On Apr. 5, KNY LEG enacted bill on access to pharmacy benefits.
KNY LEG enacted bill SB 188 to define terms for pharmacy-related insurance practices.
Adds new sections to Subtitle 17A of KNY Revised Statutes Ch 304, KNY INS 17A-304, on health benefit plans, and new sections to Subtitle 99, KNY INS 99-304, re penalties.
Amends several other sections, including KNY INS 304.14-120 on filing of forms.
Required insurers, pharmacy benefit managers, and other pharmacy benefits administrators to establish reasonably adequate and accessible pharmacy networks.
Establishes requirements for certain contracts between a pharmacy or pharmacist and an insurer, a pharmacy benefit manager, or any other pharmacy benefits administrator.
Sets prohibited conduct, obligations for certain pharmacy-related insurance practices.
Establishes complaint process for insureds, pharmacies impacted by certain violations.
Authorizes insurance commissioner to order reimbursement to persons who incurred a monetary loss as a result of a violation of certain pharmacy-related insurance laws.
Required the insurance commissioner to review certain health plans; applies certain pharmacy-related insurance laws to limited health service benefit plans.
Applies certain pharmacy-related insurance laws to limited health service firms.
Creates certain requirements for health discount plans relating to prescription drugs.
Legislative History
On Feb. 8, 2024, bill was introduced in Senate; on Mar. 26, 2024, passed Senate.
On Mar. 26, 2024, bill was introduced in House; on Mar. 28, 2024, passed House.
On Mar. 28, 2024, bill was delivered to governor; on Apr. 5, 2024, governor signed bill.
Effectiveness
Sections 1 to 15, 18, 19 take effect Jan. 1, 2025; other sections require KNY INS to promulgate regulations to implement the act on or before Jan. 1, 2025 or 2026.
