HB453
Log in to followAN ACT relating to prescription drugs.
Amend KRS 304.17A-164 to define terms; prohibit insurers and administrators from requiring insureds to pay cost sharing for a prescription drug that is greater than the cash price; require insurers and administrators to count the amount paid for a covered prescription drug towards the insured's cost-sharing if certain requirements are met; establish requirements for insurers, administrators, and pharmacies for submission of cash price paid by an insured; exempt a state employee health plan from counting certain third-party payments towards the insured's cost-sharing; provide for construction of cost-sharing requirements; amend KRS 304.17C-125, 304.38A-115, 164.2871, and 18A.225 to apply cost-sharing requirements to limited health plans, self-insured state postsecondary education institution employer group health plans, and the state employee health plan; create a new section of KRS Chapter 315 to require pharmacies to comply with cost-sharing requirements; provide that cost-sharing requirements apply to health plans issued or renewed on or after effective date; EFFECTIVE, January 1, 2027.
Introduced: January 21, 2026
Last action: January 29, 2026
Plain-language summary
This bill sets rules about how much people with health insurance can be charged out-of-pocket when filling a prescription. It requires insurers to count what a person pays for a covered drug toward their deductible or other cost-sharing limits, and it prohibits insurers from charging more than the drug's cash price for cost sharing. The rules would apply to most health plans starting January 1, 2027. Who it may affect: Kentuckians with health insurance who take prescription drugs, including state employees and employees of public colleges and universities.
Legislative History
Primary Sponsor
