UNOFFICIAL COPY 25 RS BR 1519
Page 1 of 1
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AN ACT relating to utilization controls for nonopioid analgesics in the Medicaid 1
program. 2
Be it enacted by the General Assembly of the Commonwealth of Kentucky: 3
ď˘SECTION 1. A NEW SECTION OF KRS CHAPTER 205 IS CREATED TO 4
READ AS FOLLOWS: 5
The Department for Medicaid Services, any managed care organization with whom the 6
department contracts for the delivery of Medicaid services, and the state pharmacy 7
benefit manager contracted by the department pursuant to KRS 205.5512 shall not: 8
(1) Deny coverage of a nonopioid prescription drug in favor of an opioid prescription 9
drug when a licensed physician has prescribed a nonopioid medication for the 10
treatment of chronic or acute pain; or 11
(2) Establish more restrictive or more extensive utilization controls, including but not 12
limited to more restrictive or more extensive prior authorization or step therapy 13
requirements, for clinically appropriate nonopioid drugs than the least restrictive 14
or extensive utilization controls applicable to any clinically appropriate opioid or 15
narcotic drug. 16