Last Action | signed by Governor (Acts ch. 134) |
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Title | AN ACT relating to step therapy. |
Bill Documents |
Bill
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Impact Statements | Health Mandate |
Bill Request Number | 1316 |
Sponsor | J. Denton |
Summary of Original Version | Create a new section of Subtitle 17A of KRS Chapter 304 to define "step therapy," "fail-first protocol," and "override of the restriction"; establish step therapy or fail-first protocol limitations; require override of restriction within 48 hours of request if based on sound clinical evidence that the preferred treatment has been ineffective or based on sound clinical evidence or medical and scientific evidence that the preferred treatment will be ineffective for the insured or will cause or will likely cause an adverse reaction to the insured. |
Index Headings of Original Version |
Health Benefit Mandate - Prescription drugs, step therapy or fail-first protocol, limitation Health and Medical Services - Prescription drugs, step therapy or fail-first protocol, limitation Insurance - Health, prescription drug step therapy or fail-first protocol, limitation Insurance, Health - Prescription drugs, step therapy or fail-first protocol, limitation |
Proposed Amendments | Senate Committee Substitute 1 |
Votes | Vote History |
01/24/12 |
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01/26/12 |
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02/01/12 |
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02/02/12 |
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02/07/12 |
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02/08/12 |
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02/14/12 |
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02/15/12 |
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02/16/12 |
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02/21/12 |
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03/26/12 |
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03/27/12 |
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03/28/12 |
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03/29/12 |
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03/30/12 |
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04/11/12 |
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Amendment | Senate Committee Substitute 1 |
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Impact Statements | Health Mandate |
Summary | Retain original provisions; establish that an override of restriction for a medication shall be within 48 hours if all necessary information to perform the override review has been provided and documented. |
Index Headings |
Health Benefit Mandate - Prescription drugs, step therapy or fail-first protocol, limitation Health and Medical Services - Prescription drugs, step therapy or fail-first protocol, limitation Insurance - Health, prescription drug step therapy or fail-first protocol, limitation Insurance, Health - Prescription drugs, step therapy or fail-first protocol, limitation |
Last updated: 8/27/2019 8:05 PM (EDT)