KRS 304.17A-1631: Administrative regulations -- Requirement of annual report to

commissioner.

(1) Notwithstanding any other law to the contrary, the commissioner shall promulgate

any administrative regulations necessary to enforce this section and KRS 304 .17A-

163.

(2) Annually, an insurer, health plan, pharmacy benefit manager, or private review

agent shall report to the commissioner, in a format prescribed by the commissioner:

(a) The number of step therapy exception requests received, by exception as set

forth in KRS 304.17A-163(4)(a)2.;

(b) The type of health care providers, or the medical specialties of the health care

providers, that submitted step therapy exception requests;

(c) The number of step therapy exceptions, by exception as set forth in KRS

304.17A-163(4)(a)2., that were:

1. Denied, and the reason for the denial;

2. Approved;

3. Initially denied and then appealed; and

4. Initially denied and then subsequently reversed by internal appeals or

external reviews; and

(d) The medical conditions for which insureds were granted step therapy

exceptions due to the likelihood that switching the prescription drug would

likely cause an adverse reaction by physical or mental harm to the insured.