18A.2255 Health benefit plans and other information to be submitted to Advisory

311 words·~1 min read·/ky/18a-2255

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Committee of State Health Insurers -- Approval or recommendations for

changes -- Committee to advise on options, bids, administration, and drug

formulary -- Written report or testimony.

(1)The secretary of the Personnel Cabinet shall submit to the Advisory Committee of

State Health Insurance Subscribers established in KRS 18A.225, at least thirty

days prior to issuing requests for proposals, the health benefit plans that will be

submitted to carriers. The secretary of the Personnel Cabinet shall also provide to

employee organizations who are represented on the Advisory Committee of State

Health Insurance Subscribers information necessary so that the member

representing the organization can fulfill his or her responsibilities under this section.

The advisory committee shall submit in writing to the secretary the committee's

approval of the plans or its recommendations on changes to the plans no later than

seven

(7)days prior to the issuance of requests for proposals. The advisory

committee shall advise the secretary on:

(a)Health insurance benefit options that should be included in the program;

(b)Procedures for soliciting bids or requesting proposals for contracts from

carriers for the program;

(c)The implementation, maintenance, and administration of the health insurance

benefits under the program; and

(d)The development of a uniform prescription drug formulary that contains fair

and reasonable standards and procedures for patient access to medically

necessary alternatives to the formulary and patient choice of higher-cost

alternatives to the formulary, and that ensures that discounts negotiated with

drug manufacturers are passed to the program.

(2)The secretary of the Personnel Cabinet shall, at the discretion of the co-chairs of the

Interim Joint Committee on Appropriations and Revenue, either submit a written

report to or testify before the Interim Joint Committee on Appropriations and

Revenue on the state employee health insurance program for the next plan year prior

to the issuance of the requests for proposals.