SB 68 — AN ACT relating to pharmacy benefit claim verification and declaring an emergency.
Last action — floor amendments (1) and (2) filed to Committee Substitute , floor amendment (3-title) filed to bill
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✓Introduced
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✓In Committee
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3Passed Senate
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4Passed House
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5To Executive
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6Enacted
This bill died with 2022 Regular Session. It reached “Passed Senate” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.
Summary
Create a new section of KRS Chapter 18A to require the secretary of the Finance and Administration Cabinet to contract with an independent entity to monitor all Public Employee Health Insurance Program pharmacy benefit claims; establish eligibility requirements for an entity seeking to contract with the cabinet to monitor pharmacy benefit claims; establish requirements for analyzing and monitoring claims; create a new section of KRS Chapter 205 to define terms; require the Department for Medicaid Services to contract with an independent entity to monitor all Medicaid pharmacy benefit claims; establish eligibility requirements for an entity seeking to contract with the department to monitor pharmacy benefit claims; establish requirements for analyzing and monitoring claims; EMERGENCY.
Bill Text
What changed in the latest version
17 added · 17 removed17 line(s) added, 17 removed.
UNOFFICIAL COPY 22 RS BRSB 44168/GA AN ACT relating to pharmacy benefit claim verification and declaring an emergency.
or Page 1 of 7 BR044100.100SB006810.100 - 441 - XXXX JacketedGA UNOFFICIAL COPY 22 RS BRSB 44168/GA 3.
Any other contract that defines a pharmacy benefit manager's obligations and responsibilities as it relates to processing Public Employee Health Insurance Program pharmacy benefit claims, including any contract between the pharmacy benefit manager and a an insurer contracted pursuant to KRS 18A.225 or a third-party administrator contracted pursuant to KRS 18A.2254;
Page 2 of 7 BR044100.100SB006810.100 - 441 - XXXX JacketedGA UNOFFICIAL COPY 22 RS BRSB 44168/GA (c) Identify and correct errors in pharmacy benefit claims in order to avoid or reduce erroneous overpayments by an insurer contracted pursuant to KRS 18A.225, a third-party administrator contracted pursuant to KRS 18A.2254, or a pharmacy benefit manager contracted to administer pharmacy benefits in the Public Employee Health Insurance Program;
and Page 3 of 7 BR044100.100SB006810.100 - 441 - XXXX JacketedGA UNOFFICIAL COPY 22 RS BRSB 44168/GA (b) Consider at least the following:
Compliance with all state and federal lawlaws relating to or applicable to the Public Employee Health Insurance Program;
Page 4 of 7 BR044100.100SB006810.100 - 441 - XXXX JacketedGA UNOFFICIAL COPY 22 RS BRSB 44168/GA (b) A contract entered into pursuant to this subsection shall not be for a term longer than two (2) years but may be renewed for like or lesser periods.
Any other contract that defines the state pharmacy benefit manager's obligations and responsibilities as it relates to processing Medicaid Page 5 of 7 BR044100.100SB006810.100 - 441 - XXXX JacketedGA UNOFFICIAL COPY 22 RS BRSB 44168/GA pharmacy benefit claims in the Commonwealth, including any contract between the state pharmacy benefit manager and a managed care organization;
The report shall include a summary of the analysis and errors identified pursuant to paragraphs (c), Page 6 of 7 BR044100.100SB006810.100 - 441 - XXXX JacketedGA UNOFFICIAL COPY 22 RS BRSB 44168/GA (d), (e), and (f) of this subsection during the previous quarter.
Page 7 of 7 BR044100.100SB006810.100 - 441 - XXXX JacketedGA
Action History
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floor amendments (1) and (2) filed to Committee Substitute , floor amendment (3-title) filed to bill
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2nd reading, to Rules
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reported favorably, 1st reading, to Calendar with Committee Substitute (1)
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to Health & Family Services (H)
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to Committee on Committees (H)
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received in House
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3rd reading, passed 29-8
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posted for passage in the Regular Orders of the Day for Wednesday, February 09, 2022
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2nd reading, to Rules
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reported favorably, 1st reading, to Calendar
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to Health & Welfare (S)
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to Committee on Committees (S)
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introduced in Senate
Sponsors
- R. Alvarado · Primary
- C. Embry Jr. · Primary
Sponsorship breakdown
Export CSV (upgrade) →2 sponsors · 0 co-sponsors · 136 not signed on · 5 voted No
Sponsors (2)
- R. Alvarado
- C. Embry Jr.
Co-sponsors (0)
None.
Not signed on (136)
136 members have not signed on to this bill.
Show all 136 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 15 | 3 | 0 | 0 |
| Republican | 14 | 3 | 0 | 0 |
| Democrat | 0 | 2 | 0 | 0 |
| Total | 29 | 8 | 0 | 0 |
| % of votes cast | 78% | 22% | 0% | 0% |
How each member voted (37)
| Member | Party | Vote |
|---|---|---|
| Alvarado | — | Yea |
| Parrett | — | Yea |
| Hornback | — | Yea |
| Thayer | — | Yea |
| Schickel | — | Yea |
| Turner | — | Yea |
| Castlen | — | Yea |
| Schroder | — | Yea |
| Meredith | — | Yea |
| Smith | — | Yea |
| Westerfield | — | Yea |
| Embry | — | Yea |
| Southworth | — | Yea |
| Nemes | — | Yea |
| McGarvey | — | Nay |
| Thomas | — | Nay |
| Yates | — | Nay |
| Harper Angel | — | Yea |
| Gerald A. Neal | Democrat | Nay |
| Karen Berg | Democrat | Nay |
| Brandon J. Storm | Republican | Yea |
| Christian McDaniel | Republican | Yea |
| Danny Carroll | Republican | Yea |
| David P. Givens | Republican | Yea |
| Donald Douglas | Republican | Yea |
| Jared Carpenter | Republican | Yea |
| Jason Howell | Republican | Yea |
| Jimmy Higdon | Republican | Nay |
| Julie Raque Adams | Republican | Yea |
| Max Wise | Republican | Nay |
| Mike Wilson | Republican | Yea |
| Phillip Wheeler | Republican | Yea |
| Rick Girdler | Republican | Yea |
| Robby Mills | Republican | Yea |
| Robert Stivers | Republican | Yea |
| Robin L. Webb | Republican | Nay |
| Stephen West | Republican | Yea |
Subjects
Frequently asked questions
- What does SB 68 do?
- Create a new section of KRS Chapter 18A to require the secretary of the Finance and Administration Cabinet to contract with an independent entity to monitor all Public Employee Health Insurance Program pharmacy benefit claims; establish eligibility requirements for an entity seeking to contract with the cabinet to monitor pharmacy benefit claims; establish requirements for analyzing and monitoring claims; create a new section of KRS Chapter 205 to define terms; require the Department for Medicaid Services to contract with an independent entity to monitor all Medicaid pharmacy benefit claims; establish eligibility requirements for an entity seeking to contract with the department to monitor pharmacy benefit claims; establish requirements for analyzing and monitoring claims; EMERGENCY.
- Who sponsors SB 68?
- SB 68 is sponsored by R. Alvarado and C. Embry Jr..
- What is the current status of SB 68?
- This bill died with 2022 Regular Session. It reached “Passed Senate” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
- Where can I track SB 68?
- Track SB 68 free on One Click Politics — get push/email alerts when it moves.
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Last checked for changes 2 months ago · updated continuously
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