Introduced
Passed Senate
Passed House
Became law
Last action · April 10, 2026
Signed By Governor (Acts Ch. 94)

Introduced January 22, 2026

Senate
Signed By Governor
2026 Regular Session

AN ACT relating to physician assistants.

Amend KRS 311.840 to define terms; amend KRS 311.842, 311.848, 311.850, 202A.011, 202C.010, 216B.175, and 600.020 to change references to "supervising physician" to "collaborating physician" to conform; amend KRS 311.844 to include Schedule II controlled substances in the list of controlled substances authorized license holders may prescribe; amend KRS 311.858 to list the services a physician assistant may provide; require a physician assistant to consult and collaborate with or refer a patient to an appropriate…

In effect since July 15, 2026

Acts from the 2026 Regular Session that don't carry an emergency clause or set their own effective date took effect 90 days after the session adjourned (Ky. Constitution § 55).

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Plain-language summary
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This bill changes how physician assistants in Kentucky work alongside doctors, shifting from a "supervision" model to a "collaboration" model. It also expands what physician assistants are allowed to do, including prescribing certain additional controlled substances and administering driver vision tests. A physician assistant would still be required to consult with or refer patients to a licensed physician when a patient's condition calls for it. Who it may affect: patients seeking care from physician assistants, physician assistants, and licensed physicians who enter into collaboration agreements with them.

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Legislative History

Apr 10, 2026 · Senate
Signed By Governor (Acts Ch. 94)
Mar 31, 2026 · Senate
Delivered To Governor (clerical)
Mar 31, 2026 · Senate
Enrolled, Signed By Speaker Of The House
Mar 31, 2026 · Senate
Enrolled, Signed By President Of The Senate
Mar 31, 2026 · Senate
Passed 36-0
Yea: 36
Nay: 0
Absent: 2
Mar 31, 2026 · Senate
Senate Concurred In Floor Amendment (2) (clerical)
Mar 31, 2026 · Senate
Posted For Passage For Concurrence In House Floor Amendment (2) (clerical)
Mar 27, 2026 · Senate
To Rules (S)
Mar 27, 2026 · House
3rd Reading, Passed 90-1 With Floor Amendment (2)
Yea: 90
Nay: 1
Absent: 9
Mar 9, 2026 · Senate
3rd Reading, Passed 33-2 With Committee Substitute (1)
Yea: 33
Nay: 2
Absent: 3

Primary Sponsor

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Portrait of Scott Madon

Scott Madon

Senator · Senate District 29

Primary sponsor
scott.madon@kylegislature.gov

Co-sponsors (2)

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Portrait of Stephen Meredith

Stephen Meredith

Senator · Senate District 05

Co-sponsor
Stephen.Meredith@kylegislature.gov
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Portrait of Lindsey Tichenor

Lindsey Tichenor

Senator · Senate District 06

Co-sponsor
lindsey.tichenor@kylegislature.gov

Bill Text Versions

Enacted: Acts chapter (final law)

Most current
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Enrolled (passed both chambers)

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Engrossed (passed one chamber)

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Introduced (original)

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