KY HB400 | 2020 | Regular Session
Status
Spectrum: Partisan Bill (Republican 29-0)
Status: Introduced on February 7 2020 - 25% progression, died in committee
Action: 2020-02-10 - to Banking & Insurance (H)
Pending: House Banking and Insurance Committee
Text: Latest bill text (Introduced) [PDF]
Status: Introduced on February 7 2020 - 25% progression, died in committee
Action: 2020-02-10 - to Banking & Insurance (H)
Pending: House Banking and Insurance Committee
Text: Latest bill text (Introduced) [PDF]
Summary
Create a new section of KRS 304.17A-165 to 304.17A-166 to define "insurer," "pharmacy affiliate," "pharmacy benefit manager," "pharmacy or pharmacist services," and "referral to a pharmacy affiliate"; require insurers, pharmacy benefit managers, and other administrators of pharmacy benefits to file an annual disclosure statement with the insurance commissioner that identifies pharmacy affiliates; prohibit insurers, pharmacy benefit managers, and other administrators of pharmacy benefits from transferring or sharing certain Kentucky pharmacy records with a pharmacy affiliate for any commercial purpose; prohibit insurers, pharmacy benefit managers, and other administrators of pharmacy benefits from making certain referrals to a pharmacy affiliate; establish exceptions to prohibitions established in section; require Cabinet for Health and Family Services to take any steps necessary to effectuate legislation; amend KRS 304.9-440 to subject pharmacy benefit managers to licensure sanctions for violating provisions of legislation; create a new section of KRS Chapter 315 to define "affiliate" and "affiliate referral"; prohibit pharmacies holding a permit provided for under the chapter from transferring or sharing certain Kentucky pharmacy records with an affiliate for any commercial purpose; prohibit pharmacies holding a permit provided for under the chapter from presenting, causing to be presented, or collecting payment on a claim or bill for pharmacy or pharmacist services that the pharmacy knows or should know were furnished pursuant to an affiliate referral; establish exceptions to prohibitions established in section; amend KRS 205.522 to require the Department for Medicaid Services and any managed care organization contracted to provide Medicaid benefits to comply with applicable provisions; amend KRS 18A.2259 and 18A.225 to require the state employee health plan to comply; state that provisions of contracts issued, delivered, entered, renewed, extended, or amended on or after the effective date of Act that are contrary to Act shall be unenforceable and void; state that provisions of this Act shall be severable; EFFECTIVE January 1, 2021.
Title
AN ACT relating to pharmacy referral practices.
Sponsors
History
Date | Chamber | Action |
---|---|---|
2020-02-10 | House | to Banking & Insurance (H) |
2020-02-07 | House | introduced in House |
Subjects
Effective Dates, Delayed
Federal Laws and Regulations
Insurance, Health
Medicaid
Pharmacists
State Agencies
State Employees
Federal Laws and Regulations
Insurance, Health
Medicaid
Pharmacists
State Agencies
State Employees
Kentucky State Sources
Type | Source |
---|---|
Summary | https://apps.legislature.ky.gov/record/20RS/hb400.html |
Text | https://apps.legislature.ky.gov/recorddocuments/bill/20RS/hb400/orig_bill.pdf |