Last Action | received in Senate |
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Title | AN ACT relating to requirements for preauthorization of non-formulary prescriptions. |
Bill Documents |
Bill
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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 |
01/13/14 |
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01/15/14 |
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03/11/14 |
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03/12/14 |
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03/13/14 |
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03/14/14 |
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03/17/14 |
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03/24/14 |
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03/25/14 |
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03/26/14 |
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03/28/14 |
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03/31/14 |
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Amendment | Senate Committee Substitute 1 |
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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 |
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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 |
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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 |
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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)