AN 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…

Introduced: January 16, 2026

Last action: January 16, 2026

To Committee On Committees (S)

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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.

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