republic-os/legislation/us/states/ky/2024rs/hb-190.md

---
type: "Bill"
title: "AN ACT relating to pharmacy benefits."
description: "Amend KRS 304.17A-164 to prohibit insurers, pharmacy benefit managers, and other pharmacy benefit administrators from requiring or incentivizing the use of a mail-order pharmaceutical distributor; amend KRS 304.17C-125, 304.38A-115, 18A.225, and 164.2871 to apply provisions of amended KRS 304.17A-164 to limited health service benefit plans, including limited health service contracts, limited health service organizations, the state employee health plan, and postsecondary educational institution self-insured group health plans; repeal 304.38A-120, relating to assignment of certain benefits under limited health service organization plans, to consolidate like provisions; make technical corrections; EFFECTIVE January 1, 2025."
jurisdiction: "us/states/ky"
legislature: "Kentucky General Assembly"
session: "2024RS"
identifier: "HB 190"
citation: "Kentucky HB 190 (2024RS)"
classification: ["bill"]
subjects: ["Actuarial Analysis", "Drugs and Medicines", "Education", "Higher", "Effective Dates", "Delayed", "Health Benefit Mandate", "Insurance", "Health", "Local Mandate", "Pharmacists", "State Employees", "Technical Corrections"]
status: "enacted"
primary_sponsors: ["S. Sharp"]
version_count: 3
action_count: 28
vote_count: 4
first_action: "2024-01-08T05:00:00+00:00"
last_action: "2024-04-18T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/3f26c092-2944-4fda-aa77-1fdfdd26db5d"
source_url: "https://apps.legislature.ky.gov/record/24RS/hb190.html"
source_hash: "8d864c75ef774c78e45722331e2c070bc14f967805e956d288589bd2b44ad7cd"
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 HB 190 (2024RS) — AN ACT relating to pharmacy benefits.

Amend KRS 304.17A-164 to prohibit insurers, pharmacy benefit managers, and other pharmacy benefit administrators from requiring or incentivizing the use of a mail-order pharmaceutical distributor; amend KRS 304.17C-125, 304.38A-115, 18A.225, and 164.2871 to apply provisions of amended KRS 304.17A-164 to limited health service benefit plans, including limited health service contracts, limited health service organizations, the state employee health plan, and postsecondary educational institution self-insured group health plans; repeal 304.38A-120, relating to assignment of certain benefits under limited health service organization plans, to consolidate like provisions; make technical corrections; EFFECTIVE January 1, 2025.

## Version chain

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

1. **Introduced** (filed) — [source](https://apps.legislature.ky.gov/recorddocuments/bill/24RS/hb190/orig_bill.pdf)
2. **Acts Chapter 213** (committee substitute) — [source](https://apps.legislature.ky.gov/law/acts/24RS/documents/0213.pdf)
3. **Current/Final** (committee substitute) — [source](https://apps.legislature.ky.gov/recorddocuments/bill/24RS/hb190/bill.pdf)

## Votes

- PASS HB 190 W/ scs1 — **pass** (pass) · lower
- PASS HB 190 — **pass** (pass) · lower
- Pass — **pass** (pass) · lower
- Final Passage — **pass** (pass) · lower

## Sponsors

- S. Sharp — primary (person)

## Timeline

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

- **2024-01-08T05:00:00+00:00** introduced in House `introduction`
- **2024-01-08T05:00:00+00:00** to Committee on Committees (H) `referral-committee`
- **2024-02-15T05:00:00+00:00** to Health Services (H) `referral-committee`
- **2024-03-07T05:00:00+00:00** reported favorably, 1st reading, to Calendar with Committee Substitute (1) `committee-passage`
- **2024-03-08T05:00:00+00:00** 2nd reading, to Rules `reading-2`
- **2024-03-08T05:00:00+00:00** posted for passage in the Regular Orders of the Day for Monday, March 11, 2024
- **2024-03-12T04:00:00+00:00** 3rd reading, passed 96-0 with Committee Substitute (1) `passage, reading-3`
- **2024-03-13T04:00:00+00:00** received in Senate
- **2024-03-13T04:00:00+00:00** to Committee on Committees (S) `referral-committee`
- **2024-03-28T04:00:00+00:00** taken from Committee on Committees (S)
- **2024-03-28T04:00:00+00:00** 1st reading `reading-1`
- **2024-03-28T04:00:00+00:00** returned to Committee on Committees (S)
- **2024-04-12T04:00:00+00:00** to Banking & Insurance (S) `referral-committee`
- **2024-04-12T04:00:00+00:00** taken from Banking & Insurance (S)
- **2024-04-12T04:00:00+00:00** 2nd reading `reading-2`
- **2024-04-12T04:00:00+00:00** returned to Banking & Insurance (S)
- **2024-04-15T04:00:00+00:00** reported favorably, to Rules with Committee Substitute (1) as a consent bill `committee-passage`
- **2024-04-15T04:00:00+00:00** posted for passage in the Consent Orders of the Day for Monday, April 15, 2024
- **2024-04-15T04:00:00+00:00** 3rd reading, passed 38-0 with Committee Substitute (1) `passage, reading-3`
- **2024-04-15T04:00:00+00:00** received in House
- **2024-04-15T04:00:00+00:00** to Rules (H) `referral-committee`
- **2024-04-15T04:00:00+00:00** posted for passage for concurrence in Senate Committee Substitute (1)
- **2024-04-15T04:00:00+00:00** House concurred in Senate amendment Committee Substitute (1)
- **2024-04-15T04:00:00+00:00** passed 92-0 `passage`
- **2024-04-15T04:00:00+00:00** enrolled, signed by Speaker of the House `passage`
- **2024-04-15T04:00:00+00:00** enrolled, signed by President of the Senate `passage`
- **2024-04-15T04:00:00+00:00** delivered to Governor
- **2024-04-18T04:00:00+00:00** signed by Governor (Acts Ch. 213) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/3f26c092-2944-4fda-aa77-1fdfdd26db5d`. Confidence: reported (aggregated from official Kentucky legislature records).