02RS HB819

HB819

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HB 819 (BR 2532) - S. Westrom, P. Bather, C. Belcher, S. Brinkman, T. Burch, L. Clark, P. Clark, R. Damron, J. Gooch, J. Haydon, B. Heleringer, D. Horlander, J. Jenkins, M. Marzian, J. Reinhardt, D. Sims, G. Stumbo, M. Weaver

     AN ACT relating to prescription drugs for seniors and Medicare beneficiaries and making an appropriation therefor.
     Create new sections of KRS 205.510 to 205.645 to require the Department for Medicaid Services to apply for a Medicaid waiver to provide outpatient prescription drug coverage to seniors and Medicare beneficiaries with incomes at or below two hundred percent (200%) of the federal poverty level, contingent on availability of state matching funds; create the Kentucky Prescription Drug Program for Seniors and Medicare Beneficiaries; establish eligibility and cost-sharing components of the program; provide for flexibility to limit the number of participants and to modify the copayment; require the Cabinet for Health Services to market the program and report cost and utilization data to the Legislative Research Commission; establish an agency and trust fund for the Kentucky Prescription Drug Program for Seniors and Medicare Beneficiaries; direct the Legislative Research Commission to establish a twelve-member task force to study strategies to create and fund a prescription drug program for seniors; require a final report no later than November 30, 2002; appropriate $25 million dollars for fiscal year 2002-2003 and fiscal year 2003-2004; exclude seniors enrolled in a prescription drug program if created by the federal government; and permit use of unexpended funds to be used to expand community based services for seniors.

HB 819 - AMENDMENTS


     HCS - Retain original provisions except decrease the income eligibility for the prescription drug program for seniors and Medicare beneficiaries from two hundred percent (200%) to one hundred fifty percent (150%) of the federal poverty guidelines; increase copayment amounts to twenty percent (20%) of the cost of the drug and authorize the Department for Medicaid Services to require additional copayments; set a limit on the prescription benefit at $2,000 instead of increasing the copayment amount after the expenditures have reached a certain threshold; limit the manufacturer rebates received under the prescription drug program for seniors and Medicare beneficiaries to the amount required under federal law and require that the state portion of these rebates be invested in the drug program for seniors and Medicare beneficiaries; establish reimbursement requirements for pharmacies; require the waiver application to be submitted to the Legislative Research Commission, the Interim Joint Committee on Health and Welfare, and the Medicaid Managed Care Oversight Advisory Committee 30 days prior to being submitted to the Centers for Medicare and Medicaid Services; delete marketing requirements; delete the requirement that the task force study strategies to create and fund prescription drug coverage for seniors; and delete the appropriation.

     HCA (1/Title, S. Westrom) - Make title amendment.

     HFA (1/Title, S. Nunn) - Make title amendment.

     HFA (2, S. Nunn) - Amend to provide for prescription drug coverage for all low income Kentucky residents, rather than just individuals over age 65 and Medicare recipients.

     HFA (3, G. Stumbo) - Retain original provisions; provide funds for prescription drug fund from a prescription drug fund fee of one-half cent ($0.005) on each container and fast food beverage cup, as defined in the bill; provide for fee to be to be collected by the Revenue Cabinet.

     Mar 1-introduced in House
     Mar 4-to Health and Welfare (H)
     Mar 11-posting waived; posted in committee
     Mar 14-reported favorably, 1st reading, to Calendar with Committee Substitute, committee amendment (1-title)
     Mar 15-2nd reading, to Rules; posted for passage in the Regular Orders of the Day for Monday, March 18, 2002; floor amendment (1-title) filed
     Mar 27-floor amendment (3) filed to Committee Substitute
     Apr 1-recommitted to Appropriations and Revenue (H)


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