Senate Bill 107

Actions | Amendments
Last Action signed by Governor (Acts Chapter 109)
Title AN ACT relating to pharmacy benefit managers.
Bill Documents Bill
Bill Request Number 863
Sponsors J. Denton, W. Blevins Jr., D. Harper Angel, J. Higdon, J. Rhoads, J. Turner
Summary of Original Version Create a new section of Subtitle 17A of KRS Chapter 304 to define the terms "contracted pharmacy," "drug product reimbursement," and "pharmacy benefit manager"; require a pharmacy benefit manager to include the methodology used to calculate drug product reimbursements; establish certain requirements when a maximum allowable cost is used to determine a drug product reimbursement, including information identifying the national drug pricing compendia or source used to obtain the drug price, making the list of drugs subject to the MAC, and reviewing and making adjustments to the maximum allowable cost at least once per week; make those weekly updates available to contracted pharmacies; and provide a process for the MAC to be appealed.
Index Headings of Original Version 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
Proposed Amendments Senate Committee Substitute 1
Senate Floor Amendment 1
Senate Floor Amendment 2
Votes Vote History

Actions

Top | Amendments
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)

Proposed Amendments

Top | Actions
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

Last updated: 8/27/2019 7:53 PM (EDT)