Senator Jimmy Higdon (R-Lebanon) has filed SB 139 that would make sweeping changes to the pharmacy reimbursement process for commercial insurance and Medicaid managed care plans. With the full support of KPhA and a team of dedicated members who worked tirelessly on the legislation, the bill is expected to:
- Give the Commissioner of Insurance the ability to review and approve PBM reimbursement rates.
- Prohibit insurance plans from recouping fees after the point-of-sale.
- Give patients the ability to choose their pharmacy of choice whether it is brick-and-mortar or mail-order pharmacy.
- No longer require pharmacies to get special accreditations in order to dispense specialty medications, beyond what is required by the Kentucky Board of Pharmacy.
Senate Bill 139 is an expression of frustration experienced by KPhA on behalf of its members across the Commonwealth with the ‘black box’ of pharmacy reimbursements and the continued lack of transparency in how pharmacies are reimbursed.
How you can help?
You can contact your Senator TODAY to support SB 139 and ask them to be a cosponsor of the legislation.