00RS HB598


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HB 598/FN (BR 2005) - M. Marzian, E. Jordan, C. Miller, S. Riggs

     AN ACT relating to health insurance.
     Amend KRS 18A.225 to require the health insurance coverage for state employees to provide a mail-order drug option; require drug formulary changes to be filed with and approved by the commissioner of the Department of Insurance; restrict changes to drug formularies to quarterly changes; require insurers to provide the reason for drug formulary changes; require insurers to give at least 30 days notice of formulary changes approved by the commissioner to affected insureds in established treatment regimes involving maintenance drugs; permit the commissioner to grant exceptions to individuals to approved formulary changes under certain circumstances.


     HCS/FN - Retain original provisions except require insurer to maintain a formulary listing with Personnel Cabinet; prohibit any changes to the formulary unless changes filed with Personnel Cabinet; limit deletions from the formulary to a quarterly schedule; require notice to insured on maintenance drugs and permit waiver of the time frame for the notice when safety of the insured is at risk; permit appeal regarding formulary changes through the Personnel Cabinet.
     HFA (1, S. Nunn) - Provide that health insurance policies for state employees shall require the policyholder to pay the same co-pay for the purchase of the same quantity of drugs regardless of whether the purchase is made through the mail order option or at a retail pharmacy.
     HFA (2, R. Damron) - Require a pharmacy as a condition of participating in the state employee mail order drug option to demonstrate to the Secretary of the Finance and Administration Cabinet compliance with all requirements of KRS Chapters 315, 217, and 218A.

     Feb 7-introduced in House
     Feb 8-to Banking and Insurance (H)
     Feb 9-posted in committee
     Feb 17-reassigned to Health and Welfare (H)
     Feb 23-posted in committee
     Feb 29-reported favorably, 1st reading, to Calendar with Committee Substitute
     Mar 1-2nd reading, to Rules; posted for passage in the Regular Orders of the Day for Thursday, March 2, 2000
     Mar 3-floor amendments (1) and (2) filed to Committee Substitute
     Mar 6-3rd reading; Committee Substitute adopted; floor amendments (1) and (2) adopted ; defeated 43-54

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