SB 140 KY Became Law
AN ACT relating to step therapy protocols.
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Summary
Amend KRS 304.17A-163 to define terms; establish requirements for clinical review criteria and clinical practice guidelines used to establish step therapy protocols; require certain notices and disclosures relating to step therapy protocols; establish requirements for exception requests, internal appeals, and external reviews of step therapy protocols; create a new section of Subtitle 17A of KRS Chapter 304 to require the commissioner of insurance to promulgate administrative regulations; require insurers, health plans, pharmacy benefit managers, or private review agents to submit an annual report relating to step therapy exception requests; amend KRS 304.17A-168, 304.17A-535, 304.17A-600, 304.17A-607, 304.17A-617, and 304.17A-623 to conform; amend KRS 205.522, 205.6485, 164.2871, and 18A.225 to require Medicaid, the Kentucky Children's Health Insurance Program, self-insured employer group health plans provided by the governing board of a state postsecondary education institution, and the state employee health plan to comply with the step therapy protocol requirements; apply to health plans delivered, issued for delivery, or renewed on or after the effective date of Sections 1 to 12 of the Act; require the Cabinet for Health and Family Services to seek a federal waiver of authorization if necessary; EFFECTIVE, in part, January 1, 2023.
Sponsors (2)
- M. Wise Republican · primary
- D. Carroll Republican · primary
Action history (19)
- Feb 3, 2022 introduced in Senate · upper
- Feb 3, 2022 to Committee on Committees (S) · upper
- Feb 7, 2022 to Banking & Insurance (S) · upper
- Feb 15, 2022 reported favorably, 1st reading, to Calendar with Committee Substitute (1) · upper
- Feb 16, 2022 2nd reading, to Rules · upper
- Feb 16, 2022 posted for passage in the Regular Orders of the Day for Thursday, February 17, 2022 · upper
- Feb 17, 2022 3rd reading, passed 35-0 with Committee Substitute (1) · upper
- Feb 17, 2022 received in House · lower
- Feb 17, 2022 to Committee on Committees (H) · lower
- Feb 24, 2022 to Banking & Insurance (H) · lower
- Mar 2, 2022 reported favorably, 1st reading, to Calendar · upper
- Mar 3, 2022 2nd reading, to Rules · upper
- Mar 9, 2022 posted for passage in the Regular Orders of the Day for Thursday, March 10, 2022 · upper
- Mar 10, 2022 3rd reading, passed 95-0 · upper
- Mar 11, 2022 received in Senate · upper
- Mar 11, 2022 enrolled, signed by President of the Senate · upper
- Mar 11, 2022 enrolled, signed by Speaker of the House · lower
- Mar 11, 2022 delivered to Governor · upper
- Mar 17, 2022 signed by Governor (Acts Ch. 19) · upper
Text versions (3)
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