{"data":{"id":"us-ky/krs-304.17a-1631","jurisdiction":"us-ky","citation":"KRS 304.17A-1631","heading":"Administrative regulations -- Requirement of annual report to","body":"commissioner.\n(1) Notwithstanding any other law to the contrary, the commissioner shall promulgate\nany administrative regulations necessary to enforce this section and KRS 304 .17A-\n163.\n(2) Annually, an insurer, health plan, pharmacy benefit manager, or private review\nagent shall report to the commissioner, in a format prescribed by the commissioner:\n(a) The number of step therapy exception requests received, by exception as set\nforth in KRS 304.17A-163(4)(a)2.;\n(b) The type of health care providers, or the medical specialties of the health care\nproviders, that submitted step therapy exception requests;\n(c) The number of step therapy exceptions, by exception as set forth in KRS\n304.17A-163(4)(a)2., that were:\n1. Denied, and the reason for the denial;\n2. Approved;\n3. Initially denied and then appealed; and\n4. Initially denied and then subsequently reversed by internal appeals or\nexternal reviews; and\n(d) The medical conditions for which insureds were granted step therapy\nexceptions due to the likelihood that switching the prescription drug would\nlikely cause an adverse reaction by physical or mental harm to the insured.","path":[],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=53227","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:57:46Z","sha256":"d899a3af107066ce7ce6aa08b4e61f5e34451a6f8a59086964134ed2e8361ef6","source_id":"us-ky","stale":false,"prev":"us-ky/krs-304.17a-163","next":"us-ky/krs-304.17a-164"},"notice":"GroundRules: Original legal text. Not legal advice."}