Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
6.4 KiB
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
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| 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) |
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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 |
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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.
- Introduced (filed) — source
- Acts Chapter 19 (committee substitute) — source
- 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).