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SB 5 (BR 216) - M. Wise, R. Alvarado, J. Bowen, D. Carroll, C. Embry Jr., R. Girdler, P. Hornback, S. Meredith, M. Wilson
AN ACT relating to pharmacy benefits in the Medicaid program.
Create a new section of KRS Chapter 205 to require the Department for Medicaid Services to directly administer all outpatient pharmacy benefits; prohibit renewal or negotiation of new contracts to provide Medicaid managed care that allow administration of outpatient benefits by any entity but the Department for Medicaid Services; reduce costs of future Medicaid managed care contracts by costs of all outpatient pharmacy benefits as they existed on January 1, 2017; allow the department to utilize managed care principles and techniques to assist with member medication adherence and cost control; require the department to establish a reasonable dispensing fee pursuant to Centers for Medicare and Medicaid Services guidelines; EFFECTIVE January 1, 2019.
Sep 25, 2017 - Prefiled by the sponsor(s).
Jan 02, 2018 - introduced in Senate
Jan 03, 2018 - to Health & Welfare (S)