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, 2003.
__________