Kentucky 2026 Regular Session Status: In Committee 21 R cosponsors

HB 646 — AN ACT relating to the use of pharmaceuticals to intentionally terminate life.

Last action — to Judiciary (H)

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced February 13, 2026. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Stalled 26% · moderate confidence
  • In Committee

    Current position in the legislative process.

  • 21 sponsors

    21 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (21 R).

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Amend KRS 218A.100 to place an abortion-inducing drug in Schedule IV; amend KRS 218A.1413 to include an abortion-inducing drug in the offense of trafficking in a controlled substance in the second degree; amend KRS 218A.1415 to include an abortion-inducing drug in the offense of possession of a controlled substance in the first degree, except when in the possession of a pregnant woman for her own personal use; create a new section of KRS Chapter 218A to establish the offense of importing an abortion-inducing drug amend KRS 216.302 to include providing any drug, medication, or other substance as a means of assisting another person to commit or attempt to commit suicide; increase the penalty from a Class D felony to a Class B felony when the act is done knowingly by force or duress and from a Class C to a Class B felony when a person knowingly or intentionally provides the physical means or participates in a physical act by which another person commits or attempts suicide; create a new section of KRS 216.300 to 216.308 to establish the offense of medically assisted aid in dying as a Class B felony; amend KRS 216.308 to provide for the revocation of a license upon a criminal conviction or plea of guilty of assisted suicide or medically assisted aid in dying; create a new section of KRS Chapter 411 to provide a civil cause of action for any person who sustains damages resulting from receiving an abortion-inducing drug; create a new section of KRS Chapter 216B to require the distribution of specified information to any patient who a physician or other healthcare provider believes is experiencing a complication as a result of taking an abortion-inducing drug; require the Cabinet for Health and Family Services to make specified information available on its website.

Bill Text

Action History

  1. to Judiciary (H)

  2. to Committee on Committees (H)

  3. introduced in House

Sponsors

Sponsorship breakdown

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21 sponsors · 0 co-sponsors · 117 not signed on

Sponsors (21)

Co-sponsors (0)

None.

Not signed on (117)

117 members have not signed on to this bill.

Show all 117 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB 646 do?
Amend KRS 218A.100 to place an abortion-inducing drug in Schedule IV; amend KRS 218A.1413 to include an abortion-inducing drug in the offense of trafficking in a controlled substance in the second degree; amend KRS 218A.1415 to include an abortion-inducing drug in the offense of possession of a controlled substance in the first degree, except when in the possession of a pregnant woman for her own personal use; create a new section of KRS Chapter 218A to establish the offense of importing an abortion-inducing drug amend KRS 216.302 to include providing any drug, medication, or other substance as a means of assisting another person to commit or attempt to commit suicide; increase the penalty from a Class D felony to a Class B felony when the act is done knowingly by force or duress and from a Class C to a Class B felony when a person knowingly or intentionally provides the physical means or participates in a physical act by which another person commits or attempts suicide; create a new section of KRS 216.300 to 216.308 to establish the offense of medically assisted aid in dying as a Class B felony; amend KRS 216.308 to provide for the revocation of a license upon a criminal conviction or plea of guilty of assisted suicide or medically assisted aid in dying; create a new section of KRS Chapter 411 to provide a civil cause of action for any person who sustains damages resulting from receiving an abortion-inducing drug; create a new section of KRS Chapter 216B to require the distribution of specified information to any patient who a physician or other healthcare provider believes is experiencing a complication as a result of taking an abortion-inducing drug; require the Cabinet for Health and Family Services to make specified information available on its website.
Who sponsors HB 646?
HB 646 is sponsored by Tom Smith (Republican), Felicia Rabourn (Republican), Marianne Proctor (Republican), Jason Nemes (Republican), Kimberly Poore Moser (Republican), Candy Massaroni (Republican), Savannah Maddox (Republican), Matt Lockett (Republican), Kim King (Republican), Thomas Huff (Republican), John Hodgson (Republican), David Hale (Republican), Deanna Gordon (Republican), Daniel Fister (Republican), Ryan Dotson (Republican), Steven Doan (Republican), Jennifer Decker (Republican), Kim Banta (Republican), Shane Baker (Republican), T.J. Roberts (Republican), and Nancy Tate (Republican).
What is the current status of HB 646?
This bill is in committee in the House. Introduced February 13, 2026. It must pass committee before a floor vote.
Where can I track HB 646?
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