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Neutral Bill Mar 16, 2026

AN ACT relating to utilization controls for nonopioid analgesics in the Medicaid program.

Create a new section of KRS Chapter 205 to prohibit the Department for Medicaid Services, any Medicaid managed care organization contracted by the department, and the Medicaid state pharmacy benefit manager from denying coverage for a nonopioid analgesic in favor of opioid analgesic or establishing more restrictive or more extensive utilization controls for nonopioid analgesics than the least restrictive or extensive utilization controls for any opioid or narcotic analgesic; require the Cabinet for Health and Family Services or the Department for Medicaid to seek federal approval if it is determined that such approval is necessary; provide authorization from the General Assembly to make changes to the Medicaid program as required under KRS 205.5372(1).

https://legiscan.com/KY/bill/SB56/2026
Gerald Neal State Senator Greg Elkins State Senator Cosponsor Scott Madon State Senator Cosponsor Amanda Bledsoe State Senator Cosponsor
Medicaid PUBLIC ASSISTANCE Opioids Drugs and Medicines
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