Kentucky 2026 Regular Session Status: Enacted Bipartisan · 8 R · 2 D cosponsors

HB 3 — AN ACT relating to reimbursements for pharmacist services.

Last action — signed by Governor (Acts Ch. 99)

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

This bill has been enacted into law. Introduced January 13, 2026. Enacted.

Signed by Governor Andy Beshear (Democratic) on April 13, 2026.

Odds of enactment

High chance

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

Upgrade to see the exact probability and what's driving it.

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

Prognosis

Likely to advance 98% · high confidence

  • Enacted

    Current position in the legislative process.

  • 10 sponsors

    10 primary, 0 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (8 R · 2 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

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 205.522 and 205.6485 to require Medicaid and KCHIP to comply with pharmacy reimbursement requirements established in KRS 304.12-237; 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).

Bill Text

What changed in the latest version

104 added · 129 removed

Plain-language change summary

The recent amendments to HB 3 include the addition of a new chapter, specifically Chapter 99, which focuses on reimbursements for pharmacist services related to Medicaid benefits. This change matters because it highlights the state's commitment to ensuring that pharmacists are compensated for their contributions to healthcare, potentially improving access to needed medications and services for Medicaid recipients.

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UNOFFICIAL COPY 26 RS HB 3/GA AN ACT relating to reimbursements for pharmacist services.
CHAPTER 99 1 CHAPTER 99 ( HB 3 ) AN ACT relating to reimbursements for pharmacist services.
(1) As used in this section, "KCHIP" means the Kentucky Children's Health Insurance Page 1 of 5 HB000310.100 - 1086 - XXXX 1/30/2026 9:26 AM GA UNOFFICIAL COPY 26 RS HB 3/GA Program.
(1) As used in this section, "KCHIP" means the Kentucky Children's Health Insurance Program.
i.
Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY i.
Health insurance coverage offered by a health maintenance organization that has the largest insured commercial, non- Medicaid enrollment of covered lives in the state;
Health insurance coverage offered by a health maintenance organization that has the largest insured commercial, non-Medicaid enrollment of covered lives in the state;
The premium contribution per family for health insurance coverage Page 2 of 5 HB000310.100 - 1086 - XXXX 1/30/2026 9:26 AM GA UNOFFICIAL COPY 26 RS HB 3/GA available under KCHIP, which shall be based:
The premium contribution per family for health insurance coverage available under KCHIP, which shall be based:
Ten dollars ($10), to be paid by a family with income between one hundred percent (100%) to one hundred thirty- three percent (133%) of the federal poverty level;
Ten dollars ($10), to be paid by a family with income between one hundred percent (100%) to one hundred thirty-three percent (133%) of the federal poverty level;
The criteria shall be set forth in administrative regulations under KRS Chapter 13A and shall maximize Page 3 of 5 HB000310.100 - 1086 - XXXX 1/30/2026 9:26 AM GA UNOFFICIAL COPY 26 RS HB 3/GA competition among the providers and insurers.
The criteria shall be set forth in administrative regulations under KRS Chapter 13A and shall maximize competition among the providers and insurers.
Section 3.
CHAPTER 99 3 Section 3.
Page 4 of 5 HB000310.100 - 1086 - XXXX 1/30/2026 9:26 AM GA UNOFFICIAL COPY 26 RS HB 3/GA and (2) May only delay implementation of the provisions of Sections 1 and 2 of this Act for which federal authorization or approval was deemed necessary until the federal authorization or approval is granted.
and (2) May only delay implementation of the provisions of Sections 1 and 2 of this Act for which federal authorization or approval was deemed necessary until the federal authorization or approval is granted.
Page 5 of 5 HB000310.100 - 1086 - XXXX 1/30/2026 9:26 AM GA
Signed by Governor April 13, 2026.
Legislative Research Commission PDF Version
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Action History

  1. signed by Governor (Acts Ch. 99)

  2. delivered to Governor

  3. enrolled, signed by President of the Senate

  4. enrolled, signed by Speaker of the House

  5. received in House

  6. 3rd reading, passed 38-0

  7. posted for passage in the Consent Orders of the Day for Friday, March 27 2026

  8. 2nd reading, to Rules as a consent bill

  9. reported favorably, 1st reading, to Consent Calendar

  10. to Banking & Insurance (S)

  11. to Committee on Committees (S)

  12. received in Senate

  13. 3rd reading, passed 93-0

  14. posted for passage in the Regular Orders of the Day for Friday, January 30 2026

  15. 2nd reading, to Rules

  16. reported favorably, 1st reading, to Calendar

  17. to Banking & Insurance (H)

  18. to Committee on Committees (H)

  19. introduced in House

Sponsors

Sponsorship breakdown

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10 sponsors · 0 co-sponsors · 128 not signed on

Sponsors (10)

Co-sponsors (0)

None.

Not signed on (128)

128 members have not signed on to this bill.

Show all 128 →

"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

Votes

CONSENT PASSAGE OF HB 3

Passed 38 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 5000
Republican 33000
Total 38000
% of votes cast 100%0%0%0%
How each member voted (38)
Member Party Vote
Cassie Chambers Armstrong Democrat Yea
Gary Clemons Democrat Yea
Gerald A. Neal Democrat Yea
Karen Berg Democrat Yea
Keturah J. Herron Democrat Yea
Aaron Reed Republican Yea
Amanda Mays Bledsoe Republican Yea
Brandon J. Storm Republican Yea
Christian McDaniel Republican Yea
Craig Richardson Republican Yea
Danny Carroll Republican Yea
David P. Givens Republican Yea
Donald Douglas Republican Yea
Gary Boswell Republican Yea
Greg Elkins Republican Yea
Jared Carpenter Republican Yea
Jason Howell Republican Yea
Jason Nemes Republican Yea
Jimmy Higdon Republican Yea
Julie Raque Adams Republican Yea
Lindsey Tichenor Republican Yea
Matt Nunn Republican Yea
Matthew Deneen Republican Yea
Max Wise Republican Yea
Michael Meredith Republican Yea
Nick Wilson Republican Yea
Phillip Wheeler Republican Yea
Rick Girdler Republican Yea
Robby Mills Republican Yea
Robert Stivers Republican Yea
Robin L. Webb Republican Yea
Scott Madon Republican Yea
Shelley Funke Frommeyer Republican Yea
Stephen West Republican Yea
Steve Rawlings Republican Yea
Tom Smith Republican Yea
Wade Williams Republican Yea
Walker Thomas Republican Yea

Official roll call →

Pass

Passed 93 Yea · 0 Nay · 7 Other
Party YeaNayPresentNot Voting
Democrat 17003
Republican 75004
Unaffiliated 1000
Total 93007
% of votes cast 93%0%0%7%
How each member voted (100)
Member Party Vote
Lewis C — Yea
Adam Moore Democrat Yea
Adrielle Camuel Democrat Yea
Al Gentry Democrat Yea
Anne Gay Donworth Democrat Yea
Ashley Tackett Laferty Democrat Not Voting
Beverly Chester-Burton Democrat Yea
Chad Aull Democrat Yea
Daniel Grossberg Democrat Not Voting
Erika Hancock Democrat Yea
George Brown Jr. Democrat Yea
Joshua Watkins Democrat Yea
Lindsey Burke Democrat Yea
Lisa Willner Democrat Not Voting
Mary Lou Marzian Democrat Yea
Matthew Lehman Democrat Yea
Nima Kulkarni Democrat Yea
Pamela Stevenson Democrat Yea
Rachel Roarx Democrat Yea
Sarah Stalker Democrat Yea
Tina Bojanowski Democrat Yea
Aaron Thompson Republican Yea
Adam Bowling Republican Yea
Amy Neighbors Republican Yea
Bill Wesley Republican Yea
Bobby McCool Republican Yea
Candy Massaroni Republican Yea
Chris Freeland Republican Yea
Chris Fugate Republican Yea
DJ Johnson Republican Yea
Daniel Elliott Republican Yea
Daniel Fister Republican Yea
David Hale Republican Yea
David Meade Republican Yea
David W. Osborne Republican Yea
Deanna Gordon Republican Yea
Derek Lewis Republican Yea
Emily Callaway Republican Yea
Felicia Rabourn Republican Yea
J.T. Payne Republican Yea
James Tipton Republican Yea
Jared Bauman Republican Yea
Jason Nemes Republican Yea
Jason Petrie Republican Yea
Jennifer Decker Republican Yea
Jim Gooch Jr. Republican Yea
John Blanton Republican Yea
John Hodgson Republican Yea
Josh Branscum Republican Yea
Josh Bray Republican Yea
Josh Calloway Republican Yea
Ken Fleming Republican Yea
Ken Upchurch Republican Yea
Kevin Jackson Republican Yea
Kim Banta Republican Yea
Kim Holloway Republican Yea
Kim King Republican Yea
Kimberly Poore Moser Republican Yea
Marianne Proctor Republican Yea
Mark Hart Republican Not Voting
Mary Beth Imes Republican Yea
Matt Lockett Republican Yea
Matthew Koch Republican Not Voting
Michael Meredith Republican Yea
Michael Sarge Pollock Republican Yea
Mike Clines Republican Yea
Mitch Whitaker Republican Yea
Myron Dossett Republican Not Voting
Nancy Tate Republican Yea
Nick Wilson Republican Yea
Patrick Flannery Republican Yea
Peyton Griffee Republican Yea
Randy Bridges Republican Yea
Rebecca Raymer Republican Yea
Richard White Republican Yea
Robert Duvall Republican Yea
Ryan Bivens Republican Yea
Ryan Dotson Republican Yea
Samara Heavrin Republican Yea
Savannah Maddox Republican Yea
Scott Lewis Republican Yea
Scott Sharp Republican Yea
Shane Baker Republican Yea
Shawn McPherson Republican Yea
Stephanie Dietz Republican Yea
Steve Bratcher Republican Yea
Steve Riley Republican Yea
Steven Doan Republican Yea
Steven Rudy Republican Yea
Susan Witten Republican Yea
Suzanne Miles Republican Yea
T.J. Roberts Republican Yea
Thomas Huff Republican Yea
Timmy Truett Republican Yea
Tom Smith Republican Yea
Tony Hampton Republican Yea
Vanessa Grossl Republican Yea
Wade Williams Republican Yea
Walker Thomas Republican Yea
William Lawrence Republican Not Voting

Official roll call →

Subjects

healthcare health-insurance
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 3 do?
Amend KRS 205.522 and 205.6485 to require Medicaid and KCHIP to comply with pharmacy reimbursement requirements established in KRS 304.12-237; 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).
Who sponsors HB 3?
HB 3 is sponsored by Steven Rudy (Republican), David W. Osborne (Republican), Scott Lewis (Republican), DJ Johnson (Republican), Tony Hampton (Republican), Al Gentry (Democrat), Mike Clines (Republican), Beverly Chester-Burton (Democrat), Steve Bratcher (Republican), and Amy Neighbors (Republican).
What is the current status of HB 3?
This bill has been enacted into law. Introduced January 13, 2026. Enacted.
Where can I track HB 3?
Track HB 3 free on One Click Politics — get push/email alerts when it moves.

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