| Last Action | to Appropriations & Revenue (S) |
|---|---|
| Title | AN ACT relating to pharmacy benefits. |
| Bill Documents |
Bill
|
| Impact Statements |
Fiscal Note
Health Mandate |
| Bill Request Number | 1739 |
| Sponsors | J. Greer, C. Howard, R. Huff, M. King, T. McKee, M. Meredith, T. Mills, R. Nelson, D. Schamore, F. Steele, T. Thompson, B. Yonts |
| Summary of Original Version | Amend KRS Chapter 304.17A-165 to prohibit insurers from requiring the use of mail-order pharmacies, except for specialty drugs which cannot be provided by retail pharmacies, and prohibit a difference in cost-sharing between retail and mail-order; define specialty drugs; amend KRS 18A.225 to require any plan offered by the Personnel Cabinet to prohibit the requirement of mail-order pharmacies, and to prohibit a difference in cost-sharing.; amend KRS 205.522 to require a managed care organization that provides Medicaid benefits from requiring the use of mail-order pharmacies, except for specialty drugs which cannot be provided by retail pharmacies, and prohibit a difference in cost-sharing between retail and mail-order |
| Index Headings of Original Version |
Insurance, Health - Mail-order pharmacy, required use, prohibited Insurance, Health - Retail pharmacy, different cost-sharing from mail-order pharmacy, prohibited State Employees - Health plan, mail-order pharmacy, required use, prohibited State Employees - Health plan, retail pharmacy, different cost-sharing from mail-order pharmacy, prohibited Medicaid - Mail-order pharmacy, required use, prohibited Medicaid - Retail pharmacy, different cost-sharing from mail-order pharmacy, prohibited Fiscal Note - Health plan, retail pharmacy, different cost-sharing from mail-order pharmacy, prohibited Health Benefit Mandate - Health plan, retail pharmacy, different cost-sharing from mail-order pharmacy, prohibited |
| Proposed Amendments |
House Committee Substitute 1 House Floor Amendment 1 |
| Votes | Vote History |
| 02/22/16 |
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|---|---|
| 02/23/16 |
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| 03/07/16 |
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| 03/09/16 |
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| 03/10/16 |
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| 03/11/16 |
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| 03/14/16 |
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| 03/16/16 |
|
| Amendment | House Committee Substitute 1 |
|---|---|
| Impact Statements | Health Mandate |
| Summary | Amend original provisions to remove reference to specialty drugs clarify when health benefit plans are required to begin compliance; add requirement that health benefit plans offering specialty drug coverage set up a specialty drug network; prohibit the insurer from discriminating against any pharmacy willing to meet the terms of the provider contract; effective January 1, 2017. |
| Index Headings |
Insurance, Health - Mail-order pharmacy, required use, prohibited Insurance, Health - Retail pharmacy, different cost-sharing from mail-order pharmacy, prohibited State Employees - Health plan, mail-order pharmacy, required use, prohibited State Employees - Health plan, retail pharmacy, different cost-sharing from mail-order pharmacy, prohibited Medicaid - Mail-order pharmacy, required use, prohibited Medicaid - Retail pharmacy, different cost-sharing from mail-order pharmacy, prohibited Fiscal Note - Health plan, retail pharmacy, different cost-sharing from mail-order pharmacy, prohibited Health Benefit Mandate - Health plan, retail pharmacy, different cost-sharing from mail-order pharmacy, prohibited |
| Amendment | House Floor Amendment 1 |
|---|---|
| Sponsor | J. Greer |
| Summary | Amend original provisions to refer to "contract retail pharmacy"; clarify language relating to terms and condition requirements for participation; amend to prohibit an insurer which has a specialty drug network from discriminating against a contract pharmacy filling a specialty drug prescription if it meets the terms and conditions of the provider contract. |
| Index Headings |
Insurance, Health - Mail-order pharmacy, required use, prohibited Insurance, Health - Retail pharmacy, different cost-sharing from mail-order pharmacy, prohibited State Employees - Health plan, mail-order pharmacy, required use, prohibited State Employees - Health plan, retail pharmacy, different cost-sharing from mail-order pharmacy, prohibited Medicaid - Mail-order pharmacy, required use, prohibited Medicaid - Retail pharmacy, different cost-sharing from mail-order pharmacy, prohibited Fiscal Note - Health plan, retail pharmacy, different cost-sharing from mail-order pharmacy, prohibited Health Benefit Mandate - Health plan, retail pharmacy, different cost-sharing from mail-order pharmacy, prohibited |
Last updated: 1/16/2019 3:08 PM (EST)