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HB458/FN/HM (BR1739) - J. Greer, R. Bunch, C. Howard, M. King, T. McKee, M. Meredith, T. Mills, R. Nelson, D. Schamore, F. Steele, T. Thompson, B. Yonts

     AN ACT relating to pharmacy benefits.
     Amend KRS Chapter 304.17A-165 to prohibit insurers from requiring the use of mail-order pharmacies, except for specialty drugs which cannot be provided by retail pharmacies, and prohibit a difference in cost-sharing between retail and mail-order; define specialty drugs; amend KRS 18A.225 to require any plan offered by the Personnel Cabinet to prohibit the requirement of mail-order pharmacies, and to prohibit a difference in cost-sharing.; amend KRS 205.522 to require a managed care organization that provides Medicaid benefits from requiring the use of mail-order pharmacies, except for specialty drugs which cannot be provided by retail pharmacies, and prohibit a difference in cost-sharing between retail and mail-order


HB458 - AMENDMENTS

     HCS1/HM - Amend original provisions to remove reference to specialty drugs clarify when health benefit plans are required to begin compliance; add requirement that health benefit plans offering specialty drug coverage set up a specialty drug network; prohibit the insurer from discriminating against any pharmacy willing to meet the terms of the provider contract; effective January 1, 2017.
     HFA1( J. Greer ) - Amend original provisions to refer to "contract retail pharmacy"; clarify language relating to terms and condition requirements for participation; amend to prohibit an insurer which has a specialty drug network from discriminating against a contract pharmacy filling a specialty drug prescription if it meets the terms and conditions of the provider contract.

     Feb 22, 2016 - introduced in House
     Feb 23, 2016 - to Banking & Insurance (H)
     Mar 07, 2016 - posted in committee
     Mar 09, 2016 - reported favorably, 1st reading, to Calendar with Committee Substitute (1)
     Mar 10, 2016 - 2nd reading, to Rules; posted for passage in the Regular Orders of the Day for Friday, March 11, 2016; floor amendment (1) filed to Committee Substitute
     Mar 11, 2016 - 3rd reading, passed 91-1 with Committee Substitutes (1) floor amendment (1)
     Mar 14, 2016 - received in Senate
     Mar 16, 2016 - to Appropriations & Revenue (S)