The Kansas Consumer Prescription Protection and Accountability Act aims to enhance regulation of pharmacy benefits managers (PBMs) and establish standards for pharmacy audits. Key provisions include requirements for auditing entities to maintain confidentiality, provide prior notice before audits, and deliver reports within specified timeframes. The bill also outlines conditions for conducting audits, limits penalties, and mandates that auditing entities register with the commissioner. Additionally, it imposes reporting obligations on PBMs to disclose information about rebates and pricing practices, prohibits them from charging pharmacies more than submitted charges, and requires reimbursement at or above the national average drug acquisition cost.

The bill further amends existing laws by updating definitions related to PBMs and their licensing requirements, establishing a licensing process that includes application fees and penalties for non-compliance. It emphasizes confidentiality regarding PBM operations and outlines conditions for license revocation. The legislation also ensures that co-payments for prescription drugs do not exceed total submitted charges by network pharmacies and allows pharmacists to inform patients about cost-sharing options. Overall, the act seeks to improve transparency, accountability, and consumer protection in the pharmacy benefits management sector in Kansas.

Statutes affected:
As introduced: 40-202, 40-222, 40-3821, 40-3822, 40-3823, 45-229, 40-3824, 40-3825, 40-3826, 40-3827, 40-3828a, 40-3831, 40-3829, 40-3830
As Amended by Senate Committee: 40-202, 40-222, 40-3821, 40-3822, 40-3823, 45-229, 40-3824, 40-3825, 40-3826, 40-3827, 40-3828a, 40-3831, 40-3829, 40-3830
{As Amended by Senate Committee of the Whole}: 40-202, 40-222, 40-3821, 40-3822, 40-3823, 45-229, 40-3824, 40-3825, 40-3826, 40-3827, 40-3828a, 40-3831, 40-3829, 40-3830