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2026-07-06 17:27:20 -04:00

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type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags
type title description jurisdiction legislature session identifier citation classification subjects status primary_sponsors version_count action_count vote_count first_action last_action source source_identifier source_url source_hash vintage source_snapshot retrieved_at confidence tags
Bill AN ACT relating to step therapy protocols. 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. us/states/ky Kentucky General Assembly 2022RS SB 140 Kentucky SB 140 (2022RS)
bill
Administrative Regulations and Proceedings
Children and Minors
Drugs and Medicines
Education
Higher
Effective Dates
Delayed
Insurance
Health
Medicaid
Reports Mandated
State Agencies
State Employees
enacted
D. Carroll
M. Wise
3 19 2 2022-02-03T05:00:00+00:00 2022-03-17T04:00:00+00:00 openstates ocd-bill/e54182e1-f7e7-45fa-b399-17758c4c17a8 https://apps.legislature.ky.gov/record/22RS/sb140.html 98e104ef17a1c647eae26ac5a97c9f0b2e03a96cc1874e0ceb50cbd6441c59d8 2026-07-01 https://data.openstates.org/daily/2026-07-01/public.pgdump 2026-07-06 reported
legislation
bill
us-ky

Kentucky SB 140 (2022RS) — AN ACT relating to step therapy protocols.

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.

Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

  1. Introduced (filed) — source
  2. Acts Chapter 19 (committee substitute) — source
  3. Current/Final (committee substitute) — source

Votes

  • Final Passage — pass (pass) · upper
  • PASS SB 140 W/ scs1 — pass (pass) · upper

Sponsors

  • D. Carroll — primary (person)
  • M. Wise — primary (person)

Timeline

The legislative action history — every referral, reading, and vote.

  • 2022-02-03T05:00:00+00:00 introduced in Senate introduction
  • 2022-02-03T05:00:00+00:00 to Committee on Committees (S) referral-committee
  • 2022-02-07T05:00:00+00:00 to Banking & Insurance (S) referral-committee
  • 2022-02-15T05:00:00+00:00 reported favorably, 1st reading, to Calendar with Committee Substitute (1) committee-passage
  • 2022-02-16T05:00:00+00:00 2nd reading, to Rules reading-2
  • 2022-02-16T05:00:00+00:00 posted for passage in the Regular Orders of the Day for Thursday, February 17, 2022
  • 2022-02-17T05:00:00+00:00 3rd reading, passed 35-0 with Committee Substitute (1) passage, reading-3
  • 2022-02-17T05:00:00+00:00 received in House
  • 2022-02-17T05:00:00+00:00 to Committee on Committees (H) referral-committee
  • 2022-02-24T05:00:00+00:00 to Banking & Insurance (H) referral-committee
  • 2022-03-02T05:00:00+00:00 reported favorably, 1st reading, to Calendar committee-passage
  • 2022-03-03T05:00:00+00:00 2nd reading, to Rules reading-2
  • 2022-03-09T05:00:00+00:00 posted for passage in the Regular Orders of the Day for Thursday, March 10, 2022
  • 2022-03-10T05:00:00+00:00 3rd reading, passed 95-0 passage, reading-3
  • 2022-03-11T05:00:00+00:00 received in Senate
  • 2022-03-11T05:00:00+00:00 enrolled, signed by President of the Senate passage
  • 2022-03-11T05:00:00+00:00 enrolled, signed by Speaker of the House passage
  • 2022-03-11T05:00:00+00:00 delivered to Governor
  • 2022-03-17T04:00:00+00:00 signed by Governor (Acts Ch. 19) executive-signature

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/e54182e1-f7e7-45fa-b399-17758c4c17a8. Confidence: reported (aggregated from official Kentucky legislature records).