KentuckyHB 32026 Regular SessionHouseWALLET

AN ACT relating to reimbursements for pharmacist services.

Sponsored By: Amy Neighbors (Republican)

Signed by Governor

Children And MinorsHealth And Medical ServicesMedicaidPharmacistsPublic AssistanceState Agencies

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 4 benefits, 0 costs, 1 mixed.

KCHIP benefits and lower family costs

KCHIP must match at least one benchmark plan: the federal workers PPO, a mid-level state employee plan, or the largest HMO in Kentucky. It must cover preventive care, vision with glasses, and dental care like sealants, extractions, and fillings, plus other state-required benefits. Families pay per six months: $10 at 100%–133% of the federal poverty level, $20 at 134%–149%, and $120 at 150%–200%. If you owe $120, you may pay $20 monthly or $60 quarterly. There are no copays, and kids can see dentists and eye doctors without a referral for covered services.

Who qualifies and statewide KCHIP rollout

The state creates KCHIP and must file a child health plan with the federal government to get the maximum matching funds. The Cabinet sets eligibility to meet federal CHIP rules. Children who qualify for Medicaid enroll in Medicaid, not KCHIP, except where state law expands Medicaid. Within 12 months after federal approval, KCHIP must be available to all eligible children in every region; the state will run its own program if needed to reach all areas.

More bidders and protections in KCHIP

The Cabinet sets rules for which insurers and providers can contract to deliver KCHIP. Local health departments may bid to provide preventive services in their area and are not disqualified for not offering every service today. The state must promote competition and seek many applicants. KCHIP must also follow state insurance protections that apply to health plans.

More protections for Medicaid members

The Medicaid agency and its managed care plans must follow specific Kentucky insurance laws. Managed care organizations must meet state reporting rules. These requirements add consumer protections and oversight for Medicaid members.

Some changes wait for federal approval

If federal approval is needed to carry out parts of this law, the state must request it within 90 days after this section takes effect. Only the provisions that need federal approval may be delayed, and only until approval is granted.

Sponsors & Cosponsors

Sponsor

Amy Neighbors
Republican • House

Cosponsors

Al Gentry
Democrat • House
Beverly Chester-Burton
Democrat • House
David W. Osborne
Republican • House
DJ Johnson
Republican • House
Mike Clines
Republican • House
Steve Bratcher
Republican • House
Scott Lewis
Republican • House
Steven Rudy
Republican • House
Tony Hampton
Republican • House

Roll Call Votes

All Roll Calls

Yes: 131 • No: 0

Senate vote • 3/31/2026

3rd reading, passed

Yes: 38 • No: 0

House vote • 1/30/2026