---
type: "Bill"
title: "AN ACT relating to prior authorization."
description: "AN ACT relating to prior authorization."
jurisdiction: "us/states/ky"
legislature: "Kentucky General Assembly"
session: "2019RS"
identifier: "SB 54"
citation: "Kentucky SB 54 (2019RS)"
classification: ["bill"]
subjects: ["Health and Medical Services", "Insurance", "Health", "Local Government", "Pharmacists", "Physicians and Practitioners", "State Agencies", "Medicaid", "Unified Local Governments", "Administrative Regulations and Proceedings", "Cities", "Counties", "Boards and Commissions", "Health Benefit Mandate"]
status: "enacted"
primary_sponsors: ["B. Rowland", "D. Carroll", "R. Alvarado", "R. Alvarado", "S. Meredith"]
version_count: 1
action_count: 24
vote_count: 0
first_action: "2018-12-14T05:00:00+00:00"
last_action: "2019-03-26T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/0c514c84-6036-4720-ad1d-52214a49b39b"
source_url: "https://apps.legislature.ky.gov/record/19RS/sb54.html"
source_hash: "f32e58b96f453edf3581e7eceeee10e269e8195802bb262aef797ef4596c36d4"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ky"]
---

# Kentucky SB 54 (2019RS) — AN ACT relating to prior authorization.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Current/Final** (committee substitute) — [source](https://apps.legislature.ky.gov/recorddocuments/bill/19RS/sb54/bill.pdf)

## Sponsors

- B. Rowland — primary (person)
- D. Carroll — primary (person)
- R. Alvarado — primary (person)
- R. Alvarado — primary (person)
- S. Meredith — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2018-12-14T05:00:00+00:00** Prefiled by the sponsor(s).
- **2019-01-08T05:00:00+00:00** introduced in Senate `introduction`
- **2019-01-09T05:00:00+00:00** to Banking & Insurance (S) `referral-committee`
- **2019-02-19T05:00:00+00:00** reported favorably, 1st reading, to Calendar with Committee Substitute (1)
- **2019-02-19T05:00:00+00:00** floor amendment (1) filed to Committee Substitute `amendment-introduction`
- **2019-02-20T05:00:00+00:00** 2nd reading, to Rules `reading-2`
- **2019-02-21T05:00:00+00:00** posted for passage in the Regular Orders of the Day for Thursday, February 21, 2019
- **2019-02-21T05:00:00+00:00** 3rd reading, passed 33-1 with Committee Substitute (1) and floor amendment (1) `reading-3`
- **2019-02-22T05:00:00+00:00** received in House
- **2019-02-25T05:00:00+00:00** to Banking & Insurance (H) `referral-committee`
- **2019-02-25T05:00:00+00:00** posted in committee
- **2019-02-27T05:00:00+00:00** reported favorably, 1st reading, to Calendar with Committee Substitute (1)
- **2019-02-28T05:00:00+00:00** 2nd reading, to Rules `reading-2`
- **2019-02-28T05:00:00+00:00** floor amendment (1) filed to Committee Substitute `amendment-introduction`
- **2019-03-06T05:00:00+00:00** posted for passage in the Regular Orders of the Day for Thursday, March 7, 2019
- **2019-03-12T04:00:00+00:00** 3rd reading, passed 97-1 with Committee Substitute (1) and floor amendment (1) `reading-3`
- **2019-03-13T04:00:00+00:00** received in Senate
- **2019-03-13T04:00:00+00:00** posted for passage for concurrence in House Committee Substitute (1) and floor amendment (1) on Wednesday, March 13, 2019
- **2019-03-13T04:00:00+00:00** Senate concurred in House Committee Substitute (1) and floor amendment (1)
- **2019-03-13T04:00:00+00:00** Bill passed 37-0
- **2019-03-14T04:00:00+00:00** enrolled, signed by President of the Senate
- **2019-03-14T04:00:00+00:00** enrolled, signed by Speaker of the House
- **2019-03-14T04:00:00+00:00** delivered to Governor
- **2019-03-26T04:00:00+00:00** signed by Governor (KY Acts ch. 190) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0c514c84-6036-4720-ad1d-52214a49b39b`. Confidence: reported (aggregated from official Kentucky legislature records).