House Bill 222

Actions | Amendments
Last Action 03/01/21: to Health & Welfare (S)
Title AN ACT relating to pharmacy benefits in the Medicaid program and declaring an emergency.
Bill Documents Current/Final
Introduced
Bill Request Number 1058
Sponsors S. Sheldon, D. Bentley, K. Banta, A. Bowling, R. Bridges, D. Frazier, N. Kirk-McCormick, D. Lewis, S. Lewis, C. Massey, B. McCool, B. Reed, N. Tate, W. Thomas
Summary of Original Version Create a new section of KRS 205.510 to 205.560 to define terms; require the Department for Medicaid Services to contract with an independent entity to monitor all Medicaid pharmacy benefit claims; establish eligibility requirements for an entity seeking to contract with the department to monitor pharmacy benefit claims; establish requirements for analyzing and monitoring claims; EMERGENCY.
Index Headings of Original Version Drugs and Medicines - Medicaid pharmacy benefits, independent monitoring
Effective Dates, Emergency - Medicaid pharmacy benefits, independent monitoring
Pharmacists - Medicaid pharmacy benefits, independent monitoring
Public Medical Assistance - Medicaid pharmacy benefits, independent monitoring
Medicaid - Medicaid pharmacy benefits, independent monitoring
Administrative Regulations and Proceedings - Medicaid Services, Medicaid pharmacy benefits, independent monitoring
Jump to Proposed Amendments House Committee Substitute 1
Votes Vote History

Actions

Top | Amendments
01/07/21
  • introduced in House
  • to Committee on Committees (H)
02/02/21
  • to Health & Family Services (H)
02/09/21
  • posted in committee
02/11/21
  • reported favorably, 1st reading, to Calendar with Committee Substitute (1)
02/22/21
  • 2nd reading, to Rules
  • posted for passage in the Regular Orders of the Day for Tuesday, February 23, 2021
02/24/21
  • 3rd reading, passed 73-24 with Committee Substitute
02/25/21
  • received in Senate
  • to Committee on Committees (S)
03/01/21
  • to Health & Welfare (S)

Proposed Amendments

Top | Actions
Amendment House Committee Substitute 1
Summary Retain original provisions; limit original contract period to two years; permit the Department for Medicaid Services to renew the contract for up to two years; prohibit the contracted entity from performing drug utilization reviews; require the Department for Medicaid Services to verify underpayments identified by the contracted entity; establish appeals process; require the contracted entity to submit a quarterly report to the Medicaid Oversight and Advisory Committee; limit compensation to no more than 30% of the total savings generated by the contracted entity; establish that the provisions of this section expire on January 1, 2024 unless reauthorized by the General Assembly.
Index Headings Reports Mandated - Medicaid pharmacy benefits, independent monitoring
Sunset Legislation - Medicaid pharmacy benefits, independent monitoring, January 1, 2024

Last updated: 4/14/2021 8:30 AM (EDT)
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