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Senate Bill 56

Actions | Amendments

Last Action	04/15/26: passed over and retained for concurrence in House Floor Amendment (1) and Floor Amendment (2-title)
Title	AN ACT relating to utilization controls for nonopioid analgesics in the Medicaid program.
Bill Documents	Current/Final Introduced
Bill Request Number	1027
Sponsors	G. Neal, G. Elkins, S. Madon, A. Mays Bledsoe, R. Thomas
Summary of Original Version	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 Family Services or the Department for Medicaid to seek federal approval if it is determined that such approval is necessary; provide authorization from the General Assembly to make changes to the Medicaid program as required under KRS 205.5372(1).
Index Headings of Original Version	Fiscal Note - Medicaid, utilization controls, nonopioid analgesics Drugs And Medicines - Medicaid, utilization controls, nonopioid analgesics Medicaid - Utilization controls, nonopioid analgesics Opioids - Medicaid, utilization controls, nonopioid analgesics Public Assistance - Medicaid, utilization controls, nonopioid analgesics
Jump to Proposed Amendments	House Floor Amendment 1 House Floor Amendment 2 House Floor Amendment 3 House Floor Amendment 4
Votes	Vote History

Actions

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01/09/26	introduced in Senate to Committee on Committees (S)
02/09/26	to Health Services (S)
02/11/26	reported favorably, 1st reading, to Calendar
02/12/26	2nd reading, to Rules
02/23/26	posted for passage in the Regular Orders of the Day for Wednesday, February 25 2026
02/25/26	passed over and retained in the Orders of the Day
02/26/26	passed over and retained in the Orders of the Day
02/27/26	3rd reading, passed 35-0
03/02/26	received in House to Committee on Committees (H)
03/11/26	to Health Services (H)
03/19/26	reported favorably, 1st reading, to Calendar
03/20/26	2nd reading, to Rules
03/24/26	posted for passage in the Regular Orders of the Day for Wednesday, March 25 2026
03/26/26	floor amendments (1) and (2-title) filed
04/14/26	floor amendments (3) and (4-title) filed
04/15/26	3rd reading, passed 82-9 with Floor Amendment (1) and Floor Amendment (2-title) received in Senate to Rules (S) posted for passage for concurrence in House Floor Amendments (1) and (2-title) passed over and retained for concurrence in House Floor Amendment (1) and Floor Amendment (2-title)

Proposed Amendments

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Amendment	House Floor Amendment 1
Piggyback?	Yes
Sponsor	K. Moser
Summary	Amend KRS 222.504 to require the Cabinet for Health and Family Services to notify local governments when a recovery residence initiates the certification process with a certifying organization, becomes certified, or receives disciplinary action from the cabinet; require the cabinet to provide the recovery residence contact; amend KRS 222.510 to permit local governments to maintain a registry of recovery residences and consider the information a public record; make technical corrections.
Index Headings	Cities - Recovery residences, registry, permitted Counties - Recovery residences, registry, permitted Diseases - Substance use disorders, recovery residences, registry, permitted Local Government - Recovery residences, registry, permitted Opioids - Recovery residences, registry, information is public record Piggybacked Bills - SB 33 State Agencies - Cabinet for Health and Family Services, recovery residences, local government notice, requirement Substance Use - Cabinet for Health and Family Services, recovery residences, local government notice, requirement Substance Use - Recovery residences, registry, permitted

Amendment	House Floor Amendment 2
Sponsor	K. Moser
Summary	Make title amendment.
Index Headings	Title Amendments - SB 56/GA

Amendment	House Floor Amendment 3
Piggyback?	Yes
Sponsor	K. Moser
Summary	Retain original provisions; create a new section of KRS Chapter 13A to find 201 KAR 9:270 and 201 KAR 20:065 deficient and void; create new sections of KRS Chapters 311, 313, 314, and 315 to prohibit the State Board of Medical Licensure, Board of Dentistry, Kentucky Board of Nursing, and Kentucky Board of Pharmacy from promulgating administrative regulations that restrict or limit the prescribing, dispensing, or administering of buprenorphine-mono-product, buprenorphine-combined-with-naloxone, or any other Schedule III, IV, or V medication approved by the United States Food and Drug Administration for the treatment of a substance use disorder; EMERGENCY.
Index Headings	Administrative Regulations And Proceedings - Board of Dentistry, opioid and other substance use disorders, medication, administration Administrative Regulations And Proceedings - Board of Nursing, opioid and other substance use disorders, medication, administration Administrative Regulations And Proceedings - Board of Pharmacy, opioid and other substance use disorders, medication, administration Administrative Regulations And Proceedings - State Board of Medical Licensure, opioid and other substance use disorder medication, administration Drugs And Medicines - Medications for opioid and other substance use disorders, prescriptions, administration Effective Dates, Emergency - Medications for opioid and and other substance use disorders, prescriptions, administration Health And Medical Services - Medications for opioid and other substance use disorders, prescriptions, administration Health Care Professionals - Medications for opioid and other substance use disorders, prescriptions, administration Nurses - Medications for opioid and other substance use disorders, prescriptions Opioids - Medications for opioid and other substance use disorders, prescriptions, administration Pharmacists - Medications for opioid and other substance use disorders, prescriptions Physicians - Medications for opioid and other substance use disorders, prescriptions Piggybacked Bills - HB 153 Public Health - Medications for opioid and other substance use disorders, prescriptions, administration Substance Use - Medications for opioid and other substance use disorders, prescriptions, administration

Amendment	House Floor Amendment 4
Sponsor	K. Moser
Summary	Make title amendment.
Index Headings	Title Amendments - SB 56/GA

Last updated: 4/20/2026 5:04 PM (EDT)