After the 1992 amendment, the Lieutenant Governor was stripped of all duties relating to the Senate.
The last President pro tempore to serve as the highest-ranking member of the Kentucky Senate was John "Eck" Rose.
He continued as President of the Kentucky Senate once that office was established.
The office of President pro tempore continued in existence as, nominally, the second highest ranking position in the body, though as a practical matter the Majority Leader usually wielded more influence and power in the chamber.
Before and after the creation of the office of President of the Kentucky Senate, the Senate President pro tempore served as a member of the Legislative Research Commission.