Loading chat...
KY HB453
Bill
Status
Introduced
1/21/2026
Primary Sponsor
Patrick Flannery
Click for details
AI Summary
- Insurers and pharmacy benefit managers cannot require insured individuals to pay more in cost sharing for a covered prescription drug than the cash price available without insurance coverage
- Amounts paid by or on behalf of an insured for covered prescription drugs, including cash prices up to the negotiated plan price, must count toward the insured's deductible and out-of-pocket maximum
- Pharmacies must submit proof of any cash price paid by or on behalf of an insured to the insurer, and insurers must maintain clear procedures for receiving such documentation
- Expands the definition of "health plan" to include short-term limited-duration coverage, student health insurance, Medicare Part D prescription drug plans, Medicare Advantage plans, and Medicare supplement coverage
- Applies to health plans issued or renewed on or after January 1, 2027, with limited exceptions for HSA-qualified high deductible health plans until the minimum deductible is satisfied
Legislative Description
AN ACT relating to prescription drugs.
Local Mandate
Last Action
to Banking & Insurance (H)
1/29/2026
Committee Referrals
Banking and Insurance1/29/2026
Committee On Committees1/21/2026
Full Bill Text
No bill text available