
Replacement
When the bridge opened in November 1963, it carried only three lanes of traffic each way across the Ohio River. In 1985, the emergency shoulders were eliminated, and the bridge was re-striped with four lanes in each direction, increasing the traffic capacity by 33%, earning the bridge the determination of being 'functionally obsolete' due to carrying more traffic for which it was originally designed. The bridge was designed to carry 85,000 vehicles per day, but in 2006 it carried 150,000 vehicles per day. Recent reports show that contrary to previous traffic expectations, traffic on the Brent Spence Bridge has actually decreased by 9 percent between 2009 and 2015. On September 15, 2011, chunks of concrete from the Ohio side ramp connected to the bridge fell onto a vehicle. This incident led to the belief that the Brent Spence Bridge was in immediate need of replacement and in danger of collapse, although this has been rebuked by the Kentucky Transportation Cabinet, and has continued to be declared safe. As of 2008, the Cincinnati City Council supported alternative #4, which involves building a new bridge to carry I-75 at the current location, and demolishing the Brent Spence Bridge. Alternative #4 would build a parallel bridge just west of the Brent Spence Bridge. It would again be a two deck bridge, except the top deck would carry all I-75 traffic and the bottom deck would carry south I-71 and local traffic. The I-75 deck would be a total of 6 lanes, with 3 lanes each for north and south traffic. The I-71 deck would be a total of 5 lanes, divided into 3 lanes for south local traffic, and 2 lanes of south 71 traffic. Additionally, CincinnatiCity Council has expressed interest in using the bridge for a light rail system that would connect downtown Cincinnati to the Cincinnati/Northern Kentucky International Airport. The Selected Alternative, as described in the Finding of No Significant Impact is Alternative I, which would build a new double deck bridge just west of the existing Brent Spence Bridge to carry three lanes each way for I-75, two lanes for southbound I-71, and three lanes for southbound local traffic. The existing Brent Spence Bridge would be rehabilitated to carry two lanes for northbound I-71 and three lanes for northbound local traffic.
The approach from the Brent Spence Bridge, with the picture of the downtown Cincinnati skyline representing the fictional city of Monticello, was featured on the daytime soapThe Edge of Night from 1967 to 1980.