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SB56 • 2026

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

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

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
G. Neal
Last action
2026-04-15
Official status
04/15/26: passed over and retained for concurrence in House Floor Amendment (1) and Floor Amendment (2-title)
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

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

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

What This Bill Does

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

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

HFA1

House Floor Amendment 1 • K. Moser

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.

Plain English: HOUSE OF REPRESENTATIVES KENTUCKY GENERAL ASSEMBLY AMENDMENT FORM 2026 REGULAR SESSION Amend printed copy of SB 56/GA Amendment No.

  • HOUSE OF REPRESENTATIVES KENTUCKY GENERAL ASSEMBLY AMENDMENT FORM 2026 REGULAR SESSION Amend printed copy of SB 56/GA Amendment No.
  • HFA Rep.
  • Committee Amendment Signed: Floor Amendment LRC Drafter: Adopted: Date: Rejected: Doc.
  • ID: XXXX Page 1 of 4 On page 1, between lines 16 and 17, by inserting the following: "Section 2.
HFA2

House Floor Amendment 2 • K. Moser

Make title amendment.

Plain English: HOUSE OF REPRESENTATIVES KENTUCKY GENERAL ASSEMBLY AMENDMENT FORM 2026 REGULAR SESSION Amend printed copy of SB 56/GA TITLE AMENDMENT Amendment No.

  • HOUSE OF REPRESENTATIVES KENTUCKY GENERAL ASSEMBLY AMENDMENT FORM 2026 REGULAR SESSION Amend printed copy of SB 56/GA TITLE AMENDMENT Amendment No.
  • TITLE Rep.
  • Rep.
  • Kimberly Poore Moser Committee Amendment Signed: Floor Amendment LRC Drafter: Adopted: Date: Rejected: Doc.
HFA3

House Floor Amendment 3 • K. Moser

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.

Plain English: HOUSE OF REPRESENTATIVES KENTUCKY GENERAL ASSEMBLY AMENDMENT FORM 2026 REGULAR SESSION Amend printed copy of SB 56/GA Amendment No.

  • HOUSE OF REPRESENTATIVES KENTUCKY GENERAL ASSEMBLY AMENDMENT FORM 2026 REGULAR SESSION Amend printed copy of SB 56/GA Amendment No.
  • HFA Rep.
  • Rep.
  • Kimberly Poore Moser Committee Amendment Signed: Floor Amendment LRC Drafter: Adopted: Date: Rejected: Doc.
HFA4

House Floor Amendment 4 • K. Moser

Make title amendment.

Plain English: HOUSE OF REPRESENTATIVES KENTUCKY GENERAL ASSEMBLY AMENDMENT FORM 2026 REGULAR SESSION Amend printed copy of SB 56/GA TITLE AMENDMENT Amendment No.

  • HOUSE OF REPRESENTATIVES KENTUCKY GENERAL ASSEMBLY AMENDMENT FORM 2026 REGULAR SESSION Amend printed copy of SB 56/GA TITLE AMENDMENT Amendment No.
  • TITLE Rep.
  • Rep.
  • Kimberly Poore Moser Committee Amendment Signed: Floor Amendment LRC Drafter: Adopted: Date: Rejected: Doc.

Bill History

  1. 2026-04-15 Kentucky Legislative Research Commission

    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)

  2. 2026-04-14 Kentucky Legislative Research Commission

    floor amendments (3) and (4-title) filed

  3. 2026-03-26 Kentucky Legislative Research Commission

    floor amendments (1) and (2-title) filed

  4. 2026-03-24 Kentucky Legislative Research Commission

    posted for passage in the Regular Orders of the Day for Wednesday, March 25 2026

  5. 2026-03-20 Kentucky Legislative Research Commission

    2nd reading, to Rules

  6. 2026-03-19 Kentucky Legislative Research Commission

    reported favorably, 1st reading, to Calendar

  7. 2026-03-11 Kentucky Legislative Research Commission

    to Health Services (H)

  8. 2026-03-02 Kentucky Legislative Research Commission

    received in House to Committee on Committees (H)

  9. 2026-02-27 Kentucky Legislative Research Commission

    3rd reading, passed 35-0

  10. 2026-02-26 Kentucky Legislative Research Commission

    passed over and retained in the Orders of the Day

  11. 2026-02-25 Kentucky Legislative Research Commission

    passed over and retained in the Orders of the Day

  12. 2026-02-23 Kentucky Legislative Research Commission

    posted for passage in the Regular Orders of the Day for Wednesday, February 25 2026

  13. 2026-02-12 Kentucky Legislative Research Commission

    2nd reading, to Rules

  14. 2026-02-11 Kentucky Legislative Research Commission

    reported favorably, 1st reading, to Calendar

  15. 2026-02-09 Kentucky Legislative Research Commission

    to Health Services (S)

  16. 2026-01-09 Kentucky Legislative Research Commission

    introduced in Senate to Committee on Committees (S)

Official Summary Text

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

Current Bill Text

Read the full stored bill text 
UNOFFICIAL COPY 26 RS SB 56/GA
Page 1 of 2
SB005610.100 - 1027 - XXXX 2/27/2026 10:44 AM GA
AN ACT relating to utilization controls for nonopioid analgesics in the Medicaid 1
program. 2
Be it enacted by the General Assembly of the Commonwealth of Kentucky: 3
SECTION 1. A NEW SECTION OF KRS CHAPTER 205 IS CREATED TO 4
READ AS FOLLOWS: 5
The Department for Medicaid Services, any managed care organization with whom the 6
department contracts for the delivery of Medicaid services, and the state pharmacy 7
benefit manager contracted by the department pursuant to KRS 205.5512 shall not: 8
(1) Deny coverage of a nonopioid prescription drug in favor of an opioid prescription 9
drug when a licensed physician has prescribed a nonopioid medication for the 10
treatment of chronic or acute pain; or 11
(2) Establish more restrictive or more extensive utilization controls, including but not 12
limited to more restrictive or more extensive prior authorization or step therapy 13
requirements, for clinically appropriate nonopioid drugs than the least restrictive 14
or extensive utilization controls applicable to any clinically ap propriate opioid or 15
narcotic drug. 16
Section 2. If the Cabinet for Health and Family Services or the Department for 17
Medicaid Services determines that a state plan amendment, waiver, or any other form of 18
authorization or approval from any federal agency to implement Section 1 of this Act is 19
necessary to prevent the loss of federal funds or to comply with federal law, the cabin et 20
or department: 21
(1) Shall, within 90 days after the effective date of this section, request the 22
necessary federal authorization or approval to implement Section 1 of this Act; and 23
(2) May only delay implementation of the provisions of Section 1 of this A ct for 24
which federal authorization or approval was deemed necessary until the federal 25
authorization or approval is granted. 26
Section 3. Sections 1 and 2 of this Act shall constitute the specific authorization 27
UNOFFICIAL COPY 26 RS SB 56/GA
Page 2 of 2
SB005610.100 - 1027 - XXXX 2/27/2026 10:44 AM GA
required under KRS 205.5372(1). 1