All Roll Calls
Yes: 129 • No: 0
KentuckyHB 2802026 Regular SessionHouseWALLET
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
6 provisions identified: 3 benefits, 1 costs, 2 mixed.
Student self medication and school safety
The law expands school health rules to cover diabetes, hypoglycemia, adrenal crisis, and medicines like epinephrine, inhalers, glucagon, and Solu‑Cortef. With written parent consent and a practitioner’s note listing the drug, dose, timing, and length, students may self‑administer. Permission lasts for the school year and must be renewed each year. Students may carry and use needed meds in all school settings, including buses and trips. Parents must provide the prescribed emergency meds and a written individual health care plan, which can be part of an IEP or 504 plan. Schools that choose to stock these meds must adopt local board‑approved procedures and are encouraged to keep them in at least two secure, unlocked, accessible locations when donated or funded. Authorized staff who act in good faith have civil immunity for ordinary negligence. The state health department must issue school clinical protocols.
Undesignated glucagon for school emergencies
Health practitioners can prescribe, and pharmacists can dispense, undesignated glucagon to a school or trained staff. Trained staff may give it in an emergency when a nurse is not available and the student shows severe low blood sugar per the care plan. Schools that stock it must store it per instructions, keep it easy to reach, and name a nurse or trained person to oversee it. Schools must tell the school nurse, local EMS, and dispatch where it is. After use, they must contact the parent or guardian and EMS as soon as possible, unless covered by the Good Samaritan law. People who give it in good faith and without pay are immune from civil lawsuits, except for gross negligence or willful or wanton misconduct.
Central checks for adult abuse findings
Providers that serve vulnerable adults must check with the state before hiring to see if a person has a validated substantiated finding of abuse, neglect, or exploitation. The Cabinet keeps a central registry and answers only yes or no. The Cabinet sets secure query rules, lets people fix errors, and tells providers if an appeal is pending. If the Cabinet does not reply within 24 hours, a provider may hire provisionally without liability just for the delay. Licensing boards can also make these checks under state records law.
Faster nursing licenses and permits
The law speeds up nursing licensure. RNs and LPNs can get a provisional license for up to six months and must work under direct supervision. Out‑of‑state RNs and LPNs can get temporary permits and licenses by endorsement after passing the jurisprudence exam; background checks may be required. Foreign‑educated RN and LPN applicants get endorsement if they passed the NCLEX and submit CGFNS or VisaScreen, and meet other rules. APRN applicants can get a six‑month provisional APRN license with a mentor, cannot prescribe, and must pass the national exam within six months; one extra try is allowed or the provisional license ends. The Board uses a jurisprudence exam for nurses. Retired RNs and LPNs may hold a special retired license for a one‑time fee, but it does not allow practice.
New rules for APRN prescribing
Before prescribing nonscheduled drugs, an APRN must have a written CAPA‑NS with a Kentucky physician and notify the Board. After four years of prescribing under CAPA‑NS, an APRN in good standing may drop the CAPA‑NS by notifying the Board; some APRNs licensed by endorsement with four years in other states may also be exempt. To prescribe controlled substances, an APRN must have a written CAPA‑CS with a Kentucky physician on the standard form, hold a DEA registration, keep the signed agreement at practice sites, and provide it to the Board if asked. Either party may end a CAPA‑CS with 30 days’ written notice. A joint APRN‑physician committee created by the law develops the standardized CAPA‑CS form the Board adopts.
30 day conviction reporting for nurses
People under the Board of Nursing must report any misdemeanor or felony conviction in writing within 30 days. Most traffic misdemeanors are excluded, except DUI. They must send a certified copy of the order and a letter explaining the situation.
Sponsors & Cosponsors
Sponsor
Kimberly Poore Moser
Republican • House
Cosponsors
Daniel Grossberg
Democrat • House
Steve Bratcher
Republican • House
Roll Call Votes
House vote • 3/31/2026
passed
Yes: 94 • No: 0
Senate vote • 3/19/2026
3rd reading, passed
Yes: 35 • No: 0
Actions Timeline
signed by Governor (Acts Ch. 75)
4/10/2026delivered to Governor
3/31/2026enrolled, signed by President of the Senate
3/31/2026enrolled, signed by Speaker of the House
3/31/2026passed 94-0
3/31/2026House concurred in Committee Substitute (1)
3/31/2026posted for passage for concurrence in Senate Committee Substitute (1)
3/27/2026Senateto Rules (H)
3/19/2026Housereceived in House
3/19/2026House3rd reading, passed 35-0 with Committee Substitute (1)
3/19/2026posted for passage in the Regular Orders of the Day for Thursday, March 19 2026
3/18/20262nd reading, to Rules
3/12/2026reported favorably, 1st reading, to Calendar with Committee Substitute (1)
3/11/2026to Health Services (S)
3/9/2026Senateto Committee on Committees (S)
1/22/2026Senatereceived in Senate
1/22/2026Senate3rd reading, passed with 94-0 Committee Substitute (1)
1/21/2026posted for passage in the Regular Orders of the Day for Tuesday, January 20, 2026
1/16/20262nd reading, to Rules
1/16/2026reported favorably, 1st reading, to Calendar with Committee Substitute (1)
1/15/2026to Health Services (H)
1/13/2026Houseto Committee on Committees (H)
1/8/2026Houseintroduced in House
1/8/2026House
Bill Text
Current
3/31/2026
Introduced
1/7/2026
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