UNOFFICIAL COPY 24 RS BR 2166
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AN ACT relating to Medicaid. 1
Be it enacted by the General Assembly of the Commonwealth of Kentucky: 2
ď˘Section 1. KRS 205.5518 is amended to read as follows: 3
(1) Notwithstanding any provisions of law to the contrary, beginning on March 27, 4
2020, and continuing until December 31, 2020, a pharmacy benefit manager 5
contracted with a managed care organization to administer Medicaid benefits shall 6
not: 7
(a) Adjust, modify, change, or amend reimbursement methodologies, dispensing 8
fees, and any other fees paid by the pharmacy benefit manager to pharmacies 9
licensed in the Commonwealth; 10
(b) Create, modify, implement, or indirectly establish any fee on a pharmacy, 11
pharmacist, or a Medicaid recipient in the Commonwealth; and 12
(c) Make any adjustments, modifications, or changes to a pharmacy network for 13
the managed care organization with which[whom] the pharmacy benefit 14
manager has contracted to administer Medicaid benefits. 15
(2) Notwithstanding any provisions of law to the contrary, beginning on March 27, 16
2020, and continuing until December 31, 2020, a pharmacy benefit manager 17
contracted with a managed care organization to administer Medicaid benefits shall: 18
(a) Administer, adjudicate, and, when appropriate, reimburse any pharmacy 19
benefit claim submitted to the managed care organization prior to the 20
termination of the contract between the pharmacy benefit manager and the 21
managed care organization in accordance with the contract between the 22
pharmacy benefit manager and the managed care organization; and 23
(b) Not be released from its obligation to make any payments owed to a 24
pharmacy licensed in the Commonwealth for pharmacy services rendered 25
prior to the termination of the contract between the pharmacy benefit manager 26
and the managed care organization. 27 UNOFFICIAL COPY 24 RS BR 2166
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(3) The department shall impose a fine of twenty-five thousand dollars ($25,000) per 1
day per separate violation on a pharmacy benefit manager who violates subsection 2
(1) or (2) of this section. 3