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KY SB128

Bill

Status

Introduced

1/27/2026

Primary Sponsor

Stephen Meredith

Click for details

Origin

Senate

2026 Regular Session

AI Summary

  • Requires insurers, pharmacy benefit managers, and pharmacy benefits administrators to calculate insured cost sharing for prescription drugs at the point of sale, with 100% of rebates received or estimated to be received passed through to reduce the insured's cost sharing amount
  • Mandates that rebates not used to reduce cost sharing must be passed on to the health plan to reduce premiums charged to insureds
  • Protects rebate information (product-specific, manufacturer-specific, or pharmacy-specific amounts) as trade secrets, prohibiting disclosure except for regulatory compliance purposes
  • Prohibits insurers and PBMs from charging insureds more than what they would pay without coverage, penalizing pharmacies for compliance, or excluding cost-sharing amounts paid by or on behalf of insureds when calculating deductible contributions
  • Applies to health plans issued or renewed on or after January 1, 2027, including state employee health plans, limited health service organizations, and self-insured postsecondary education institution plans

Legislative Description

AN ACT relating to prescription drugs.

Local Mandate

Last Action

to Committee on Committees (S)

1/27/2026

Committee Referrals

Committee on Committees1/27/2026

Full Bill Text

No bill text available