Session Law

Identifying Information:L. 2003 ch. 089
Other Identifying Information:2003 House Bill 2233*
Tax Type:Other
Brief Description:An Act enacting the uniform prescription drug information card act.
Keywords:


Body:

CHAPTER 89

HOUSE BILL No. 2233*

An Act enacting the uniform prescription drug information card act.


Be it enacted by the Legislature of the State of Kansas:

Section 1. This act shall be known and may be cited as the uniform

prescription drug information card act.

Sec. 2. As used in this act:

(a) ``Commissioner'' means the Kansas commissioner of insurance;

(b) ``department'' means the Kansas department of insurance; and

(c) ``health benefit plan'' shall have the meaning ascribed to such term

by subsection (1) of K.S.A. 40-2209d, and amendments thereto.

Sec. 3. (a) A health benefit plan that provides coverage for prescrip-

tion drugs or devices and issues a card for claims processing and an ad-

ministrator of any such plan, including, but not limited to, a pharmacy

benefits manager and a third-party administrator shall issue a card con-

taining uniform prescription drug information to each person entitled to

such card under the health benefit plan. If required for claims adjudi-

cation, the uniform prescription drug information card shall specifically

identify and display the following information:

(1) ANSI-BIN number;

(2) processor control number or group number or both;

(3) card issuer identifier;

(4) prescription claims processor, if different from card issuer;

(5) cardholder identification number;

(6) cardholder or insured name;

(7) claims submission names and addresses; and

(8) help desk telephone numbers.

(b) A uniform prescription drug information card shall be issued by

a health benefit plan to each person entitled to such card under the health

benefit plan upon enrollment and reissued upon any change in such per-

son's coverage that affects one or more mandatory data elements con-

tained on the card.

(c) Notwithstanding the foregoing provision, any health benefit plan

or administrator of such plan may utilize, in lieu of such card, electronic

technology which contains all of the information required for claims ad-

judication, as long as such electronic technology is provided by the health

benefit plan or administrator of such plan to the pharmacies which will

adjudicate the prescription drug claims.

Sec. 4. The uniform prescription drug information card may be used

for any and all coverage under a health benefit plan. Nothing in this act

shall be construed as requiring any person issuing a card for processing

of claims under a health benefit plan to issue a separate card for prescrip-

tion drug coverage, as long as the card is able to accommodate the infor-

mation necessary to process a prescription drug claim, as required by

section 3, and amendments thereto.

Sec. 5. (a) This act shall apply to any health benefit plan that is

amended, delivered, issued or renewed on or after the effective date of

this act.

(b) The commissioner may adopt rules and regulations that are nec-

essary to implement the provisions of this act.

Sec. 6. This act shall be administered and enforced by the commis-

sioner in the same manner as is provided for administering and enforcing

the statutes regarding insurers' unfair methods of competition and unfair

or deceptive acts or practices, as provided by K.S.A. 40-2405, 40-2406,

40-2407, 40-2408 and 40-2411, and amendments thereto, and the com-

missioner shall have and may exercise the powers granted by K.S.A. 40-

2405, 40-2406, 40-2407, 40-2408 and 40-2411, and amendments thereto,

in administering and enforcing the provisions of this act.

Sec. 7. This act shall take effect and be in force from and after its

publication in the statute book.

Approved April 16, 2002.


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Date Composed: 10/29/2003 Date Modified: 10/29/2003