Last Action | 02/10/20: to Banking & Insurance (H) |
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Title | AN ACT relating to pharmacy referral practices. |
Bill Documents | Introduced |
Bill Request Number | 90 |
Sponsors | S. Sheldon, D. Bentley, K. Banta, J. Blanton, A. Bowling, R. Brenda, R. Bridges, D. Frazier, C. Freeland, C. Fugate, R. Goforth, S. Heavrin, R. Huff, T. Huff, M. Koch, D. Lewis, S. Lewis, B. McCool, M. Meredith, J. Nemes, P. Pratt, B. Reed, S. Riley, S. Rudy, S. Santoro, N. Tate, W. Thomas, R. Webber, L. Yates |
Summary of Original Version | Create a new section of KRS 304.17A-165 to 304.17A-166 to define "insurer," "pharmacy affiliate," "pharmacy benefit manager," "pharmacy or pharmacist services," and "referral to a pharmacy affiliate"; require insurers, pharmacy benefit managers, and other administrators of pharmacy benefits to file an annual disclosure statement with the insurance commissioner that identifies pharmacy affiliates; prohibit insurers, pharmacy benefit managers, and other administrators of pharmacy benefits from transferring or sharing certain Kentucky pharmacy records with a pharmacy affiliate for any commercial purpose; prohibit insurers, pharmacy benefit managers, and other administrators of pharmacy benefits from making certain referrals to a pharmacy affiliate; establish exceptions to prohibitions established in section; require Cabinet for Health and Family Services to take any steps necessary to effectuate legislation; amend KRS 304.9-440 to subject pharmacy benefit managers to licensure sanctions for violating provisions of legislation; create a new section of KRS Chapter 315 to define "affiliate" and "affiliate referral"; prohibit pharmacies holding a permit provided for under the chapter from transferring or sharing certain Kentucky pharmacy records with an affiliate for any commercial purpose; prohibit pharmacies holding a permit provided for under the chapter from presenting, causing to be presented, or collecting payment on a claim or bill for pharmacy or pharmacist services that the pharmacy knows or should know were furnished pursuant to an affiliate referral; establish exceptions to prohibitions established in section; amend KRS 205.522 to require the Department for Medicaid Services and any managed care organization contracted to provide Medicaid benefits to comply with applicable provisions; amend KRS 18A.2259 and 18A.225 to require the state employee health plan to comply; state that provisions of contracts issued, delivered, entered, renewed, extended, or amended on or after the effective date of Act that are contrary to Act shall be unenforceable and void; state that provisions of this Act shall be severable; EFFECTIVE January 1, 2021. |
Index Headings of Original Version |
Effective Dates, Delayed - Pharmacy referral practices, prohibition of, January 1, 2021 Federal Laws and Regulations - Federal law, pharmacy referral practices, exemption for Insurance, Health - Pharmacy referral practices, insurers, prohibition of Insurance, Health - Pharmacy referral practices, pharmacy benefit managers, prohibition of Pharmacists - Pharmacy referral practices, pharmacies, prohibition of State Agencies - Cabinet for Health and Family Services, pharmacy referral practices State Agencies - Department of Insurance, pharmacy affiliates, annual disclosure of State Employees - Pharmacy referral practices, state employee health plan, prohibition of Medicaid - Pharmacy referral practices, Medicaid benefit providers, prohibition of |
02/07/20 |
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02/10/20 |
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Last updated: 10/27/2020 12:10 PM (EDT)
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