Introduced
Passed Senate
Passed House
Became law
Adjourned sine die. The bill was pending when the session ended, so it did not pass.
Last action · February 27, 2026
To Committee On Committees (S)

Introduced February 27, 2026

Senate
Adjourned Sine Die
2026 Regular Session

AN ACT relating to step therapy protocols.

Amend KRS 304.17A-163 to modify the definition of "health plan"; require insurers, health plans, private review agents, and pharmacy benefit managers to disclose certain information about step therapy protocols on their website and ensure that the electronic process for requesting and transmitting prior authorization for a drug includes the ability for prescribing providers to electronically transmit a complete request for a step therapy exception; require coverage for a prescription drug on the date the provider…

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Step therapy is a practice where insurers require patients to try less expensive drugs before covering a prescribed medication. This bill would require insurers, health plans, and pharmacy benefit managers to publicly post information about their step therapy rules online and allow doctors to electronically request exceptions to those rules. It would also require that a prescribed drug be covered starting on the same day a doctor submits an exception request, and extends these protections…

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Legislative History

Feb 27, 2026 · Senate
Introduced In Senate
Feb 27, 2026 · Senate
To Committee On Committees (S)

Primary Sponsor

View profile
Portrait of Karen Berg

Karen Berg

Senator · Senate District 26

Primary sponsor
Karen.Berg@kylegislature.gov

Bill Text Versions

Introduced (original)

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