Kentucky
General Assembly

02/06/13	introduced in Senate
02/11/13	to Judiciary (S)
02/12/13	reassigned to Health & Welfare (S)
02/13/13	reported favorably, 1st reading, to Calendar
02/14/13	2nd reading, to Rules
02/22/13	floor amendment (1) filed
02/25/13	floor amendment (2) filed
02/27/13	recommitted to Health & Welfare (S) reported favorably, to Rules with Committee Substitute placed in the Orders of the Day 3rd reading, passed 37-0 with Committee Substitute
02/28/13	received in House
03/04/13	to Banking & Insurance (H) posted in committee
03/05/13	taken from Banking & Insurance (H) 1st reading returned to Banking & Insurance (H)
03/06/13	reported favorably, 2nd reading, to Rules taken from Rules placed in the Orders of the Day Thursday, March 7, 2013
03/07/13	3rd reading, passed 96-0 received in Senate enrolled, signed by President of the Senate
03/11/13	enrolled, signed by Speaker of the House delivered to Governor
03/22/13	signed by Governor (Acts Chapter 109)

Amendment	Senate Committee Substitute 1
Summary	Delete original provisions; create a new section of Subtitle 17A of KRS Chapter 304 to define terms, including the definition of "contracted pharmacy" that requires that the contracted pharmacy be located in Kentucky; require contracts between PBMs and pharmacies to include sources used by the PBM to calculate the drug product reimbursement; require a process that will appeal, investigate, and resolve disputes; specify length of time to raise an appeal and to investigate and resolve it; require that the national drug code of a drug that can be purchased by the contracted pharmacy at or below the MAC cost be provided when an appeal is denied, require that a process for retroactive reimbursements be included in PBM and pharmacy contracts within one year; require the PBM to include national drug pricing compendia or sources used to obtain drug price data when a MAC is established for a drug; require the drugs subject to MAC and the MAC for each drug be provided to each contracted pharmacy; require review and necessary adjustments to the MAC at least every 14 days; require weekly updates to the list of drugs subject to the MAC.
Index Headings	Drugs and Medicines - Pharmacy benefit managers, requirements for Health and Medical Services - Pharmacy benefit managers, requirements for Hospitals and Nursing Homes - Pharmacy benefit managers, requirements for Pharmacists - Pharmacy benefit managers, requirements for Physicians and Practitioners - Pharmacy benefit managers, requirements for

Amendment	Senate Floor Amendment 1
Sponsor	J. Denton
Summary	Retain original provisions, except remove the requirement to disclose the methodology to determine the MAC, extend the requirement to review the MAC to once every two weeks, require appeals to be completed within 10 days, and require that the national drug code of a drug that can be purchased by the contracted pharmacy at or below the MAC cost be provided when an appeal is denied.
Index Headings	Drugs and Medicines - Pharmacy benefit managers, requirements for Health and Medical Services - Pharmacy benefit managers, requirements for Hospitals and Nursing Homes - Pharmacy benefit managers, requirements for Pharmacists - Pharmacy benefit managers, requirements for Physicians and Practitioners - Pharmacy benefit managers, requirements for

Amendment	Senate Floor Amendment 2
Sponsor	J. Higdon
Summary	Retain original provisions, except remove the requirement to disclose the methodology to determine the MAC; extend the requirement to review the MAC to once every two weeks; require appeals to be completed within 10 days; require that the national drug code of a drug that can be purchased by the contracted pharmacy at or below the MAC cost be provided when an appeal is denied.
Index Headings	Drugs and Medicines - Pharmacy benefit managers, requirements for Health and Medical Services - Pharmacy benefit managers, requirements for Hospitals and Nursing Homes - Pharmacy benefit managers, requirements for Pharmacists - Pharmacy benefit managers, requirements for Physicians and Practitioners - Pharmacy benefit managers, requirements for