Senate Bill 140

Actions | Amendments
Last Action 03/17/22: signed by Governor (Acts Ch. 19)
Title AN ACT relating to step therapy protocols.
Bill Documents Acts Chapter 19
Current/Final
Introduced
Bill Request Number 1471
Sponsors M. Wise, D. Carroll
Summary of Original Version Amend KRS 304.17A-163 to define terms; establish requirements for clinical review criteria and clinical practice guidelines used to establish step therapy protocols; require certain notices and disclosures relating to step therapy protocols; establish requirements for exception requests, internal appeals, and external reviews of step therapy protocols; create a new section of Subtitle 17A of KRS Chapter 304 to require the commissioner of insurance to promulgate administrative regulations; require insurers, health plans, pharmacy benefit managers, or private review agents to submit an annual report relating to step therapy exception requests; amend KRS 304.17A-168, 304.17A-535, 304.17A-600, 304.17A-607, 304.17A-617, and 304.17A-623 to conform; amend KRS 205.522, 205.6485, 164.2871, and 18A.225 to require Medicaid, the Kentucky Children's Health Insurance Program, self-insured employer group health plans provided by the governing board of a state postsecondary education institution, and the state employee health plan to comply with the step therapy protocol requirements; apply to health plans delivered, issued for delivery, or renewed on or after the effective date of Sections 1 to 12 of the Act; require the Cabinet for Health and Family Services to seek a federal waiver of authorization if necessary; EFFECTIVE, in part, January 1, 2023.
Index Headings of Original Version Drugs and Medicines - Coverage, step therapy protocols, requirements
Education, Higher - Self-insured employer group health plan, step therapy protocol, requirements
Effective Dates, Delayed - Coverage for prescription drugs, step therapy protocols, requirements, January 1, 2023
Insurance, Health - Coverage for prescription drugs, step therapy protocol, requirements
State Agencies - Cabinet for Health and Family Services, step therapy protocols, waiver application
State Agencies - Department of Insurance, prescription drug coverage, step therapy protocol, requirements
State Employees - Health plan, prescription drug coverage, step therapy protocols, requirements
Medicaid - Prescription drugs, step therapy protocols, requirements
Administrative Regulations and Proceedings - Commissioner of Insurance, step therapy protocols, enforcement
Children and Minors - Kentucky Children's Health Insurance Program, prescription drugs, step therapy protocol
Reports Mandated - Health plan, prescription drugs, step therapy exceptions
Reports Mandated - Insurer, prescription drugs, step therapy exceptions
Reports Mandated - Pharmacy benefit manager, prescription drugs, step therapy exceptions
Reports Mandated - Private review agent, prescription drugs, step therapy exceptions
Jump to Proposed Amendments Senate Committee Substitute 1
Votes Vote History

Actions

Top | Amendments
02/03/22
  • introduced in Senate
  • to Committee on Committees (S)
02/07/22
  • to Banking & Insurance (S)
02/15/22
  • reported favorably, 1st reading, to Calendar with Committee Substitute (1)
02/16/22
  • 2nd reading, to Rules
  • posted for passage in the Regular Orders of the Day for Thursday, February 17, 2022
02/17/22
  • 3rd reading, passed 35-0 with Committee Substitute (1)
  • received in House
  • to Committee on Committees (H)
02/24/22
  • to Banking & Insurance (H)
03/02/22
  • reported favorably, 1st reading, to Calendar
03/03/22
  • 2nd reading, to Rules
03/09/22
  • posted for passage in the Regular Orders of the Day for Thursday, March 10, 2022
03/10/22
  • 3rd reading, passed 95-0
03/11/22
  • received in Senate
  • enrolled, signed by President of the Senate
  • enrolled, signed by Speaker of the House
  • delivered to Governor
03/17/22
  • signed by Governor (Acts Ch. 19)

Proposed Amendments

Top | Actions
Amendment Senate Committee Substitute 1
Summary Retain original provisions except reword provision requiring clinical review criteria to be based on clinical practice guidelines; replace provision requiring a step therapy exception request to be granted based on the best interest of the insured; effective January 1, 2023.
Index Headings Drugs and Medicines - Coverage, step therapy protocol, requirements
Education, Higher - Self-insured employer group health plan, step therapy protocol, requirements
Effective Dates, Delayed - Coverage for prescription drugs, step therapy protocols, requirements, January 1, 2023
Insurance, Health - Coverage for prescription drugs, step therapy protocols, requirements
State Agencies - Cabinet for Health and Family Services, step therapy protocols, waiver application
State Agencies - Department of Insurance, prescription drug coverage, step therapy protocol, requirements
State Employees - Health plan, prescription drug coverage, step therapy protocol, requirements
Medicaid - Prescription drugs, step therapy protocols, requirements
Administrative Regulations and Proceedings - Commissioner, Department of Insurance, step therapy protocols, enforcement
Children and Minors - Kentucky Children's Health Insurance Program, prescription drugs, step therapy protocols
Reports Mandated - Health plan/insurer, prescription drugs, step therapy exceptions
Reports Mandated - Pharmacy benefit manager, step therapy exceptions
Reports Mandated - Private review agent, prescription drugs, step therapy exceptions

Last updated: 5/25/2022 2:58 PM (EDT)
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