Kentucky healthcare regulations: new and proposed rules

Amendment to pharmacist legend drug repository program regulations affecting prescription practices and therapeutic substitution.

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Amends hospital pharmacy services regulation under KRS 315.010, 315.020, 315.030, 315.121.

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Amends PASRR requirements for nursing facilities, removing Level II evaluation mandate and updating mental illness definitions.

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Amends pharmacy technician regulation under KRS 315.135/136, clarifying scope of practice duties.

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Defines automated pharmacy systems, institutional pharmacy requirements, and drug handling.

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Rule amending requirements for clinical supervision experience, supervisor qualifications, and continuing education.

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Rule amendment lowering minimum raw data requirement and clarifying clinical supervision must occur while associate holds valid permit.

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Rule on inactive license status and relicensure requirements for pharmacists in Kentucky.

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Rule on pharmacist formulary-driven therapeutic substitution procedures and prescriber notification requirements.

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Sets pharmacy administration, director qualifications, pharmacist responsibilities, and staffing requirements.

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Updates nursing facility level of care requirements and reimbursement procedures affecting 286 Kentucky nursing facilities.

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Emergency rule establishing definitions and criteria for Department of Corrections reimbursement of medical, dental, and psychological care for state inmates in county jails.

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Emergency rule establishing supportive personnel training, emergency drug protocols, and availability.

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Emergency rule expanding pharmacy technician functions including vaccine administration and compounding.

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Emergency rule governing drug distribution, dispensing, medication profiles, and labeling.

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Emergency rule governing medication administration procedures and hospital floor stock management.

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Emergency rule regulating emergency drugs, investigational drugs, controlled substances, and compounding.

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Emergency rule regulating pharmacy personnel duties, supervision, drug procurement, and procedures.

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Establishes drug recall systems, sample medications, emergency drug protocols, investigational drug procedures.

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Establishes unit dose distribution, stop orders, drug administration, and unused medication policies.

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Amendment clarifying pharmacy technician activities in automated pharmacy systems within hospital settings.

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Defines high-intensity rehabilitation services covered under Medicaid nursing facility care including therapy and specialized services.

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Proposed rule amending Medicaid nursing facility and intermediate care facility payment and admission criteria.

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Proposed rule establishing clinical supervision documentation, requirements, and board determinations for supervised practice.

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Proposed rule establishing clinical supervision requirements and standards for marriage and family therapist associates and supervisors.

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Proposed rule establishing disciplinary procedures and notification requirements for marriage and family therapist regulatory board.

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Proposed rule establishing licensure and continuing education requirements for marriage and family therapists, a regulated healthcare profession.

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Proposed rule on pharmacy technician registration and application requirements; public comment period through November 30, 2026.

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Amendment to preadmission screening and resident review program for nursing facility admissions under Medicaid.

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Establishes Medicaid nursing facility participation requirements including staffing, bed capacity, and equipment standards.

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Establishes personnel qualifications for stocking automated pharmacy systems with machine-readable identifiers.

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Establishes professional dispensing fee reimbursement by insurers and pharmacy benefit managers to Kentucky pharmacies.

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Establishes rational drug therapy, pharmacist committee membership, patient education, automated system responsibilities.

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Establishes scope of practice for registered pharmacy technicians under pharmacist supervision.

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Establishes tiered pharmacy technician competency levels and delegated pharmacist duties.

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Establishes transfer trauma criteria and reassessment requirements for Medicaid recipients remaining in nursing facilities.

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Excludes certain care needs from low-intensity patient status and establishes ICF-IID eligibility criteria under Medicaid.

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Fiscal impact analysis for pharmacy technician regulation affecting regulated entities.

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Fiscal impact assessment for Kentucky Board of Pharmacy administrative regulation under KRS 217.822.

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Governs discharge requirements and specialized services for nursing facility residents with serious mental illness.

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Impacts nursing facility compliance procedures for increased reimbursable bed days and rate changes under Medicaid.

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Notice describing pharmacy-related regulation amendment and compliance requirements for pharmacists.

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Notice detailing operational flexibility and potential cost savings for hospital pharmacies under amendment.

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Notice establishing procedural requirements for pharmacists to dispense therapeutic equivalent drug products.

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Notice of proposed rule on prescription drug dispensing for formulary compliance by pharmacists.

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Regulates automated pharmacy system validation, quality assurance, security, and board notification requirements.

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Regulates packaging, labeling, medication quarantine, and repackaging procedures for automated pharmacy systems.

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Requires electronic records of all automated pharmacy system transactions and audit trails.

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Requires nursing facilities to update PASRR evaluation policies affecting 286 facilities and 15,000 waiver program participants.

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Requires pharmacy permits and pharmacist designation for drug repackaging and relabeling.

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Rule fiscal impact analysis showing $16.31 dispensing fee will exceed $500,000 in costs to health plans and PBMs.

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