26RS SB 307

Senate Bill 307

Actions

Last Action	02/27/26: to Committee on Committees (S)
Title	AN ACT relating to step therapy protocols.
Bill Documents	Introduced
Fiscal Impact Statements	Actuarial Analysis Health Mandate Local Mandate State Employee Health Plan Impact
Bill Request Number	1406
Sponsor	K. Berg
Summary of Original Version	Amend KRS 304.17A-163 to modify the definition of "health plan"; require insurers, health plans, private review agents, and pharmacy benefit managers to disclose certain information about step therapy protocols on their website and ensure that the electronic process for requesting and transmitting prior authorization for a drug includes the ability for prescribing providers to electronically transmit a complete request for a step therapy exception; require coverage for a prescription drug on the date the provider submits a step therapy exception request; provide that requirements apply to Medicaid and KCHIP benefits to the extent authorized by federal law; require the Cabinet for Health and Family Services or the Department for Medicaid Services to seek federal approval if it is determined that such approval is necessary; provide authorization from the General Assembly to make changes in the Medicaid program as required under KRS 205.5372(1); provide that the Act applies to policies, certificates, contracts, and plans issued or renewed on or after the effective date of the Act.
Index Headings of Original Version	Actuarial Analysis - Health insurance, step therapy requirements Health Benefit Plan Mandate - Health insurance, step therapy requirements Local Mandate - Health insurance, step therapy requirements State Employee Health Plan Mandate - Health insurance, step therapy requirements Children And Minors - KCHIP, step therapy requirements Drugs And Medicines - Health insurance, step therapy requirements Education, Higher - Self-insured employer group health plan, step therapy requirements Health And Medical Services - Health insurance, step therapy requirements Health Care Professionals - Health insurance, step therapy requirements Insurance, Health - Step therapy requirements Medicaid - Step therapy requirements Pharmacists - Health insurance, step therapy requirements Physicians - Health insurance, step therapy requirements State Employees - Health plan, step therapy requirements