SB56Introduced in the Senate
AN ACT relating to utilization controls for nonopioid analgesics in the Medicaid program.
Introduced by Gerald Neal, District 33
What does this bill do?
Plain-English breakdown
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Official description
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).
Where it stands
passed over and retained for concurrence in House Floor Amendment (1) and Floor Amendment (2-title)
April 15, 2026
How did lawmakers vote?
House votes
2 recorded votes · each counted separately
Senate votes
1 recorded vote · each counted separately
HouseStage: House: Veto Override RCS# 495 · April 15, 2026
82
Yes
9
No
9
Absent or Not Voting
100 representatives recorded in this House vote. Colors show vote categories only, not whether a vote was good or bad.
See how each representative voted
| Representative | District | Vote |
|---|---|---|
| Steven Rudy | 1 | Yes |
| Kimberly Holloway | 2 | Absent |
| Randy Bridges | 3 | Yes |
| Wade Williams | 4 | Yes |
| Mary Imes | 5 | Yes |
| Chris Freeland | 6 | Yes |
| Suzanne Miles | 7 | Yes |
| Walker Thomas | 8 | Yes |
| Myron Dossett | 9 | Yes |
| Josh Calloway | 10 | Absent |
Bill history
introduced in Senate
to Committee on Committees (S)
to Health Services (S)
reported favorably, 1st reading, to Calendar
2nd reading, to Rules
posted for passage in the Regular Orders of the Day for Wednesday, February 25 2026
passed over and retained in the Orders of the Day
passed over and retained in the Orders of the Day
3rd reading, passed 35-0
received in House
to Committee on Committees (H)
to Health Services (H)
reported favorably, 1st reading, to Calendar
2nd reading, to Rules
posted for passage in the Regular Orders of the Day for Wednesday, March 25 2026
floor amendments (1) and (2-title) filed
floor amendments (3) and (4-title) filed
3rd reading, passed 82-9 with Floor Amendment (1) and Floor Amendment (2-title)
received in Senate
to Rules (S)
posted for passage for concurrence in House Floor Amendments (1) and (2-title)
passed over and retained for concurrence in House Floor Amendment (1) and Floor Amendment (2-title)
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