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]

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.

Tracking Information

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Title

AN ACT relating to pharmacy referral practices.

Sponsors


History

DateChamberAction
2020-02-10Houseto Banking & Insurance (H)
2020-02-07Houseintroduced in House

Subjects


Kentucky State Sources


Bill Comments

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