Kentucky 2023 Regular Session

Kentucky House Bill HB195

Introduced
2/7/23  

Caption

AN ACT relating to the Critical Access Care Pharmacy Program.

Impact

The implementation of the Critical Access Care Pharmacy Program is expected to positively influence rural healthcare provision by stabilizing the financial viability of pharmacies that serve areas where healthcare access is often limited. The program’s payments will assist in maintaining these pharmacies' operations, ultimately improving prescription access for rural consumers. By relying on the established Medicaid reimbursement structure, the bill also aims to create a systematic approach to support pharmacies facing economic challenges, ensuring that they can continue to serve their communities effectively.

Summary

House Bill 195 aims to establish the Critical Access Care Pharmacy Program in Kentucky, designed to support and sustain critical access pharmacies located in rural areas with populations under 50,000 residents. The bill dictates that the Department for Medicaid Services will administer a reimbursement payment system based on the number of prescriptions filled quarterly by these pharmacies. The program will have a budget of $10 million annually, with individual payments capped at the reimbursement rates set forth by the Kentucky medical assistance program as of July 1 each year. This initiative is essential for ensuring that residents in underserved areas have access to necessary pharmaceutical services.

Sentiment

The sentiment around HB 195 is generally positive among supporters, particularly among healthcare advocates and rural community representatives. They view the bill as a critical step in combating the declining number of pharmacies in rural areas and recognize its potential to improve public health outcomes. However, there may be concerns regarding the sufficiency of the allocated funding and whether it will adequately cover the needs of all participating pharmacies. Opponents may argue that the bill, while well-intentioned, does not address broader systemic issues within healthcare accessibility in rural regions.

Contention

Some notable points of contention surrounding HB 195 include potential disagreements over funding levels and program oversight. Critics might question whether the $10 million allocation will be adequate to meet the medication needs of rural populations, considering the growing number of patients relying on the services provided by critical access pharmacies. Additionally, discussions might arise over how the program will be monitored and evaluated for effectiveness, as well as how it can be adjusted in response to changing healthcare landscapes in Kentucky's rural areas.

Companion Bills

No companion bills found.

Previously Filed As

KY HB457

AN ACT relating to pharmacy or pharmacist services.

KY SB188

AN ACT relating to patient access to pharmacy benefits.

KY HB203

AN ACT relating to consumer protection through regulation of pharmacy-related trade practices.

KY HB190

AN ACT relating to pharmacy benefits.

KY HB141

AN ACT relating to the establishment of emergency insulin programs and declaring an emergency.

KY SB126

AN ACT relating to the establishment of emergency insulin programs and declaring an emergency.

KY HB42

AN ACT relating to the establishment of emergency insulin programs and declaring an emergency.

KY HB415

AN ACT relating to coverage for the care of children.

KY HB408

AN ACT relating to coverage for the care of children.

KY HB416

AN ACT relating to coverage for the care of children.

Similar Bills

CA AB913

Pharmacy benefit managers.

CA SB362

Chain community pharmacies: quotas.

LA HB432

Provides for the regulation of pharmacy services administrative organizations (OR +$88,000 SG EX See Note)

MS HB1125

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

LA HB387

Provides for the regulation of pharmacy services administrative organizations

CA AB401

Pharmacy: remote dispensing site pharmacy: telepharmacy: shared clinic office space.

AR SB593

To Amend The Arkansas Pharmacy Benefits Manager Licensure Act; And To Create The Pharmacy Services Administrative Organization Act.

CA AB690

Pharmacies: relocation: remote dispensing site pharmacy: pharmacy technician: qualifications.