KNY LEG Pharmacy Benefits Bill


On Apr. 18, KNY LEG passed bill relating to pharmacy benefits.


  • KNY LEG passed bill HB 190 to amend certain provisions relating to pharmacy benefits.
  • Bill Provisions
  • Defined National average drug acquisition cost to mean the national average drug acquisition cost, or NADAC, for a prescription drug or other service as specified.
  • Specifically prescription drug or other service determined by a survey of retail pharmacies; and published by the federal Centers for Medicare and Medicaid Services.
  • The minimum reimbursement for the cost of a drug or other service required under this subparagraph shall not apply to a pharmacy permitted under Chapter 315.
  • Also with designated pharmacy type of retail chain on file with KNY Board of Pharmacy or pharmacist practicing at such pharmacy, until Commissioner determination in effect.
  • Legislative History
  • On Jan. 8, 2024, bill introduced in the House; on Mar. 12, 2024, bill passed in House.
  • On Mar. 13, 2024, bill introduced in Senate; on Apr. 15, 2024, bill passed in Senate.
  • On Apr. 15, 2024, bill delivered to governor; on Apr. 18, 2024, bill signed by governor.
  • Effectiveness
  • Bill provisions become effective Jan. 1, 2025.

Regulators KNY LEG
Entity Types CNSM; Ins
Reference Bill, HB190, 4/18/2024;
Functions Actuarial and Valuation; Compliance; Financial; Legal
Countries United States of America
Category
State
Products Insurance; Insurance-Health; Medicare
Regions Am
Rule Type Final
Rule Date 4/18/2024
Effective Date 1/1/2025
Rule Id 209279
Linked to N/A
Reg. Last Update 4/18/2024
Report Section US Insurance

Last substantive update on 04/24/2024