Enacting the Kansas consumer prescription protection and accountability act and providing for regulation and registration of pharmacy benefits managers.
What changed between versions
New requirements mandate that auditing entities provide at least 14 days' written notice before conducting a pharmacy audit, with specific exceptions for delays.
Auditing entities are prohibited from charging penalties or recouping funds until the pharmacy has exhausted all appeal options.
New restrictions prevent auditing entities from compensating employees based on the amount of money recouped during an audit.
The bill limits clinical audits to a maximum of 24 months of history and 250 prescriptions to prevent overly broad reviews.
Penalties and chargebacks are restricted to cases involving fraud, benefit design violations, or actual underpayments, excluding dispensing fees unless a misfill occurred.
The previous text regarding the appointment terms and composition of the state insurance board was entirely removed.
New confidentiality rules protect patient health information in audit reports and restrict the commissioner's ability to subpoena or publish these reports.