# Kentucky HB 388: AN ACT relating to prescription drugs. Kentucky HB 388, AN ACT relating to prescription drugs., is a 2026 Regular Session House bill sponsored by Robert Duvall (Republican); status signed, last action 2026-04-07 (signed by Governor (Acts Ch. 38)); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/KY-HB388-2026RS - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Kentucky HB 388 - State: Kentucky - Session: 2026 Regular Session - Title: AN ACT relating to prescription drugs. - Status: signed - Chamber: House - Introduced: 2026-01-14 - Last action: 2026-04-07, signed by Governor (Acts Ch. 38) - Sponsor: Robert Duvall (Republican) - Cosponsors: 1 - Subjects: Drugs And Medicines, Health And Medical Services, Health Care Professionals, Optometrists, Pharmacists, Physicians, State Agencies - Touches household money: yes - Roll calls: 2 (130 yes, 0 no in all) - Economic provisions PRIA read: 11 ## Summary No summary available. ## Bill overview: provisions PRIA read - Medicaid synchronized refills and prorated copays: benefit, low. Kentucky Medicaid lets some chronic medicines use synchronized refills. Schedule II drugs are not allowed, but Schedule III hydrocodone products are now eligible. When you use synchronization, Medicaid or your plan charges a prorated daily copay for the short fill. Pharmacies still receive a full d… - Full dispensing fee on synced fills: benefit, low. When patients use medication synchronization, dispensing fees are not prorated. Pharmacies receive the full dispensing fee for each prescription filled or refilled. - Easier reporting of drug complaints: benefit, low. Boards cannot require sworn or notarized complaints about controlled substances. You must list your name and address, unless the board allows anonymous complaints. If anonymous complaints are allowed, they must include enough proof set by the board. - Stronger privacy for drug monitoring data: benefit, low. The law limits who can see prescription and medicinal cannabis tracking data. Access is only for named groups, like licensing boards, trained investigators, grand juries, and hospital chief medical officers for care. Intentionally sharing PDMP data with someone not allowed, or getting it without a… - More PDMP training for professionals: benefit, low. The Cabinet creates PDMP training with licensing boards. Prescribers, medicinal cannabis practitioners, lawyers, law enforcement, and cannabis business agents get continuing education on how to use the system. - Stronger discipline for prescribers and dispensers: cost, medium. Licensing boards must permanently bar prescribing or dispensing by anyone convicted of a controlled‑substance felony after July 20, 2012, and mirror other states’ discipline; they must also restrict those with related misdemeanors. Boards must start investigations within 7 days and make a charging… - Tighter rules for Schedule II pain meds: mixed, medium. Before prescribing a Schedule II drug, your doctor must take a medical history, do an exam, check the state system for the past 12 months, make a written treatment plan, and get your written consent. If treatment lasts over three months, the doctor must recheck the system at least every three month… - Electronic prescribing and telehealth updates: mixed, medium. Beginning January 1, 2021, controlled‑substance prescriptions must be sent electronically, with many exceptions (for example, veterinarians, outages, hospice, nursing facilities, research, out‑of‑state pharmacies, or approved waivers). Pharmacists do not have to verify whether a written, oral, or f… - PDMP reporting, privacy, and data sharing rules: mixed, medium. Dispensers must report required data to the state system within one day of dispensing. Kentucky hospitals must report positive emergency‑room toxicology screens for suspected overdoses. The data are not public; the Cabinet can limit online retention but must archive data, and patients can ask to fi… - State system tracks cannabis and controlled drugs: mixed, medium. The state runs a monitoring system for Schedules II–V and medicinal cannabis. Practitioners, pharmacies, medicinal‑cannabis practitioners, and licensed cannabis businesses must register and keep active accounts, and the system cannot charge a fee or tax just to operate it. By July 1, 2024, the syst… - Health plans: med sync and refill limits: mixed, low. Your health plan must offer medication synchronization for covered chronic drugs when you, your prescriber, and your pharmacist agree. Schedule II drugs and Schedule III products with hydrocodone cannot be synchronized. When synchronized, the plan must apply a prorated daily cost‑sharing to each dr… ## Sponsors and cosponsors - Sponsor: Robert Duvall (Republican), House - Cosponsor: Kimberly Poore Moser (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-03-25 | Senate | 3rd reading, passed | pass | 38 | 0 | | | 2026-02-06 | House | 3rd reading, passed | pass | 92 | 0 | | ## Actions (20) - 2026-04-07: signed by Governor (Acts Ch. 38) - 2026-03-26: delivered to Governor - 2026-03-26: enrolled, signed by President of the Senate (House) - 2026-03-26: enrolled, signed by Speaker of the House (House) - 2026-03-26: received in House (House) - 2026-03-25: 3rd reading, passed 38-0 (Senate) - 2026-03-24: passed over and retained in the Consent Orders of the Day (Senate) - 2026-03-20: posted for passage in the Consent Orders of the Day for Tuesday, March 24 2026 (Senate) - 2026-03-12: 2nd reading, to Rules as a consent bill (Senate) - 2026-03-11: reported favorably, 1st reading, to Consent Calendar (Senate) - 2026-03-09: to Health Services (S) (Senate) - 2026-02-09: to Committee on Committees (S) (Senate) - 2026-02-09: received in Senate (Senate) - 2026-02-06: 3rd reading, passed 92-0 (House) - 2026-02-05: posted for passage in the Regular Orders of the Day for Friday, February 06 2026 (House) - 2026-01-30: 2nd reading, to Rules (House) - 2026-01-29: reported favorably, 1st reading, to Calendar (House) - 2026-01-22: to Health Services (H) (House) - 2026-01-14: to Committee on Committees (H) (House) - 2026-01-14: introduced in House (House) ## Bill text - Current, 2026-02-06: [PDF](https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb388/bill.pdf) - Introduced, 2026-02-06: [PDF](https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb388/orig_bill.pdf) ## Related bills - SB 197: AN ACT providing funding and establishing conditions for state government agencies and institutions, making an appropriation therefor, and declaring an emergen… (became law) - SB 133: AN ACT relating to the fiscal reporting of local entities. (signed) - HB 869: AN ACT relating to fiscal matters and declaring an emergency. (signed) - HB 727: AN ACT relating to education and declaring an emergency. (signed) - SB 324: AN ACT relating to the entertainment industry. (signed) - SB 66: AN ACT relating to the operation of a motor vehicle. (signed) ## Sources - [Current (PDF)](https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb388/bill.pdf) - [Introduced (PDF)](https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb388/orig_bill.pdf) ## Related - [SB 197: AN ACT providing funding and establishing conditions for state government agenc…](https://policyrisk.com/state-bill/KY-SB197-2026RS) - [SB 133: AN ACT relating to the fiscal reporting of local entities.](https://policyrisk.com/state-bill/KY-SB133-2026RS) - [HB 869: AN ACT relating to fiscal matters and declaring an emergency.](https://policyrisk.com/state-bill/KY-HB869-2026RS) - [HB 727: AN ACT relating to education and declaring an emergency.](https://policyrisk.com/state-bill/KY-HB727-2026RS) - [SB 324: AN ACT relating to the entertainment industry.](https://policyrisk.com/state-bill/KY-SB324-2026RS) - [SB 66: AN ACT relating to the operation of a motor vehicle.](https://policyrisk.com/state-bill/KY-SB66-2026RS) - [Kentucky bills](https://policyrisk.com/states/kentucky/bills) - [Kentucky state hub](https://policyrisk.com/states/kentucky) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/KY-HB388-2026RS (as of 2026-11-01).