Introduced
Passed Senate
Passed House
Became law
Last action · April 15, 2026
Passed Over And Retained For Concurrence In House Floor Amendment (1) And Floor Amendment (2-Title)

Introduced January 9, 2026

Senate
Engrossed
2026 Regular Session

AN ACT relating to utilization controls for nonopioid analgesics in the Medicaid program.

Create a new section of KRS Chapter 205 to prohibit the Department for Medicaid Services, any Medicaid managed care organization contracted by the department, and the Medicaid state pharmacy benefit manager from denying coverage for a nonopioid analgesic in favor of opioid analgesic or establishing more restrictive or more extensive utilization controls for nonopioid analgesics than the least restrictive or extensive utilization controls for any opioid or narcotic analgesic; require the Cabinet for Health and…

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This bill would require Kentucky's Medicaid program to treat non-opioid pain medications at least as favorably as opioid pain medications when it comes to coverage and access rules. Medicaid and its partner organizations could not make it harder to get a non-opioid painkiller than to get an opioid one. Who it may affect: Kentuckians enrolled in Medicaid who are prescribed pain medication, as well as their healthcare providers.

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Legislative History

Apr 15, 2026 · House
House Roll Call No. 494
Passed
Yea: 79
Nay: 0
Absent: 21
Apr 15, 2026 · Senate
Passed Over And Retained For Concurrence In House Floor Amendment (1) And Floor Amendment (2-Title) (clerical)
Apr 15, 2026 · Senate
Posted For Passage For Concurrence In House Floor Amendments (1) And (2-Title) (clerical)
Apr 15, 2026 · Senate
To Rules (S)
Apr 15, 2026 · Senate
Received In Senate (clerical)
Apr 15, 2026 · House
3rd Reading, Passed 82-9 With Floor Amendment (1) And Floor Amendment (2-Title)
Yea: 82
Nay: 9
Absent: 9
Apr 14, 2026 · House
Floor Amendments (3) And (4-Title) Filed (clerical)
Mar 26, 2026 · House
Floor Amendments (1) And (2-Title) Filed (clerical)
Feb 27, 2026 · Senate
3rd Reading, Passed 35-0
Yea: 35
Nay: 0
Absent: 3

Primary Sponsor

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Portrait of Gerald Neal

Gerald Neal

Senator · Senate District 33

Primary sponsor
Gerald.Neal@kylegislature.gov

Co-sponsors (4)

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Portrait of Greg Elkins

Greg Elkins

Senator · Senate District 28

Co-sponsor
greg.elkins@kylegislature.gov
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Portrait of Scott Madon

Scott Madon

Senator · Senate District 29

Co-sponsor
scott.madon@kylegislature.gov
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Portrait of Amanda Mays Bledsoe

Amanda Mays Bledsoe

Senator · Senate District 12

Co-sponsor
amanda.maysbledsoe@kylegislature.gov
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Portrait of Reginald Thomas

Reginald Thomas

Senator · Senate District 13

Co-sponsor
Reginald.Thomas@kylegislature.gov

Bill Text Versions

Engrossed (passed one chamber)

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Introduced (original)

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