5941153bb7
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
99 lines
7.3 KiB
Markdown
99 lines
7.3 KiB
Markdown
---
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type: "Bill"
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title: "AN ACT relating to pharmacy benefits in the Medicaid program. Create a new section of KRS Chapter 205 to require the Department for Medicaid Services to directly administer all outpatient pharmacy benefits; prohibit renewal or negotiation of new contracts to provide Medicaid managed care that allow administration of outpatient benefits by any entity but the Department for Medicaid Services; reduce costs of future Medicaid managed care contracts by costs of all outpatient pharmacy benefits as they existed on January 1, 2017; allow the department to utilize managed care principles and techniques to assist with member medication adherence and cost control; require the department to establish a reasonable dispensing fee pursuant to Centers for Medicare and Medicaid Services guidelines; EFFECTIVE January 1, 2019."
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description: "AN ACT relating to pharmacy benefits in the Medicaid program. Create a new section of KRS Chapter 205 to require the Department for Medicaid Services to directly administer all outpatient pharmacy benefits; prohibit renewal or negotiation of new contracts to provide Medicaid managed care that allow administration of outpatient benefits by any entity but the Department for Medicaid Services; reduce costs of future Medicaid managed care contracts by costs of all outpatient pharmacy benefits as they existed on January 1, 2017; allow the department to utilize managed care principles and techniques to assist with member medication adherence and cost control; require the department to establish a reasonable dispensing fee pursuant to Centers for Medicare and Medicaid Services guidelines; EFFECTIVE January 1, 2019."
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jurisdiction: "us/states/ky"
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legislature: "Kentucky General Assembly"
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session: "2018RS"
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identifier: "SB 5"
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citation: "Kentucky SB 5 (2018RS)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["C. Embry Jr.", "D. Carroll", "J. Bowen", "J. Carpenter", "M. Wilson", "M. Wise", "P. Hornback", "R. Alvarado", "R. Girdler", "R. Thomas", "S. Meredith", "S. West"]
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version_count: 9
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action_count: 29
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vote_count: 0
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first_action: "2017-09-25"
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last_action: "2018-04-13"
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source: "openstates"
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source_identifier: "ocd-bill/f750213d-9048-4dca-9778-9d68be820e24"
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source_url: "http://www.lrc.ky.gov/record/18RS/SB5.htm"
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source_hash: "137f0dc70aada81139b527d2d9af56e7bbad463ce7a1a76d82f7f7f5f4ac77fa"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-ky"]
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---
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# Kentucky SB 5 (2018RS) — AN ACT relating to pharmacy benefits in the Medicaid program. Create a new section of KRS Chapter 205 to require the Department for Medicaid Services to directly administer all outpatient pharmacy benefits; prohibit renewal or negotiation of new contracts to provide Medicaid managed care that allow administration of outpatient benefits by any entity but the Department for Medicaid Services; reduce costs of future Medicaid managed care contracts by costs of all outpatient pharmacy benefits as they existed on January 1, 2017; allow the department to utilize managed care principles and techniques to assist with member medication adherence and cost control; require the department to establish a reasonable dispensing fee pursuant to Centers for Medicare and Medicaid Services guidelines; EFFECTIVE January 1, 2019.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **HCA1** (committee substitute) — [source](http://www.lrc.ky.gov/recorddocuments/bill/18RS/SB5/HCA1.pdf)
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2. **HCA2** (committee substitute) — [source](http://www.lrc.ky.gov/recorddocuments/bill/18RS/SB5/HCA2.pdf)
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3. **HCS1** (committee substitute) — [source](http://www.lrc.ky.gov/recorddocuments/bill/18RS/SB5/HCS1.pdf)
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4. **HFA1** (committee substitute) — [source](http://www.lrc.ky.gov/recorddocuments/bill/18RS/SB5/HFA1.pdf)
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5. **HFA2** (committee substitute) — [source](http://www.lrc.ky.gov/recorddocuments/bill/18RS/SB5/HFA2.pdf)
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6. **Most Recent Version** (committee substitute) — [source](http://www.lrc.ky.gov/recorddocuments/bill/18RS/SB5/bill.pdf)
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7. **SB 5 (As Introduced)** (committee substitute) — [source](http://www.lrc.ky.gov/recorddocuments/bill/18RS/SB5/orig_bill.pdf)
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8. **SCS1** (committee substitute) — [source](http://www.lrc.ky.gov/recorddocuments/bill/18RS/SB5/SCS1.pdf)
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9. **SFA1** (committee substitute) — [source](http://www.lrc.ky.gov/recorddocuments/bill/18RS/SB5/SFA1.pdf)
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## Sponsors
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- C. Embry Jr. — primary (person)
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- D. Carroll — primary (person)
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- J. Bowen — primary (person)
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- J. Carpenter — primary (person)
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- M. Wilson — primary (person)
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- M. Wise — primary (person)
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- P. Hornback — primary (person)
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- R. Alvarado — primary (person)
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- R. Girdler — primary (person)
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- R. Thomas — primary (person)
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- S. Meredith — primary (person)
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- S. West — primary (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2017-09-25** Prefiled by the sponsor(s).
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- **2018-01-02** Introduced in Senate `introduction`
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- **2018-01-03** To Health & Welfare (S) `referral-committee`
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- **2018-02-14** Reported favorably, 1st reading, to Calendar with Committee Substitute (1) `reading-1`
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- **2018-02-15** 2nd reading, to Rules `reading-2`
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- **2018-02-16** Floor amendment (1) filed to Committee Substitute `amendment-introduction`
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- **2018-02-28** Posted for passage in the Regular Orders of the Day for Thursday, March 1, 2018
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- **2018-03-01** 3rd reading, passed 32-4 with Committee Substitute (1) floor amendment (1) `reading-3, passage`
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- **2018-03-02** Received in House
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- **2018-03-06** To Banking & Insurance (H) `referral-committee`
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- **2018-03-13** Posted in committee
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- **2018-03-15** Taken from Banking & Insurance (H)
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- **2018-03-15** 1st reading `reading-1`
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- **2018-03-15** Returned to Banking & Insurance (H)
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- **2018-03-16** Reported favorably, 2nd reading, to Rules with Committee Substitute and committee amendments (1) and (2-title) `reading-2`
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- **2018-03-16** Floor amendment (1) filed to Committee Substitute `amendment-introduction`
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- **2018-03-19** Posted for passage in the Regular Orders of the Day for Tuesday, March 20, 2018
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- **2018-03-20** Floor amendment (2) filed to Committee Substitute `amendment-introduction`
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- **2018-03-20** 3rd reading, passed 97-0 with Committee Substitute, committee amendment (2-title), and floor amendment (2) `reading-3, passage`
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- **2018-03-21** Received in Senate
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- **2018-03-22** Posted for passage for concurrence in House Committee Substitute, committee amendments (2-title) & floor amendment (2)
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- **2018-03-27** Passed over and retained in the Concurrence Orders of the Day
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- **2018-03-29** Passed over and retained in the Concurrence Orders of the Day
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- **2018-04-02** Senate concurred in House Committee Substitute (1), committee amendment (2-title) and floor amendment (2)
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- **2018-04-02** Bill passed 37-0
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- **2018-04-02** Enrolled, signed by President of the Senate
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- **2018-04-02** Enrolled, signed by Speaker of the House
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- **2018-04-02** Delivered to Governor
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- **2018-04-13** Signed by Governor (Acts, ch. 157) `executive-signature`
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f750213d-9048-4dca-9778-9d68be820e24`. Confidence: reported (aggregated from official Kentucky legislature records).
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