Kentucky
General Assembly

01/10/22	introduced in Senate to Committee on Committees (S)
01/18/22	to Health & Welfare (S)
01/26/22	reported favorably, 1st reading, to Calendar
01/27/22	2nd reading, to Rules
02/07/22	posted for passage in the Regular Orders of the Day for Wednesday, February 09, 2022
02/09/22	3rd reading, passed 29-8
02/10/22	received in House to Committee on Committees (H)
03/16/22	to Health & Family Services (H)
03/24/22	reported favorably, 1st reading, to Calendar with Committee Substitute (1)
03/25/22	2nd reading, to Rules
03/29/22	floor amendments (1) and (2) filed to Committee Substitute , floor amendment (3-title) filed to bill

Amendment	House Committee Substitute 1
Summary	Retain original provisions, except limit compensation paid to the contracted entity to not more than 30% of the savings to the Commonwealth generated by the contracted entity and delete requirement that the contracted entity have at least, five years of experience auditing pharmacy benefit claims; EMERGENCY.
Index Headings	Drugs and Medicines - Pharmacy benefit claims, independent monitoring Effective Dates, Emergency - Pharmacy benefit claims, independent monitoring Pharmacists - Pharmacy benefit claims, independent monitoring Public Medical Assistance - Pharmacy benefit claims, independent monitoring State Agencies - Department for Medicaid Services, pharmacy benefit claims, independent monitoring State Agencies - Finance and Administration Cabinet, pharmacy benefit claims, independent monitoring State Agencies - Personnel Cabinet, pharmacy benefit claims, independent monitoring Medicaid - Pharmacy benefit claims, independent monitoring Administrative Regulations and Proceedings - Department for Medicaid Services, pharmacy benefit claims, independent monitoring Administrative Regulations and Proceedings - Personnel Cabinet, pharmacy benefit claims, independent monitoring Reports Mandated - Pharmacy benefit claims, independent monitoring

Amendment	House Floor Amendment 1
Sponsor	K. Moser
Summary	Retain original provisions, except delete provisions requiring the Department for Medicaid Services to contract with an independent entity to monitor Medicaid pharmacy benefit claims; EMERGENCY.
Index Headings	Drugs and Medicines - Pharmacy benefit claims, independent monitoring Effective Dates, Emergency - Pharmacy benefit claims, independent monitoring Pharmacists - Pharmacy benefit claims, independent monitoring Public Medical Assistance - Pharmacy benefit claims, independent monitoring State Agencies - Department for Medicaid Services, pharmacy benefit claims, independent monitoring State Agencies - Finance and Administration Cabinet, pharmacy benefit claims, independent monitoring State Agencies - Personnel Cabinet, pharmacy benefit claims, independent monitoring Medicaid - Pharmacy benefit claims, independent monitoring Administrative Regulations and Proceedings - Department for Medicaid Services, pharmacy benefit claims, independent monitoring Administrative Regulations and Proceedings - Personnel Cabinet, pharmacy benefit claims, independent monitoring Reports Mandated - Pharmacy benefit claims, independent monitoring

Amendment	House Floor Amendment 2
Sponsor	S. Sheldon
Summary	Amend KRS 304.17A-164 to prohibit insurers, pharmacy benefit managers, and other administrators of pharmacy benefits from imposing certain requirements on health plan insureds; create new sections of Subtitle 17A of KRS Chapter 304 to establish definitions for pharmacy-related insurance practices; establish requirements for certain contracts between a pharmacy or pharmacist and a pharmacy benefit manager; establish prohibited practices for pharmacy benefit managers; establish certain requirements for insurers and pharmacy benefit managers contracting for the provision of pharmacy benefit management services; create a new section of Subtitle 99 of KRS Chapter 304 to authorize the insurance commissioner to order reimbursement to persons who incurred a monetary loss as a result of a violation of provisions of legislation; amend KRS 304.9-054 to make technical changes; authorize the promulgation of administrative regulations; require pharmacy benefit managers to report certain information to the insurance commissioner; provide that certain reported information shall not be subject to disclosure under KRS 61.870 to 61.884; create a new section of Subtitle 17C of KRS Chapter 304 to apply provisions of legislation to limited health service benefit plans, including limited health service contracts; create a new section of Subtitle 38A of KRS Chapter 304 to apply provisions of legislation to limited health service organizations; provide that provisions of Act shall be severable; require the insurance commissioner to promulgate regulations to implement the Act on or before January 1, 2023; EFFECTIVE, in part, January 1, 2023.
Index Headings	Drugs and Medicines - Pharmacy or pharmacist services, trade practice requirements Effective Dates, Delayed - Pharmacy or pharmacist services, trade practice requirements, January 1, 2023 Federal Laws and Regulations - Pharmacy-related trade practices, compliance with federal law Insurance, Health - Pharmacy benefit manager contracts, requirements Insurance, Health - Pharmacy benefit managers, prohibited practices Insurance, Health - Pharmacy or pharmacist services, coverage requirements Pharmacists - Pharmacy benefit provider contracts, requirements State Employees - Health plan, pharmacy or pharmacist services, coverage requirements State Employees - Pharmacy benefit manager contracts, requirements Administrative Regulations and Proceedings - Department of Insurance, pharmacy benefit managers, regulation Reports Mandated - Department of Insurance, administration of pharmacy benefits

Amendment	House Floor Amendment 3
Sponsor	S. Sheldon
Summary	Make title amendment.
Index Headings	Title Amendments - SB 68/GA