Title 201 | Chapter 009 | Regulation 041REG
PROPOSED
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PREVIOUS VERSION
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BOARDS AND COMMISSIONS
Board of Medical Licensure
(Amendment)
201 KAR 9:041.Fee Schedule.
Section 1.
Fee Schedule.(1)
Fee for initial issuance of regular license or provisional license - $300.(2)
Fee for initial issuance of limited license - seventy-five (75) dollars.(3)
Fee for annual registration or renewal of regular license or provisional license - $150.(4)
Fee for annual registration or renewal of limited license -sixty-five (65) dollars.(5)
Penalty for late annual registration or renewal:(a)
March 1 - April 1 - fifty (50) dollars.(b)
After April 1 - $100.(6)
Fee for reregistration of inactive license - $250.(7)
Endorsement of licensee to licensing agency of another jurisdiction - fifty (50) dollars.(8)
Certification of licensee's examination grades to licensing agency of another jurisdiction - ten (10) dollars.(9)
Fee for temporary permit (credited to fee for regular license if subsequently issued) - fifty (50) dollars.(10)
Fee for emergency permit - twenty-five (25) dollars.(11)
(11)(12)
Fee for use of paper renewal application - ten (10) dollars.(13)
(14)
(12)(15)
Fee for initial issuance of regular license for a graduate of a Kentucky medical school who remains in this state for postgraduate training - $175(13)(16)
Fee for Federal Bureau of Investigation (FBI) Fingerprint Card as determined by the FBI and the Kentucky State Police(14)(17)
Fee for application for extension of time for completion of continuing medical education requirements - $100.(15)(18)
Verification of licensure to licensing agency of another jurisdiction - ten (10) dollars.WILLIAM C. THORNBURY, M.D., President
APPROVED BY AGENCY: September 17, 2026
FILED WITH LRC: October 12, 2026 at 4:00 p.m.
PUBLIC HEARING AND COMMENT PERIOD: A public hearing on this administrative regulation shall be held on Monday, December 21, 2026, at 9:00 a.m., using the Kentucky Board of Medical Licensure Zoom meeting room. A Zoom link will be posted on the agency’s web site, kbml.ky.gov, prior to the meeting. Individuals interested in being heard at this hearing shall notify this agency in writing no less than five (5) workdays prior to the hearing, of their intent to attend. If no notification of intent to attend the hearing is received at least five (5) workdays prior to the hearing, the hearing may be cancelled. This hearing is open to the public. Any person who attends virtually will be given an opportunity to comment on the proposed administrative regulation. A transcript of the public hearing will not be made unless a written request for a transcript is made. If you do not wish to be heard at the public hearing, you may submit written comments on this proposed administrative regulation. Written comments previously submitted will be considered and new comments shall be accepted through December 31, 2026. Send written notification of intent to be heard at the public hearing or written comments on the proposed administrative regulation to the contact person.
CONTACT PERSON: Leanne K. Diakov, General Counsel, Kentucky Board of Medical Licensure, 310 Whittington Parkway, Suite 1B, Louisville, Kentucky 40222, phone (502)764-2613, fax (502) 429-7118, email leanne.diakov@ky.gov.
REGULATORY IMPACT ANALYSIS AND TIERING STATEMENT
Contact Person:
Leanne K. Diakov, Phone: (502) 764-2613, Email: leanne.diakov@ky.gov
Subject Headings:
Occupations and Professions, Physicians and Practitioners, Licensing
(1) Provide a brief summary of:
(a) What this administrative regulation does:
The amendment of this administrative regulation establishes the application and renewal fees for the newly-created provisional license; updates the currently-applied discounted fee for issuance of licenses to graduates of Kentucky medical schools who remain in Kentucky for postgraduate training; and deletes fees for services no longer provided or no longer within the discretion of the board.
(b) The necessity of this administrative regulation:
Amendment of this regulation is necessary to establish the application and renewal fees for the newly-created provisional license; updates the currently-applied discounted fee for issuance of licenses to graduates of Kentucky medical schools who remain in Kentucky for postgraduate training; and deletes fees for services no longer provided or no longer within the discretion of the board.
(c) How this administrative regulation conforms to the content of the authorizing statutes:
This administrative regulation conforms to the content of KRS 311.565(1)(t) which authorizes the Board to prescribe and collect reasonable fees and charges related to licensure.
(d) How this administrative regulation currently assists or will assist in the effective administration of the statutes:
This amendment establishes the application and renewal fees for the newly-created provisional license; updates the currently-applied discounted fee for issuance of licenses to graduates of Kentucky medical schools who remain in Kentucky for postgraduate training; and deletes fees for services no longer provided or no longer within the discretion of the board.
(2) If this is an amendment to an existing administrative regulation, provide a brief summary of:
(a) How the amendment will change this existing administrative regulation:
This amendment establishes the application and renewal fees for the newly-created provisional license; updates the currently-applied discounted fee for issuance of licenses to graduates of Kentucky medical schools who remain in Kentucky for postgraduate training; and deletes fees for services no longer provided or no longer within the discretion of the board.
(b) The necessity of the amendment to this administrative regulation:
The amendment is necessary to establish the application and renewal fees for the newly-created provisional license; updates the currently-applied discounted fee for issuance of licenses to graduates of Kentucky medical schools who remain in Kentucky for postgraduate training; and deletes fees for services no longer provided or no longer within the discretion of the board.
(c) How the amendment conforms to the content of the authorizing statutes:
This administrative regulation conforms to the content of KRS 311.565(1)(t) which authorizes the Board to prescribe and collect reasonable fees and charges related to licensure.
(d) How the amendment will assist in the effective administration of the statutes:
This amendment acts specifically to establish the application and renewal fees for the newly-created provisional license; updates the currently-applied discounted fee for issuance of licenses to graduates of Kentucky medical schools who remain in Kentucky for postgraduate training; and deletes fees for services no longer provided or no longer within the discretion of the board.
(3) Does this administrative regulation or amendment implement legislation from the previous five years?
Yes, in part. This administrative regulation implements fees associated with the newly-created provisional license established in 2026 Kentucky Laws Ch. 89 (SB 137).
(4) List the type and number of individuals, businesses, organizations, or state and local governments affected by this administrative regulation:
This amendment will affect applicants who seek a provisional license to practice medicine or osteopathy in the Commonwealth of Kentucky.
(5) Provide an analysis of how the entities identified in question (4) will be impacted by either the implementation of this administrative regulation, if new, or by the change, if it is an amendment, including:
(a) List the actions that each of the regulated entities identified in question (4) will have to take to comply with this administrative regulation or amendment:
Applicants who seek a provisional license to practice medicine/osteopathy in Kentucky will be charged the same application and renewal fees as regular applicants/licensees; graduates of Kentucky medical schools who remain in Kentucky for postgraduate training will be charged a discounted application fee, but have correct notice of current amount charged; and fees for services no longer provided or no longer within the discretion of the board will be deleted and cannot be charged for.
(b) In complying with this administrative regulation or amendment, how much will it cost each of the entities identified in question (4):
Applicants for new provisional licenses will be charged same fee as applicants for a regular license, $300; provisional licensees will be charged same renewal fee as regular licensees, $150; graduates of Kentucky medical schools who remain in Kentucky for postgraduate training will be charged a discounted application fee of $175; and fees for services no longer provided or no longer within the discretion of the board will be deleted.
(c) As a result of compliance, what benefits will accrue to the entities identified in question (4):
Applicants and licensees will benefit by having correct and adequate notice of application and renewal costs.
(6) Provide an estimate of how much it will cost the administrative body to implement this administrative regulation:
(a) Initially:
None.
(b) On a continuing basis:
None.
(7) What is the source of the funding to be used for the implementation and enforcement of this administrative regulation or this amendment:
The agency is self-funded through application and licensure fees.
(8) Provide an assessment of whether an increase in fees or funding will be necessary to implement this administrative regulation, if new, or by the change if it is an amendment:
No increase of fees or funding will be necessary.
(9) State whether or not this administrative regulation establishes any fees or directly or indirectly increases any fees:
Applicants for newly-created provisional licenses will be charged same fee as applicants for a regular license, $300; provisional licensees will be charged same renewal fee as regular licensees, $150; graduates of Kentucky medical schools who remain in Kentucky for postgraduate training will be charged a discounted application fee of $175; and fees for services no longer provided or no longer within the discretion of the board will be deleted.
(10) TIERING: Is tiering applied?
Tiering was not appropriate in this administrative regulation because the administrative regulation applies equally to all those individuals regulated by it.
FISCAL IMPACT STATEMENT
(1) Identify each state statute, federal statute, or federal regulation that requires or authorizes the action taken by the administrative regulation:
KRS 311.565(1)(a), (t) and (u)
(2) State whether this administrative regulation is expressly authorized by an act of the General Assembly, and if so, identify the act:
2026 Kentucky Laws Ch. 89 (SB 137)
(3)(a) Identify the promulgating agency and any other affected state units, parts, or divisions:
Kentucky Board of Medical Licensure.
(b) Estimate the following for each affected state unit, part, or division identified in (3)(a):
1. Expenditures:
For the first year:
$300.00 per initial application and $175 per discounted postgraduate training application.
For subsequent years:
$300.00 per initial application; $150 per renewal application; and $175 per discounted postgraduate training application.
2. Revenues:
For the first year:
$300.00 per initial application; $150 per renewal application; and $175 per discounted postgraduate training application.
For subsequent years:
$300.00 per initial application; $150 per renewal application; and $175 per discounted postgraduate training application.
3. Cost Savings:
For the first year:
$10 per licensee for otherwise requested duplicate license certificate; $10 per licensee for newsletter subscription; and $275 per applicant for otherwise board-administered competency examination.
For subsequent years:
$10 per licensee for otherwise requested duplicate license certificate; $10 per licensee for newsletter subscription; and $275 per applicant for otherwise board-administered competency examination.
(4)(a) Identify affected local entities (for example: cities, counties, fire departments, school districts):
None
(b) Estimate the following for each affected local entity identified in (4)(a):
1. Expenditures:
For the first year:
None.
For subsequent years:
None.
2. Revenues:
For the first year:
None.
For subsequent years:
None.
3. Cost Savings:
For the first year:
None.
For subsequent years:
None.
(5)(a) Identify any affected regulated entities not listed in (3)(a) or (4)(a):
Prospective and licensed physicians.
(b) Estimate the following for each regulated entity identified in (5)(a):
1. Expenditures:
For the first year:
$300.00 per initial application and $175 per discounted postgraduate training application.
For subsequent years:
$300.00 per initial application; $150 per renewal application; and $175 per discounted postgraduate training application.
2. Revenues:
For the first year:
Incalculable. Each individual will have benefit of potential income of practicing a profession for which a license is required by this agency.
For subsequent years:
Incalculable. Each individual will have benefit of potential income of practicing a profession for which a license is required by this agency.
3. Cost Savings:
For the first year:
$10 per licensee for otherwise requested duplicate license certificate; $10 per licensee for newsletter subscription; and $275 per applicant for otherwise board-administered competency examination.
For subsequent years:
$10 per licensee for otherwise requested duplicate license certificate; $10 per licensee for newsletter subscription; and $275 per applicant for otherwise board-administered competency examination.
(6) Provide a narrative to explain the following for each entity identified in (3)(a), (4)(a), and (5)(a)
(a) Fiscal impact of this administrative regulation:
The promulgation of this administrative regulation will not have a major fiscal impact on state or local government or regulated entities.
(b) Methodology and resources used to reach this conclusion:
This conclusion was reached by estimating that the administrative costs of processing applications submitted on an annual basis.
(7) Explain, as it relates to the entities identified in (3)(a), (4)(a), and (5)(a):
(a) Whether this administrative regulation will have a "major economic impact", as defined by KRS 13A.010(14):
The amendment of this administrative regulation will not have a major fiscal impact on state or local government or regulated entities.
(b) The methodology and resources used to reach this conclusion:
N/A
FEDERAL MANDATE ANALYSIS COMPARISON
(1) Federal statute or regulation constituting the federal mandate.
: N/A
(2) State compliance standards.
: KRS 311.565(a), (t) and (u)
(3) Minimum or uniform standards contained in the federal mandate.
N/A
(4) Will this administrative regulation impose stricter requirements, or additional or different responsibilities or requirements, than those required by the federal mandate?
N/A
(5) Justification for the imposition of the stricter standard, or additional or different responsibilities or requirements.
N/A
BOARDS AND COMMISSIONS
Board of Medical Licensure
(Amendment)
201 KAR 9:041.Fee Schedule.
Section 1.
Fee Schedule.(1)
Fee for initial issuance of regular license or provisional license - $300.(2)
Fee for initial issuance of limited license - seventy-five (75) dollars.(3)
Fee for annual registration or renewal of regular license or provisional license - $150.(4)
Fee for annual registration or renewal of limited license -sixty-five (65) dollars.(5)
Penalty for late annual registration or renewal:(a)
March 1 - April 1 - fifty (50) dollars.(b)
After April 1 - $100.(6)
Fee for reregistration of inactive license - $250.(7)
Endorsement of licensee to licensing agency of another jurisdiction - fifty (50) dollars.(8)
Certification of licensee's examination grades to licensing agency of another jurisdiction - ten (10) dollars.(9)
Fee for temporary permit (credited to fee for regular license if subsequently issued) - fifty (50) dollars.(10)
Fee for emergency permit - twenty-five (25) dollars.(11)
Fee for use of paper renewal application - ten (10) dollars.(12)
Fee for initial issuance of regular license for a graduate of a Kentucky medical school who remains in this state for postgraduate training - $175.(13)
Fee for Federal Bureau of Investigation (FBI) Fingerprint Card as determined by the FBI and the Kentucky State Police.(14)
Fee for application for extension of time for completion of continuing medical education requirements - $100.(15)
Verification of licensure to licensing agency of another jurisdiction - ten (10) dollars.WILLIAM C. THORNBURY, M.D., President
APPROVED BY AGENCY: September 17, 2026
FILED WITH LRC: October 12, 2026 at 4:00 p.m.
PUBLIC HEARING AND COMMENT PERIOD: A public hearing on this administrative regulation shall be held on Monday, December 21, 2026, at 9:00 a.m., using the Kentucky Board of Medical Licensure Zoom meeting room. A Zoom link will be posted on the agency’s web site, kbml.ky.gov, prior to the meeting. Individuals interested in being heard at this hearing shall notify this agency in writing no less than five (5) workdays prior to the hearing, of their intent to attend. If no notification of intent to attend the hearing is received at least five (5) workdays prior to the hearing, the hearing may be cancelled. This hearing is open to the public. Any person who attends virtually will be given an opportunity to comment on the proposed administrative regulation. A transcript of the public hearing will not be made unless a written request for a transcript is made. If you do not wish to be heard at the public hearing, you may submit written comments on this proposed administrative regulation. Written comments previously submitted will be considered and new comments shall be accepted through December 31, 2026. Send written notification of intent to be heard at the public hearing or written comments on the proposed administrative regulation to the contact person.
CONTACT PERSON: Leanne K. Diakov, General Counsel, Kentucky Board of Medical Licensure, 310 Whittington Parkway, Suite 1B, Louisville, Kentucky 40222, phone (502)764-2613, fax (502) 429-7118, email leanne.diakov@ky.gov.
REGULATORY IMPACT ANALYSIS AND TIERING STATEMENT
Contact Person:
Leanne K. Diakov, Phone: (502) 764-2613, Email: leanne.diakov@ky.gov
Subject Headings:
Occupations and Professions, Physicians and Practitioners, Licensing
(1) Provide a brief summary of:
(a) What this administrative regulation does:
The amendment of this administrative regulation establishes the application and renewal fees for the newly-created provisional license; updates the currently-applied discounted fee for issuance of licenses to graduates of Kentucky medical schools who remain in Kentucky for postgraduate training; and deletes fees for services no longer provided or no longer within the discretion of the board.
(b) The necessity of this administrative regulation:
Amendment of this regulation is necessary to establish the application and renewal fees for the newly-created provisional license; updates the currently-applied discounted fee for issuance of licenses to graduates of Kentucky medical schools who remain in Kentucky for postgraduate training; and deletes fees for services no longer provided or no longer within the discretion of the board.
(c) How this administrative regulation conforms to the content of the authorizing statutes:
This administrative regulation conforms to the content of KRS 311.565(1)(t) which authorizes the Board to prescribe and collect reasonable fees and charges related to licensure.
(d) How this administrative regulation currently assists or will assist in the effective administration of the statutes:
This amendment establishes the application and renewal fees for the newly-created provisional license; updates the currently-applied discounted fee for issuance of licenses to graduates of Kentucky medical schools who remain in Kentucky for postgraduate training; and deletes fees for services no longer provided or no longer within the discretion of the board.
(2) If this is an amendment to an existing administrative regulation, provide a brief summary of:
(a) How the amendment will change this existing administrative regulation:
This amendment establishes the application and renewal fees for the newly-created provisional license; updates the currently-applied discounted fee for issuance of licenses to graduates of Kentucky medical schools who remain in Kentucky for postgraduate training; and deletes fees for services no longer provided or no longer within the discretion of the board.
(b) The necessity of the amendment to this administrative regulation:
The amendment is necessary to establish the application and renewal fees for the newly-created provisional license; updates the currently-applied discounted fee for issuance of licenses to graduates of Kentucky medical schools who remain in Kentucky for postgraduate training; and deletes fees for services no longer provided or no longer within the discretion of the board.
(c) How the amendment conforms to the content of the authorizing statutes:
This administrative regulation conforms to the content of KRS 311.565(1)(t) which authorizes the Board to prescribe and collect reasonable fees and charges related to licensure.
(d) How the amendment will assist in the effective administration of the statutes:
This amendment acts specifically to establish the application and renewal fees for the newly-created provisional license; updates the currently-applied discounted fee for issuance of licenses to graduates of Kentucky medical schools who remain in Kentucky for postgraduate training; and deletes fees for services no longer provided or no longer within the discretion of the board.
(3) Does this administrative regulation or amendment implement legislation from the previous five years?
Yes, in part. This administrative regulation implements fees associated with the newly-created provisional license established in 2026 Kentucky Laws Ch. 89 (SB 137).
(4) List the type and number of individuals, businesses, organizations, or state and local governments affected by this administrative regulation:
This amendment will affect applicants who seek a provisional license to practice medicine or osteopathy in the Commonwealth of Kentucky.
(5) Provide an analysis of how the entities identified in question (4) will be impacted by either the implementation of this administrative regulation, if new, or by the change, if it is an amendment, including:
(a) List the actions that each of the regulated entities identified in question (4) will have to take to comply with this administrative regulation or amendment:
Applicants who seek a provisional license to practice medicine/osteopathy in Kentucky will be charged the same application and renewal fees as regular applicants/licensees; graduates of Kentucky medical schools who remain in Kentucky for postgraduate training will be charged a discounted application fee, but have correct notice of current amount charged; and fees for services no longer provided or no longer within the discretion of the board will be deleted and cannot be charged for.
(b) In complying with this administrative regulation or amendment, how much will it cost each of the entities identified in question (4):
Applicants for new provisional licenses will be charged same fee as applicants for a regular license, $300; provisional licensees will be charged same renewal fee as regular licensees, $150; graduates of Kentucky medical schools who remain in Kentucky for postgraduate training will be charged a discounted application fee of $175; and fees for services no longer provided or no longer within the discretion of the board will be deleted.
(c) As a result of compliance, what benefits will accrue to the entities identified in question (4):
Applicants and licensees will benefit by having correct and adequate notice of application and renewal costs.
(6) Provide an estimate of how much it will cost the administrative body to implement this administrative regulation:
(a) Initially:
None.
(b) On a continuing basis:
None.
(7) What is the source of the funding to be used for the implementation and enforcement of this administrative regulation or this amendment:
The agency is self-funded through application and licensure fees.
(8) Provide an assessment of whether an increase in fees or funding will be necessary to implement this administrative regulation, if new, or by the change if it is an amendment:
No increase of fees or funding will be necessary.
(9) State whether or not this administrative regulation establishes any fees or directly or indirectly increases any fees:
Applicants for newly-created provisional licenses will be charged same fee as applicants for a regular license, $300; provisional licensees will be charged same renewal fee as regular licensees, $150; graduates of Kentucky medical schools who remain in Kentucky for postgraduate training will be charged a discounted application fee of $175; and fees for services no longer provided or no longer within the discretion of the board will be deleted.
(10) TIERING: Is tiering applied?
Tiering was not appropriate in this administrative regulation because the administrative regulation applies equally to all those individuals regulated by it.
FISCAL IMPACT STATEMENT
(1) Identify each state statute, federal statute, or federal regulation that requires or authorizes the action taken by the administrative regulation:
KRS 311.565(1)(a), (t) and (u)
(2) State whether this administrative regulation is expressly authorized by an act of the General Assembly, and if so, identify the act:
2026 Kentucky Laws Ch. 89 (SB 137)
(3)(a) Identify the promulgating agency and any other affected state units, parts, or divisions:
Kentucky Board of Medical Licensure.
(b) Estimate the following for each affected state unit, part, or division identified in (3)(a):
1. Expenditures:
For the first year:
$300.00 per initial application and $175 per discounted postgraduate training application.
For subsequent years:
$300.00 per initial application; $150 per renewal application; and $175 per discounted postgraduate training application.
2. Revenues:
For the first year:
$300.00 per initial application; $150 per renewal application; and $175 per discounted postgraduate training application.
For subsequent years:
$300.00 per initial application; $150 per renewal application; and $175 per discounted postgraduate training application.
3. Cost Savings:
For the first year:
$10 per licensee for otherwise requested duplicate license certificate; $10 per licensee for newsletter subscription; and $275 per applicant for otherwise board-administered competency examination.
For subsequent years:
$10 per licensee for otherwise requested duplicate license certificate; $10 per licensee for newsletter subscription; and $275 per applicant for otherwise board-administered competency examination.
(4)(a) Identify affected local entities (for example: cities, counties, fire departments, school districts):
None
(b) Estimate the following for each affected local entity identified in (4)(a):
1. Expenditures:
For the first year:
None.
For subsequent years:
None.
2. Revenues:
For the first year:
None.
For subsequent years:
None.
3. Cost Savings:
For the first year:
None.
For subsequent years:
None.
(5)(a) Identify any affected regulated entities not listed in (3)(a) or (4)(a):
Prospective and licensed physicians.
(b) Estimate the following for each regulated entity identified in (5)(a):
1. Expenditures:
For the first year:
$300.00 per initial application and $175 per discounted postgraduate training application.
For subsequent years:
$300.00 per initial application; $150 per renewal application; and $175 per discounted postgraduate training application.
2. Revenues:
For the first year:
Incalculable. Each individual will have benefit of potential income of practicing a profession for which a license is required by this agency.
For subsequent years:
Incalculable. Each individual will have benefit of potential income of practicing a profession for which a license is required by this agency.
3. Cost Savings:
For the first year:
$10 per licensee for otherwise requested duplicate license certificate; $10 per licensee for newsletter subscription; and $275 per applicant for otherwise board-administered competency examination.
For subsequent years:
$10 per licensee for otherwise requested duplicate license certificate; $10 per licensee for newsletter subscription; and $275 per applicant for otherwise board-administered competency examination.
(6) Provide a narrative to explain the following for each entity identified in (3)(a), (4)(a), and (5)(a)
(a) Fiscal impact of this administrative regulation:
The promulgation of this administrative regulation will not have a major fiscal impact on state or local government or regulated entities.
(b) Methodology and resources used to reach this conclusion:
This conclusion was reached by estimating that the administrative costs of processing applications submitted on an annual basis.
(7) Explain, as it relates to the entities identified in (3)(a), (4)(a), and (5)(a):
(a) Whether this administrative regulation will have a "major economic impact", as defined by KRS 13A.010(14):
The amendment of this administrative regulation will not have a major fiscal impact on state or local government or regulated entities.
(b) The methodology and resources used to reach this conclusion:
N/A
FEDERAL MANDATE ANALYSIS COMPARISON
(1) Federal statute or regulation constituting the federal mandate.
: N/A
(2) State compliance standards.
: KRS 311.565(a), (t) and (u)
(3) Minimum or uniform standards contained in the federal mandate.
N/A
(4) Will this administrative regulation impose stricter requirements, or additional or different responsibilities or requirements, than those required by the federal mandate?
N/A
(5) Justification for the imposition of the stricter standard, or additional or different responsibilities or requirements.
N/A