Rep. Chris Freeland

Create new sections of KRS Chapter 214 to define "department" and "program"; establish the Lung Cancer Screening and Prevention Program within the Department for Public Health; provide that services may be undertaken by private contract or operated by the department; allow the program to provide referral, examination, and rescreening services for uninsured and underinsured individuals for whom further examination or treatment is indicated by the lung cancer screening; require the department to adopt a schedule of income-based fees to be charged for lung cancer screenings; require that the fee schedule be such that the screenings are available to the largest number of people; permit the department to accept grants or awards of funds from federal or private sources; require the department to establish a data collection system; require the promulgation of administrative regulations; establish a restricted fund to be known as the Kentucky Lung Cancer Screening and Prevention Program fund and establish parameters of the fund; require that the funds be used by the department to administer the program; require moneys in the fund to be administered by the Finance and Administration Cabinet; provide that moneys remaining in the fund at the end of the fiscal year will carry forward into the succeeding fiscal year; require that interest earned on moneys in the fund will accrue to the fund; require that moneys in the fund are appropriated for the purposes of the program; require the fund to include funds distributed by the Transportation Cabinet from sales of special lung cancer prevention license plates; establish the Lung Cancer Screening Advisory Committee; establish the membership of the advisory committee; require the advisory committee to provide recommendations for implementation and conduct of the lung cancer screening program; require the advisory committee to establish and provide oversight for a lung cancer screening public awareness campaign; require the Cabinet for Health and Family Services to contract with the Kentucky Cancer Consortium at the University of Kentucky to provide the required support; require the amount of contracted services to be excluded from the base funding formula of the university as determined by the Council on Postsecondary Education; require the advisory committee to provide an annual report on implementation, outcomes, and recommendations; require the Kentucky Cancer Program to establish a lung cancer screening education and outreach program in each of the area development districts; require the education and outreach program to focus on individuals who lack access to lung cancer screening; require the Cabinet for Health and Family Services to contract with the University of Louisville and the University of Kentucky to provide the required support and require the amount of contracted services to be excluded from the base funding formula of the universities as determined by the Council on Postsecondary Education; APPROPRIATION.

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.

Amend KRS 314.042 to require that advanced practice registered nurses exempted from a CAPA-NS include certified nurse practitioners, certified nurse midwifes, and certified registered nurse anesthetists; allow the CAPA-CS to include limitations on drugs and amounts and requirements for the APRN to communicate with the physician before prescribing; establish conditions for an APRN to prescribe controlled substances without a CAPA-CS after four years of controlled substance prescribing authority under a CAPA-CS; require an APRN to confirm with the nursing board that the APRN's license is in good standing before prescribing without a CAPA-CS; set procedures for the nursing board's license review, including promulgation of administrative regulations; exempt an equivalently qualified out-of-state APRN from the CAPA-CS requirement to prescribe under licensure by endorsement; prohibit an APRN from prescribing controlled substances without a CAPA-CS until the board has completed its review and notified the APRN in writing; create a new section of KRS Chapter 194A to create the Controlled Substance Prescribing Boards Advisory Council within the Office of the Inspector General; establish membership of the board; require meetings to discuss matters relating to the prescribing on controlled substances; require annual report.

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 156.070 to require KHSAA to promulgate administrative regulations or bylaws requiring schools to designate all interscholastic athletics based upon the biological sex of the students eligible to participate; prohibit male students from participating in girls' athletics; establish how to designate biological sex; prohibit designated agencies from entertaining complaints or investigations of policies; create a cause of action against a school that violates these provisions; create a new section of KRS Chapter 164 to require a public postsecondary education institution or private postsecondary education institution that is a member of a national intercollegiate athletic association to designate all intercollegiate and intramural athletics authorized by the institution based on biological sex of students eligible to participate; require that institutions prohibit male students from participating in womens' athletics; prohibit designated agencies from entertaining complaints or investigations of policies; create a cause of action against a postsecondary institution that violates these provisions; title the Act "Fairness in Womens' Sports Act."

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.

Amend KRS 132.191 to expand the requirements for using the income approach and sales comparison approach in the valuation of property; establish additional requirements for the appraisal of real property; amend KRS 133.120 to change the qualifications of taxpayer representatives who receive compensation for appealing property assessments.

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 165A.310 to define "entry level driver training" and "entry-level driver training provider"; exempt entry-level driver training providers from the definition of CDL driver training school; amend KRS 165A.460 to exempt entry-level driver training providers who are certified by the Federal Motor Carrier Safety Administration and comply with applicable federal regulations from the provision of Chapter 165A; EMERGENCY

Honor the Kentucky Historical Society.