HB 453 Kentucky House · 2026 Regular Session

AN ACT relating to prescription drugs.

Summary
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 certain third-party payments towards the insured's cost-sharing; 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.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 21, 2026 Last action Jan 29, 2026
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Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
2
Jan 29, 2026
Committee
to Banking & Insurance (H)
lower
Jan 21, 2026
Committee
to Committee on Committees (H)
lower
Jan 21, 2026
Introduced
introduced in House
lower
0 primary · 0 co-sponsors

Sponsors

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