Last Action | 04/18/24: signed by Governor (Acts Ch. 213) |
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Title | AN ACT relating to pharmacy benefits. |
Bill Documents |
Acts Chapter 213
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 |
01/08/24 |
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02/15/24 |
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03/07/24 |
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03/08/24 |
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03/12/24 |
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03/13/24 |
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03/28/24 |
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04/12/24 |
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04/15/24 |
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04/18/24 |
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Amendment | House Committee Substitute 1 |
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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 |
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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: 9/26/2024 1:37 PM (EDT)