Introduced January 16, 2026
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…
Plain-language summary
This bill changes how health insurance cost-sharing works for prescription drugs. It would prevent insurers from requiring a patient to pay more out-of-pocket for a covered drug than its cash price, and it would require that amounts paid for covered prescription drugs count toward a person's deductible or other cost-sharing limits. The law would apply to most health insurance plans, including coverage for state employees and employees of public universities, and takes effect January 1, 2027. Who it may affect: Kentuckians with health insurance who use prescription drugs, state employees, and employees of public universities and colleges.
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Legislative History
Primary Sponsor
Phillip Wheeler
Senator · Senate District 31
Co-sponsors (1)
Craig Richardson
Senator · Senate District 03
Bill Text Versions
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