| Last Action | 03/27/20: signed by Governor (Acts ch. 70) |
|---|---|
| Title | AN ACT relating to pharmacy benefits in the Medicaid program and declaring an emergency. |
| Bill Documents |
Current/Final
Introduced |
| Fiscal Impact Statements |
Fiscal Note
Additional Fiscal Impact Statements Exist |
| Bill Request Number | 1095 |
| Sponsors | M. Wise, R. Alvarado, T. Buford, D. Carroll, C. Embry Jr., J. Higdon, R. Mills, J. Turner |
| Summary of Original Version | Amend KRS 205.647 to require the Department for Medicaid Services to establish and directly administer an outpatient pharmacy benefit program for all Medicaid beneficiaries; permit the department to contract with a third-party administrator on a fee-for-service reimbursement basis; require a third-party administrator to utilize the outpatient pharmacy benefit program established by the department; exempt outpatient pharmacy services provided by a health care facility that is registered as a covered entity pursuant to 42 U.S.C. sec. 256b from the provisions of this section; EMERGENCY; effective July 1, 2020. |
| Index Headings of Original Version |
Drugs and Medicines - Outpatient pharmacy benefits, direct administration by Department for Medicaid Services Effective Dates, Emergency - Outpatient pharmacy benefit, direct administration by Department for Medicaid Services, July 1, 2020 Pharmacists - Outpatient pharmacy benefits, direct administration by Department for Medicaid Services Public Medical Assistance - Outpatient pharmacy benefits, direct administration by Department for Medicaid Services Medicaid - Outpatient pharmacy benefits, direct administration by Department for Medicaid Services Administrative Regulations and Proceedings - Department for Medicaid Services, outpatient pharmacy benefits program Fiscal Note - Outpatient pharmacy benefits, direct administration by Department for Medcaid Services |
| Jump to Proposed Amendments |
Senate Committee Substitute 1 House Committee Substitute 1 with Fiscal Impact Statements House Committee Amendment 1 |
| Votes | Vote History |
| 01/28/20 |
|
|---|---|
| 01/31/20 |
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| 02/05/20 |
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| 02/06/20 |
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| 02/18/20 |
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| 02/19/20 |
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| 02/20/20 |
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| 02/24/20 |
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| 03/02/20 |
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| 03/10/20 |
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| 03/11/20 |
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| 03/12/20 |
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| 03/17/20 |
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| 03/18/20 |
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| 03/27/20 |
|
| Amendment | Senate Committee Substitute 1 |
|---|---|
| Summary | Delete original provisions; create various new sections of KRS 205.510 to 205.560 to define terms; require the Cabinet for Health and Family Service to contract with a single state pharmacy benefit manager; establish contracting requirements; require the cabinet to promulgate administrative regulations to establish a pharmacy benefit program; require pharmacy benefit payment arrangements to comply with regulations adopted by the federal Centers for Medicare and Medicaid Services; amend KRS 205.647 to conform; EMERGENCY. |
| Index Headings |
Drugs and Medicines - State pharmacy benefit manager, Medicaid managed care, established Effective Dates, Emergency - State pharmacy benefit manager, Medicaid managed care, established Pharmacists - State pharmacy benefit manager, Medicaid managed care, established Public Medical Assistance - State pharmacy benefit manager, Medicaid managed care, established Medicaid - State pharmacy benefit manager, Medicaid managed care, established Administrative Regulations and Proceedings - Department for Medicaid Services, state pharmacy benefit manager |
| Amendment | House Committee Substitute 1 |
|---|---|
| Fiscal Impact Statement | Fiscal Note to House Committee Substitute 1 |
| Summary | Retain original provisions; define "spread pricing': establish additional requirements and prohibitions on the state pharmacy benefit manager; prohibit any pharmacy benefit manager contracted with a managed care organization on the effective date of this act from engaging in any retaliatory measures; require the Technical Advisory Committee on Pharmacy to make recommendations to the Department for Medicaid Services related to reimbursement methodologies and dispensing fees; amend KRS 205.590 to revise the membership of the Technical Advisory Committee on Pharmacy; EMERGENCY. |
| Index Headings |
Fiscal Note - State pharmacy benefit manager, Medicaid managed care, established Drugs and Medicines - State pharmacy benefit manager, Medicaid managed care, established Effective Dates, Emergency - State pharmacy benefit manager, Medicaid managed care, established Pharmacists - State pharmacy benefit manager, Medicaid managed care, established Public Medical Assistance - State pharmacy benefit manager, Medicaid managed care, established Medicaid - State pharmacy benefit manager, Medicaid managed care, established Administrative Regulations and Proceedings - Department for Medicaid Services, state pharmacy benefit manager State Agencies - Department for Medicaid Services, state pharmacy benefit manager, established State Agencies - Technical Advisory Committee on Pharmacy, recommendations, required |
| Amendment | House Committee Amendment 1 |
|---|---|
| Sponsor | S. Rudy |
| Summary | Make title amendment. |
| Index Headings | Title Amendments - SB 50 |
Last updated: 10/27/2020 12:10 PM (EDT)
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