Rep. Jonathan Dixon

Direct the Department for Medicaid Services to request guidance from the Centers for Medicare and Medicaid Services for Medicaid coverage of prescription digital therapeutics; require the Department for Medicaid Services to submit a summary report to the Interim Joint Committee on Health, Welfare, and Family Services, the Medicaid Oversight and Advisory Committee, the Legislative Research Commission, and the Kentucky Congressional delegation by December 1, 2022.

Amend KRS 67.083 to allow a fiscal court of any county to levy all taxes not in conflict with the Constitution, provided that the fee or tax is allowed by the statutes of this state; amend KRS 92.281 to allow cities of all classes to levy all taxes not in conflict with the Constitution, provided that the fee or tax is allowed by the statutes of this state; amend KRS 610.350 to allow certain local government bodies to levy taxes within constitutional limitations, provided that the tax is allowed by the statutes of this state; amend KRS 83.520 to allow the legislative body of a city of the first class to levy all taxes, provided that the taxes are allowed by the statutes of this state; amend KRS 65.760 to allow local governments to levy certain taxes, provided that the taxes are allowed by the statutes of this state; create a new section of KRS Chapter 92 to prohibit municipal corporations that are authorized to levy and collect taxes or fees from levying the tax or fee unless the tax or fee is allowed by the statutes of this state; EFFECTIVE only upon the ratification by voters of an amendment to Section 181 of the Kentucky Constitution.

Create various new sections of KRS 218A to define terms and establish a medicinal cannabis program; create a new section of KRS Chapter 138 to establish an excise tax on certain transfers of medicinal cannabis; amend KRS 139.470 to exempt the sale of medical cannabis from the state sales tax; amend KRS 138.870 to exempt medicinal cannabis from the excise tax on controlled substances; amend KRS 216B.402 to require hospital emergency departments to report cases of cannabinoid hyperemesis syndrome to the Department for Public Health; amend KRS 218A.010, 218A.1421, 218A.1422, and 218A.1423 to conform; amend KRS 218A.202 to require the Department for Public Health to utilize the electronic system for monitoring controlled substances to monitor medicinal cannabis; amend 218A.500 to conform; amend KRS 342.815 to establish that the Employer’s Mutual Insurance Authority shall not be required to provide coverage to an employer if doing so would subject the authority to a violation of state or federal law; some sections EFFECTIVE July 1, 2023; APPROPRIATION.

Amend KRS 61.810, relating to exceptions for open meetings for any public agency, to include within the exceptions any state or local law, in addition to laws under KRS Chapter 45A or 56, where a group is established to select a successful bidder for an award of a local contract;amend KRS 61.826, relating to video teleconferencing, to require any public agency to provide specific information regarding where any member of the media or public may view the meeting electronically; require the identification of a primary physical location of the video teleconference where all members of the public agency who are participating may be seen and heard, if the public agency provides a physical location for the meeting, or where two or more members of the public agency are attending a video teleconference meeting from the same physical location; require all public agency members who participate in a video teleconference to remain on camera all the time business is being discussed; amend KRS 83A.150, relating to cities operating under a city manager form of government, to allow the city board to meet in closed session no more than two times a year to conduct a performance evaluation of the city manager; stipulate that the board must follow KRS 61.815, and that the records of the meeting are subject to the Open Records Act.

Amend KRS 508.100 to increase penalties if the victim is under 12 years of age.

Create new sections of KRS Chapter 183 to establish the aviation development fund and appropriate moneys in the fund for the purpose of expanding educational opportunities in the field of aviation and aeronautics and promote aviation programs in the Commonwealth; direct the Department of Aviation to establish an aviation development grant program and specify expenditure levels in the aviation development fund for different purposes; set forth criteria for judging grant proposals, an application, and award schedule; create reporting requirements to the Interim Joint Committees on Appropriations and Revenue and Transportation on grant applications and awards; establish the Aviation Development Grant Review Committee to evaluate grant proposals and award grants, set forth membership, qualifications, and administrative procedures of the five member board; provide for staggered terms of initial citizen appointments to the committee; APPROPRIATION; EMERGENCY

Amend KRS 341.030 to suspend any increase in the taxable wage base for calendar year 2022 and utilize the taxable wage base in effect for the 2020 year; amend KRS 341.270 to indicate that employer contribution rates in 2022 shall be determined using the rates listed in Schedule A of Table A; amend KRS 341.614 to provide there will be no surcharge assessment for 2022; retroactively to January 1, 2022; EMERGENCY.

Urge the Federal Aviation Administration to update its administrative regulations pertaining to agricultural unmanned aircraft systems.

Amend KRS 304.17A-164 to prohibit insurers, pharmacy benefit managers, and other administrators of pharmacy benefits from imposing certain requirements on health plan insureds; create new sections of Subtitle 17A of KRS Chapter 304 to establish definitions for pharmacy-related insurance practices; require pharmacy benefit managers to establish reasonably adequate and accessible pharmacy networks; require pharmacy benefit managers to file, and the insurance commissioner to review, an annual report describing pharmacy networks; provide that information and data acquired by the Department of Insurance shall be considered proprietary and not subject to disclosure under KRS 61.870 to 61.884; establish requirements for certain contracts between a pharmacy or pharmacist and a pharmacy benefit manager; establish prohibited practices for pharmacy benefit managers; establish certain requirements for insurers and pharmacy benefit managers contracting for the provision of pharmacy benefit management services; prohibit administrators from offering any incentive or discount for use of an affiliated pharmacy benefit manager; establish a Pharmacy Benefits Management Advisory Council; create a new section of Subtitle 99 of KRS Chapter 304 to authorize the insurance commissioner to order reimbursement to persons who incurred a monetary loss as a result of a violation of provisions of legislation; amend KRS 304.9-054 to make technical changes; authorize the promulgation of administrative regulations; require pharmacy benefit managers to report certain information to the insurance commissioner; provide that certain reported information shall not be subject to disclosure under KRS 61.870 to 61.884; amend KRS 304.17A-708, 304.17A-712, and 304.17A-714 to conform; create a new section of Subtitle 17C of KRS Chapter 304 to apply provisions of legislation to limited health service benefit plans, including limited health service contracts; create a new section of Subtitle 38A of KRS Chapter 304 to apply provisions of legislation to limited health service organizations; amend 18A.225 to require the state employee health plan to comply with provisions of legislation; amend KRS 367.828 to establish certain requirements for the health discount plans that purport to offer discounts, or access to discounts, on prescription drugs; provide for staggered appointments to the Pharmacy Benefits Management Advisory Council; provide that provisions of this Act shall be severable; require the insurance commissioner to promulgate regulations to implement the Act on or before January 1, 2023; EFFECTIVE, in part, January 1, 2023.

Amend KRS 317A.010 to define "medical spa" and "medical esthetic service"; create a new section of KRS Chapter 317A to require the ownership of a medical spa to be by a physician licensed by the Kentucky Board of Medical Licensure, a nurse licensed by the Kentucky Board of Nursing, or an esthetician or cosmetologist licensed by the Kentucky Board of Cosmetology; require a licensed physician or physician assistant, nurse, esthetician, or cosmetologist to be physically present on site when medical esthetic services are being offered; authorize a licensed physician, physician assistant, nurse, esthetician, or cosmetology to perform medical esthetic services within a medical spa; require a medical spa to be incorporated as a business entity with the Secretary of State; require licensure to operate a medical spa; require medical spas to post the information of any licensed professional that performs medical esthetic services in a place that is accessible to customers and on the Web site of a medical spa; amend KRS 317A.020 authorize the Board of Cosmetology to issue an emergency order against any facility it licenses; authorize the board to investigate alleged violations and to schedule and conduct administrative hearings; amend KRS 317A.050 to establish the conditions upon which the board can issue a license to operate a medical spa; EMERGENCY.