HB 506/FN (BR 1544) - J. Lovell, Ro. Adams, M. Long, P. Marcotte, A. Maricle, M. Marzian, R. Thomas
AN ACT relating to pharmacy services for Medicaid.
Create a new section of KRS Chapter 205 to define "Medicaid managed care program"; direct that the Cabinet for Human Resources shall provide that pharmaceutical services shall not be provided through Medicaid managed care programs and shall not be subject to payment on a capitated basis; direct that the cabinet shall continue to provide and reimburse for pharmaceutical services to Medicaid recipients on a fee-for-service basis under requirements and reimbursement methodologies imposed by KRS 205.560, 205.561 and 205.6316; direct that any provisions in contracts entered into by the cabinet prior to the effective date of the Act which provide that pharmaceutical services shall be included in a Medicaid managed care program shall expire as of June 30, 1998, and shall not be renewed; direct that any contract entered into or renewed by the cabinet after the effective date of the Act that does not comply with this section shall be void and unenforceable as contrary to public policy; provide that the cabinet shall provide pharmaceutical services to Medicaid recipients in a manner that qualifies the cabinet for the maximum amount of pharmaceutical rebates permitted under 42 U.S.C. sec. 1396r-8.
Feb 4-introduced in House
Feb 5-to Health and Welfare (H)