26RS SB 103

Senate Bill 103

Actions

Last Action	01/16/26: to Committee on Committees (S)
Title	AN ACT relating to prescription drugs.
Bill Documents	Introduced
Fiscal Impact Statements	Actuarial Analysis Health Mandate Local Mandate State Employee Health Plan Impact
Bill Request Number	1181
Sponsor	P. Wheeler
Summary of Original Version	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 third-party payments unless a cash price was paid that is less than the plan's negotiated price; provide for construction of cost-sharing requirements; amend KRS 304.17C-125, 304.38A-115, 164.2871, and 18A.225 to apply cost-sharing requirements to limited health plans, self-insured state postsecondary education institution employer group health plans, and the state employee health plan; create a new section of KRS Chapter 315 to require pharmacies to comply with cost-sharing requirements; provide that cost-sharing requirements apply to health plans issued or renewed on or after effective date; EFFECTIVE, January 1, 2027.
Index Headings of Original Version	Drugs And Medicines - Prescription drug coverage, cost-sharing requirements Education, Higher - Self-insured group health plan, prescription drug coverage, cost-sharing requirements Effective Dates, Delayed - Prescription drug coverage, cost-sharing requirements, January 1, 2027 Insurance, Health - Prescription drug coverage, cost-sharing requirements Pharmacists - Prescription drug coverage, proof of cash price, submission requirement State Employees - Health plan, prescription drug coverage, cost-sharing requirements Actuarial Analysis - Prescription drug coverage, cost-sharing requirements Health Benefit Plan Mandate - Health plan, prescription drug coverage, cost-sharing requirements Local Mandate - Prescription drug coverage, cost-sharing requirements State Employee Health Plan Mandate - Health plan, prescription drug coverage, cost-sharing requirements