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House Bill 190

Actions | Amendments

Legislative History
Last Action	04/18/24: signed by Governor (Acts Ch. 213)
Title	AN ACT relating to pharmacy benefits.
Bill Documents	Current/Final Introduced
Fiscal Impact Statements	Actuarial Analysis Health Mandate Local Mandate Additional Fiscal Impact Statements Exist
Bill Request Number	898
Sponsor	S. Sharp
Summary of Enacted Version	Amends 2024 Ky. Acts. ch. 104, sec. 3 (2024 RS SB 188/GA, sec. 3) to define “national average drug acquisition cost,” to temporarily exempt retail chain pharmacies from minimum drug reimbursement requirement, and to make technical amendment; EFFECTIVE January 1, 2025.
Summary of Original Version	Amend KRS 304.17A-164 to prohibit insurers, pharmacy benefit managers, and other pharmacy benefit administrators from requiring or incentivizing the use of a mail-order pharmaceutical distributor; amend KRS 304.17C-125, 304.38A-115, 18A.225, and 164.2871 to apply provisions of amended KRS 304.17A-164 to limited health service benefit plans, including limited health service contracts, limited health service organizations, the state employee health plan, and postsecondary educational institution self-insured group health plans; repeal 304.38A-120, relating to assignment of certain benefits under limited health service organization plans, to consolidate like provisions; make technical corrections; EFFECTIVE January 1, 2025.
Index Headings of Original Version	Local Mandate - Prescription drugs, distribution, requirements Drugs and Medicines - Prescription drugs, distribution, insurance practices Education, Higher - Health plan, prescriptions drugs, distribution, requirements Effective Dates, Delayed - Prescription drugs, distribution, insurance practices, January 1, 2025 Insurance, Health - Prescription drugs, distribution, requirements Pharmacists - Prescription drugs, distribution, insurance practices State Employees - Health plan, prescription drugs, distribution, requirements Technical Corrections - Prescription drugs, distribution, insurance practices Health Benefit Mandate - Prescription drugs, distribution, requirements Actuarial Analysis - Prescription drugs, distribution, insurance practices
Jump to Proposed Amendments	House Committee Substitute 1 with Fiscal Impact Statements Senate Committee Substitute 1
Votes	Vote History

Actions

Top | Amendments

01/08/24	introduced in House to Committee on Committees (H)
02/15/24	to Health Services (H)
03/07/24	reported favorably, 1st reading, to Calendar with Committee Substitute (1)
03/08/24	2nd reading, to Rules posted for passage in the Regular Orders of the Day for Monday, March 11, 2024
03/12/24	3rd reading, passed 96-0 with Committee Substitute (1)
03/13/24	received in Senate to Committee on Committees (S)
03/28/24	taken from Committee on Committees (S) 1st reading returned to Committee on Committees (S)
04/12/24	to Banking & Insurance (S) taken from Banking & Insurance (S) 2nd reading returned to Banking & Insurance (S)
04/15/24	reported favorably, to Rules with Committee Substitute (1) as a consent bill posted for passage in the Consent Orders of the Day for Monday, April 15, 2024 3rd reading, passed 38-0 with Committee Substitute (1) received in House to Rules (H) posted for passage for concurrence in Senate Committee Substitute (1) House concurred in Senate amendment Committee Substitute (1) passed 92-0 enrolled, signed by Speaker of the House enrolled, signed by President of the Senate delivered to Governor
04/18/24	signed by Governor (Acts Ch. 213)

Proposed Amendments

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Amendment	House Committee Substitute 1
Fiscal Impact Statements	Actuarial Analysis to House Committee Substitute 1 Health Mandate to House Committee Substitute 1 Local Mandate to House Committee Substitute 1
Summary	Retain original provisions, except amend definition of "insurer" to make technical amendment; add definition of "mail-order pharmaceutical distributor"; delete prohibition on requiring or incentivizing use of a mail-order pharmaceutical distributor; prohibit imposing greater or more restrictive requirements for use of a retail pharmacy to access a drug in certain circumstances.
Index Headings	Local Mandate - Prescription drugs, distribution, requirements Actuarial Analysis - Prescription drugs, distribution, insurance practices Health Benefit Mandate - Prescription drugs, distribution, insurance practices Drugs and Medicines - Prescription drugs, distribution, insurance practices Insurance, Health - Prescription drugs, distribution, requirements Pharmacists - Prescription drugs, distribution, insurance practices

Amendment	Senate Committee Substitute 1
Summary	Delete original provisions; amend 2024 Ky. Acts. ch. 104, sec. 3 (2024 RS SB 188/GA, sec. 3) to define "national average drug acquisition cost"; temporarily exempt retail chain pharmacies from minimum drug reimbursement requirement; make technical amendment; EFFECTIVE January 1, 2025.
Index Headings	Drugs and Medicines - Minimum reimbursement, prescription drugs and other services Effective Dates, Delayed - Pharmacy provider contracts, minimum reimbursement, January 1, 2025 Insurance, Health - Provider contracts, minimum reimbursement, prescription drugs and other services Pharmacists - Minimum reimbursement, prescription drugs and other services Actuarial Analysis - Minimum reimbursement, prescription drugs and other services Health Benefit Mandate - Minimum reimbursement, prescription drugs and other services Local Mandate - Minimum reimbursement, prescription drugs and other services Technical Corrections - HB 190/SCS 1

Last updated: 6/13/2024 7:47 AM (EDT)