Create a new section of KRS Chapter 205 to define terms; require the secretary of the Cabinet for Health and Family Services to request a waiver from the United States Department of Agriculture to exclude certain foods from being purchased using Supplemental Nutrition Assistance Program benefits; require the request to be submitted annually until a waiver is granted if instructed by the General Assembly.

Create a new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to cover epinephrine devices for covered persons; limit a covered person's cost-sharing amount to $100 annually; amend KRS 304.17A-099 to exempt the epinephrine device coverage requirement from being suspended under state law due to the triggering of federal cost defrayment requirements; amend KRS 205.522, 205.6485,164.2871, and 18A.225 to require Medicaid, KCHIP, self-insured employer group health plans offered by the governing board of a state postsecondary education institution, and the state employee health plan to comply with the epinephrine device coverage requirement; provide that various sections apply to health benefit plans issued or renewed on or after January 1, 2026; require the Department of Insurance to determine whether the epinephrine devices coverage requirement would be in addition to essential health benefits required under federal law; require the Department of Insurance to obtain federal approval, if necessary; require the Cabinet for Health and Family Services or the Department for Medicaid Services to obtain federal approval, if necessary, and comply with notice requirements; EFFECTIVE, in part, January 1, 2026.

Amend KRS 311.840 to define terms; amend KRS 311.842, 311.848, 311.850 311.862, 202A.011, 202C.010, 216B.175, and 600.020 to change references to "supervising physician" to "collaborating physician" to conform; amend KRS 311.858 to list the services a physician assistant may provide, and require a physician assistant to consult and collaborate with or refer a patient to an appropriate licensed physician as indicated by the patient's condition and the standard of care; create a new section of KRS Chapter 311 to establish requirements for a collaboration agreement between a collaborating physician and a physician assistant; amend KRS 218A.202 to conform; repeal KRS 311.854, 311.856, and 311.860, relating to supervising physicians.

Amend KRS 18A.005 to define "intern employee" and "intern position"; amend KRS 18A.050 to require a member of the Personnel Board to vacate his or her position or have the board terminate his or her position if he or she separates from the classified service; amend KRS 18A.0751 to no longer require the Personnel Board to promulgate administrative regulations pertaining to employee fines or employee reemployment after a layoff; amend KRS 18A.110 to allow the secretary of the Personnel Cabinet to promulgate administrative regulations to implement scholarship programs, internship programs, education programs, and educational assistance programs for employees; allow the secretary of the Personnel Cabinet to promulgate administrative regulations for the classified service governing layoffs, furloughs, and reduction of hours to include, but not be limited to reemployment of laid-off employees; amend KRS 18A.113 to provide that in the same department or office, county, and job classification, intern, interim and probationary employees shall be terminated before full-time and part-time employees with status are laid off; amend KRS 18A.115 to permit members and employees of boards and commissions exempt from the classified service to employ staff subject to the provisions of KRS 18A.005 to 18A.200, 18A.202, and 18A.203; exempt juvenile institution superintendents from the classified service; amend KRS 18A.125 to require all agencies and employees for which the Personnel Cabinet administers payroll to comply with the secretary's payroll administration; prohibit an executive branch agency for which the cabinet administers payroll from authorizing work performance outside of the Commonwealth without approval from the secretary; allow an agency to request the secretary deduct certain items from an employee's final paycheck so long as the deduction is expressly authorized in writing and does not reduce the employee's pay below the federal minimum wage; amend KRS 18A.135 to direct when reemployment rights expire; amend KRS 18A.197 and 18A.203 to permit an employee who has provided proper notice of resignation or retirement to transfer all or part of their remaining sick or annual leave balance even if they have accumulated under 75 hours of sick or annual leave; amend KRS 18A.035, 18A.095, 18A.100, 18A.355, 132.370, and 163.032 to conform and make technical corrections.

Commemorating Senator Keturah Herron on being the second African American woman to serve in the Kentucky Senate.

Amend KRS 205.558 to add gender-neutral language.

Amend KRS 620.050 to allow identified persons or entities to have access to confidential information related to child dependency, neglect, and abuse reports for the purpose of a bona fide research, quality improvement, or evaluation project; establish criteria.

Amend KRS 336.130 to delete references restricting rights of public employees to organize, associate collectively, or strike; amend KRS 336.180 to redefine "labor organization" and delete definitions of "candidate," "committee," "contributing organization," "contribution," "election," "electioneering communications," "employer," "fundraiser," "independent expenditure," "political activities," "public employee," "slate of candidates," and "testimonial affair"; amend KRS 336.990 to conform; amend KRS 67A.6904 to allow urban-county governments to make an agreement with a labor organization to require membership in the organization as a condition of employment; amend KRS 67C.406 to allow consolidated local governments to make an agreement with a labor organization to require membership in the organization as a condition of employment; amend KRS 70.262, 78.470, and 78.480 to remove exceptions; amend KRS 345.050 to allow public employers to make an agreement with a labor organization to require membership in the organization as a condition of employment; amend KRS 336.1341 and 336.135 to conform; repeal KRS 65.016, 336.132, and 336.134.

Amend KRS 172.100 and 172.200, relating to county law libraries, to ensure that law library funds can be expended for subscriptions to computer-assisted legal research, internet access, and computers and related equipment.

Create a new section of KRS Chapter 13A to nullify two administrative regulations relating to Medicaid services after those administrative regulations were found deficient during the 2024 legislative interim; EMERGENCY.

Amend KRS 158.1415 to remove provisions related to parental rights and courses, curriculums, or programs on human sexuality; provide for a process for parents to opt out of their child receiving instruction on the subject of human sexuality; amend KRS 158.191 to remove language limiting Kentucky Board of Education or Department of Education policies regarding student confidential information and the use of pronouns; require a local school district to use pronouns for students upon a request from a parent along with a note from a medical provider diagnosing the child with gender dysphoria; remove language concerning parental consent for well-being questionnaires or assessments or a health screening; amend KRS 158.189 to make findings about children and young adults desiring individual privacy; require a school to provide an accommodation to any student who requests an area of individual privacy in restrooms, locker rooms, and shower rooms, regardless of biological sex or gender identity; require school officials to provide an accommodation for individual privacy for children whose gender is different from his or her biological sex and who have a note from a medical provider diagnosing the child with gender dysphoria; permit alternate accommodations upon the parent's request; amend KRS 311.372 to prohibit surgical or medical treatment of a child under the age of 18 years for gender dysphoria, and any nonsurgical medical treatment without the consent of the child's parent or legal guardian; require that the provision of nonsurgical medical treatment to a child under the age of 18 years apply only to a child with a medical diagnosis from a mental health care provider and by a trained and experienced health care provider in collaboration with a clinical psychologist or psychiatrist using only appropriate nonsurgical medical treatments approved by the United States Food and Drug Administration for adolescents and that meet evidence-based medical standards.

Recognize and support the Kentucky Science & Technology Corporation, the University of Kentucky, and the University of Louisville for their accepted preliminary proposals for funding from the National Science Foundation's Regional Innovation Engines program.

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 to seek federal approval if it is determined that such approval is necessary; and require the cabinet to comply with KRS 205.525.

Amend KRS 16.220 to permit the destruction of confiscated firearms; require destruction if the firearm was used in the commission of a violent offense; amend KRS 500.090 and 500.093 to conform.

Amend KRS 610.050 to add gender-neutral language.