Senate Bill 73

Actions | Amendments
Last Action received in Senate
Title AN ACT relating to requirements for preauthorization of non-formulary prescriptions.
Bill Documents Bill
Impact Statements Health Mandate
Bill Request Number 77
Sponsor T. Buford
Summary of Original Version Amend KRS 304.17A-161 to define "preauthorization"; and create a new section of Subtitle 17A of KRS chapter 304 to establish requirements for pharmacy benefit managers to expedite the process of preauthorization of a non-formulary drug product.
Index Headings of Original Version Health and Medical Services - Preauthorization, non-formulary drugs, requirements
Insurance - Health, preauthorization of non-formulary drugs, requirements for pharmacy benefit manager
Health Benefit Mandate - Reauthorization, non-formulary drugs, requirements for pharmacy benefit managers
Insurance, Health - Preauthorization, non-formulary drugs, requirements for pharmacy benefit managers
Pharmacists - Preauthorization, non-formulary drugs, requirements for pharmacy benefit managers
Physicians and Practitioners - Preauthorization, non-formulary drugs, requirements for pharmacy benefit manager
Proposed Amendments Senate Committee Substitute 1
Senate Floor Amendment 1
House Committee Substitute 1
House Committee Amendment 1
Votes Vote History

Actions

Top | Amendments
01/13/14
  • introduced in Senate
01/15/14
  • to Banking & Insurance (S)
03/11/14
  • reported favorably, 1st reading, to Calendar with Committee Substitute
03/12/14
  • 2nd reading, to Rules
03/13/14
  • posted for passage in the Regular Orders of the Day for Friday, March 14
03/14/14
  • floor amendment (1) filed to Committee Substitute
  • 3rd reading, passed 30-4 with Committee Substitute
  • received in House
03/17/14
  • to Banking & Insurance (H)
03/24/14
  • taken from Banking & Insurance (H)
  • 1st reading
  • returned to Banking & Insurance (H)
03/25/14
  • taken from Banking & Insurance (H)
  • 2nd reading
  • returned to Banking & Insurance (H)
  • posting waived
03/26/14
  • posted in committee
  • reported favorably, to Rules with Committee Substitute, committee amendment (1-title)
  • taken from Rules
  • placed in the Orders of the Day
03/28/14
  • 3rd reading, passed 97-0 with Committee Substitute, committee amendment (1-title)
03/31/14
  • received in Senate

Proposed Amendments

Top | Actions
Amendment Senate Committee Substitute 1
Impact Statements Health Mandate
Summary Remove original provisions and require that the Pharmacy Benefit Manager contact the original prescribing physician for approval to cancel a preauthorization; adds an exemption for any scheduled drug from the provisions of this Act.
Index Headings Health and Medical Services - Preauthorization, non-formulary drugs, requirements
Insurance - Health, preauthorization of non-formulary drugs, requirements for pharmacy benefit manager
Health Benefit Mandate - Reauthorization, non-formulary drugs, requirements for pharmacy benefit managers
Insurance, Health - Preauthorization, non-formulary drugs, requirements for pharmacy benefit managers
Pharmacists - Preauthorization, non-formulary drugs, requirements for pharmacy benefit managers
Physicians and Practitioners - Preauthorization, non-formulary drugs, requirements for pharmacy benefit manager

Amendment Senate Floor Amendment 1
Sponsor J. Denton
Summary Allow the original prescribing physician to request an extension of a preauthorization; require that the Pharmacy Benefit Manager grant the extension.
Index Headings Health and Medical Services - Preauthorization, non-formulary drugs, requirements
Insurance - Health, preauthorization of non-formulary drugs, requirements for pharmacy benefit manager
Health Benefit Mandate - Reauthorization, non-formulary drugs, requirements for pharmacy benefit managers
Insurance, Health - Preauthorization, non-formulary drugs, requirements for pharmacy benefit managers
Pharmacists - Preauthorization, non-formulary drugs, requirements for pharmacy benefit managers
Physicians and Practitioners - Preauthorization, non-formulary drugs, requirements for pharmacy benefit manager

Amendment House Committee Substitute 1
Impact Statements Health Mandate
Summary Retain original provisions; add and amend KRS 304.17A-535 to require that any exceptions policy for a managed care plan shall include a process for prior approval of a drug to extend the approval for up to 30 days following expiration of the approval if requested by the prescribing provider of the drug; amend KRS 319C.010 to clarify definitions and substitute "analytic" for "analysis" where appropriate; change the name of the board that licenses practitioners of applied behavior analysis to the "Kentucky Behavior Analyst Licensing Board" and change "board" to "licensing board" in the definition list; delete the definition of "supervisee" and define "registered behavior technician" to conform to a new classification established by the national certification board; amend KRS 319C.020 to expand the behavior analysis terms that are protected by licensure; amend KRS 319C.030, 319C.040, 319C.050, 319C.060 and 319C.070 to conform to the definition changes; amend KRS 319C.080 to establish the licensing procedure and requirements for registered behavior technicians; amend KRS 319C.090 to conform to the definition changes; amend KRS 319C.100, 319C.110, 319C.120, 319C.130, and 319C.140 to conform; Sections 1 and 2 effective January 1, 2015; Sections 7 to 13 effective September 15, 2014.
Index Headings Health and Medical Services - Preauthorization, non-formulary drugs, requirements
Insurance - Health, preauthorization of non-formulary drugs, requirements for pharmacy benefit manager
Health Benefit Mandate - Reauthorization, non-formulary drugs, requirements for pharmacy benefit managers
Insurance, Health - Preauthorization, non-formulary drugs, requirements for pharmacy benefit managers
Pharmacists - Preauthorization, non-formulary drugs, requirements for pharmacy benefit managers
Physicians and Practitioners - Preauthorization, non-formulary drugs, requirements for pharmacy benefit manager

Amendment House Committee Amendment 1
Sponsor J. Greer
Summary Make title amendment.
Index Headings Health and Medical Services - Preauthorization, non-formulary drugs, requirements
Insurance - Health, preauthorization of non-formulary drugs, requirements for pharmacy benefit manager
Health Benefit Mandate - Reauthorization, non-formulary drugs, requirements for pharmacy benefit managers
Insurance, Health - Preauthorization, non-formulary drugs, requirements for pharmacy benefit managers
Pharmacists - Preauthorization, non-formulary drugs, requirements for pharmacy benefit managers
Physicians and Practitioners - Preauthorization, non-formulary drugs, requirements for pharmacy benefit manager

Last updated: 8/27/2019 6:52 PM (EDT)