98RS HB618


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HB 618 (BR 2051) - R. Palumbo

     AN ACT relating to health insurance coverage for cancer drugs.
     Amend KRS 217.005 to revise definition of "drug" to include articles recognized in the American Hospital Formulary Service Drug Information; clarify that "United States pharmacopoeia" refers to the United States Pharmacopoeia; create a new section of Subtitle 17A of KRS Chapter 304 to require all health benefit plans not to exclude coverage of cancer drugs when used for an indication other than one on its label if the drug is recognized for that indication in the official compendium or medical literature; include services necessary to administer the drug; state that coverage is not required for drugs not approved by the Food and Drug Administration, when there are contraindications, or for experimental drugs; create a panel of medical experts to review off-label uses and make recommendations for use; give commissioner of insurance authority to authorize payments for off-label drugs.


     HCS - Amend by deleting the definition changes.
     HFA (1, R. Palumbo) - Retain original provisions except delete references to definition of drug compendium.
     HFA (2, R. Palumbo) - Retain original provisions except require professional journal publication meet specific criteria and include documentation regarding drug safety and effectiveness; require reimbursement if the drug has been prescribed for cancer patient and recognized as safe for cancer treatment; exclude reimbursement when drug provider does not have contract with health maintenance organization or is excluded from provider's formulary; stipulate that panel of medical experts will be appointed by commissioner, with recommendations from the Kentucky Medical Association, rather than appointed by Kentucky Medical Association; require panel to conduct meetings in accordance with open meetings provisions of KRS Chapter 61.
     SCA (1, R. Roeding) - Amend to delete conditional waiver of required coverage of cancer drugs by health maintenance organizations.

     Feb 17-introduced in House
     Feb 18-to Health and Welfare (H)
     Feb 20-posted in committee
     Mar 3-reported favorably, 1st reading, to Calendar with Committee Substitute
     Mar 4-2nd reading, to Rules; posted for passage in the Regular Orders of the Day for March 5, 1998
     Mar 5-floor amendment (1) filed to Committee Substitute
     Mar 12-floor amendment (2) filed to Committee Substitute
     Mar 16-3rd reading, passed 90-0 with Committee Substitute and floor amendments (1) and (2)
     Mar 17-received in Senate
     Mar 18-to Health and Welfare (S)
     Mar 23-reported favorably, 1st reading, to Calendar with committee amendment (1)
     Mar 24-2nd reading, to Rules
     Mar 26-posted for passage in the Regular Orders of the Day for March 27, 1998
     Mar 27-3rd reading; committee amendment (1) withdrawn; passed 27-1; received in House
     Mar 30-enrolled, signed by Speaker of the House
     Mar 31-enrolled, signed by President of the Senate; delivered to Governor
     Apr 9-signed by Governor

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