SB103
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 third-party payments unless a cash price was paid that is less than the plan's negotiated price; 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 16, 2026
Last action: January 16, 2026
Plain-language summary
This bill sets rules about how much patients can be charged out-of-pocket when they buy prescription drugs through their insurance. It would prevent insurers from requiring patients to pay more than the drug's cash price and would require that payments made for covered prescriptions count toward a patient's deductible or other cost-sharing limits. It would apply to most health plans, including coverage for state employees and employees of public universities, starting January 1, 2027. Who it may affect: Kentuckians with health insurance who take prescription drugs, state government employees, and employees of public colleges and universities.
Legislative History
Primary Sponsor
Co-sponsors (1)
