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KentuckyHB 2802026 Regular SessionHouse

AN ACT relating to health care and declaring an emergency.

Sponsored By: Kimberly Poore Moser (Republican)

Signed by Governor

Boards And CommissionsChildren And MinorsCivil ActionsCrimes And PunishmentsDiseasesDrugs And MedicinesEducation, Elementary And SecondaryEffective Dates, EmergencyHealth And Medical ServicesLicensingNursesPharmacistsPublic HealthState AgenciesTeachers

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 2 benefits, 1 costs, 2 mixed.

Faster licenses for out-of-state and foreign nurses

Kentucky now issues temporary work permits to RNs and LPNs licensed in other states who are in good standing and meet education, English, and jurisprudence test rules. The Board accepts another state’s nursing exam if you meet those rules. Foreign‑educated RN and LPN graduates who passed the NCLEX and submit a CGFNS or VisaScreen report (or another approved report), and meet other requirements, receive a Kentucky license by endorsement.

Stronger checks for adult‑abuse hiring

The state keeps a central registry of validated, substantiated adult‑abuse, neglect, or exploitation findings for background checks. The cabinet tells providers if an appeal is pending, and state licensing boards can also query the registry. Investigations must follow due‑process rules before a finding is validated. If the cabinet does not respond within 24 hours and a provider provisionally hires, the provider is not liable solely for hiring before the reply.

Safer school meds and glucagon access

Students with documented conditions (allergy, asthma, diabetes, hypoglycemia, adrenal crisis) may carry and self‑give prescribed medicines with parent OK and a clinician note, renewed each school year. Schools may get non‑patient‑specific glucagon, and trained staff may give it in emergencies when a nurse is not available. If schools stock it, they must store it per maker and health rules, keep it accessible, name someone in charge, and tell the school nurse, EMS, and dispatch where it is; after use, they must contact the parent/guardian and local EMS as soon as possible. Prescribers, pharmacists, trainers, authorized entities, and trained staff have civil immunity for good‑faith, unpaid help (not for gross negligence or willful misconduct). Stocking glucagon is encouraged in two places and allowed only if donated or the school has funds; schools that keep these meds must adopt board‑approved policies, and the state health department issues clinical protocols.

APRN prescribing: less oversight after 4 years

Experienced APRNs can ask the Board to remove the controlled‑substance collaboration (CAPA‑CS) after four years of prescribing, if they keep a DEA registration and a Kentucky PDMP master account. The Board checks records and gives written approval before prescribing without a CAPA‑CS, and may audit use. APRNs licensed by endorsement with four or more years of prescribing in another state are exempt. APRNs with fewer than four years must keep a CAPA‑CS with a Kentucky physician until they reach four years.

Nurses must report convictions within 30 days

If you are under the Board’s jurisdiction, you must notify the Board in writing within 30 days after any misdemeanor or felony conviction. Do not report traffic misdemeanors, except DUI. You must send a certified copy of the judgment and a letter explaining what happened.

Sponsors & Cosponsors

Sponsor

  • Kimberly Poore Moser

    Republican • House

Cosponsors

  • Daniel Grossberg

    Democrat • House

  • Steve Bratcher

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 129 • No: 0

House vote • 3/31/2026

passed

Yes: 94 • No: 0

Senate vote • 3/19/2026

3rd reading, passed

Yes: 35 • No: 0

Actions Timeline

  1. signed by Governor (Acts Ch. 75)

    4/10/2026

  2. delivered to Governor

    3/31/2026

  3. enrolled, signed by President of the Senate

    3/31/2026House

  4. enrolled, signed by Speaker of the House

    3/31/2026House

  5. passed 94-0

    3/31/2026House

  6. House concurred in Committee Substitute (1)

    3/31/2026House

  7. posted for passage for concurrence in Senate Committee Substitute (1)

    3/27/2026Senate

  8. to Rules (H)

    3/19/2026House

  9. received in House

    3/19/2026House

  10. 3rd reading, passed 35-0 with Committee Substitute (1)

    3/19/2026Senate

  11. posted for passage in the Regular Orders of the Day for Thursday, March 19 2026

    3/18/2026Senate

  12. 2nd reading, to Rules

    3/12/2026Senate

  13. reported favorably, 1st reading, to Calendar with Committee Substitute (1)

    3/11/2026Senate

  14. to Health Services (S)

    3/9/2026Senate

  15. to Committee on Committees (S)

    1/22/2026Senate

  16. received in Senate

    1/22/2026Senate

  17. 3rd reading, passed with 94-0 Committee Substitute (1)

    1/21/2026House

  18. posted for passage in the Regular Orders of the Day for Tuesday, January 20, 2026

    1/16/2026House

  19. 2nd reading, to Rules

    1/16/2026House

  20. reported favorably, 1st reading, to Calendar with Committee Substitute (1)

    1/15/2026House

  21. to Health Services (H)

    1/13/2026House

  22. to Committee on Committees (H)

    1/8/2026House

  23. introduced in House

    1/8/2026House

Bill Text

  • Current

    3/31/2026

    PDF

  • Introduced

    1/7/2026

    PDF

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