SB 139 – Kentucky

Status: Inactive / Dead
Year Introduced: 2019
Link: https://secure.kentucky.gov/billwatch/BillSummary.aspx?br_rsn=43006&ses_rsn=102

Create new sections of KRS 304-17A to set requirements for reasonably adequate and accessible pharmacy benefit manager networks; permit the commissioner of the Department of Insurance to review and approve a compensation program that is fair and reasonable; except information and data collected by the department from KRS 61.870 to 61.884; prohibit pharmacy benefit managers from taking actions related to payment and practices; permit the commissioner to promulgate administrative regulations prohibiting practices by pharmacy benefit managers; amend KRS 304.17A-161 to apply definitions to Sections 1 and 4 of the Act; add definitions of independent pharmacy and specialty drug; amend KRS 304.17A-162 to add adjustment to appeals process for price updates; amend KRS 304.17A-164 to require health benefit plans and pharmacy benefit managers to implement certain pharmacy services practices and utilization review procedures; amend KRS 304.17A-005 to add pharmacy to the definition of health care provider; make technical corrections; amend KRS 304.17A-741 to add recoupment requirements for pharmacy audits; amend KRS 18A.225 to require the state employee health plan to comply with the requirements of the Act; amend KRS 205.522 to require Medicaid managed care organizations to comply with the requirements of the Act; EFFECTIVE January 1, 2020.


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