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2018 Regular Session



Health Insurance and Pharmacy Benefits Managers - Reimbursement for and Provision of Pharmacy Services

Sponsored by:

Delegate Sample-Hughes


In the House - Hearing 3/08 at 1:00 p.m.

Synopsis:Authorizing a pharmacist or a pharmacy to decline to dispense a prescription drug or provide a pharmacy service to a member if the amount reimbursed by an insurer, a nonprofit health service plan, or a health maintenance organization is less than the acquisition cost; prohibiting a pharmacy benefits manager from reimbursing a pharmacy or pharmacist for a product or a pharmacy service in an amount less than the amount the pharmacy benefits manager reimburses itself for the same product or pharmacy service; applying the Act; etc.
Analysis:Not available at this time
All Sponsors:Delegates Sample-Hughes, Kipke, Barron, Anderton, Bromwell, Carozza, Ghrist, Jacobs, Mautz, Otto, Pena-Melnyk, and K. Young
Additional Facts:Cross-filed with: SB1074
Introduced in a prior session as: HB1103 Session: 2017 Regular Session
Bill File Type: Regular
Effective Date(s): October 1, 2018
Health and Government Operations
Broad Subject(s):Insurance - Health
Narrow Subject(s):Consumer Protection -see also- Unfair Trade Practices
Drugs -see also- Controlled Dangerous Sub; Substance Abuse
Health Insurance -see also- HMOS; Managed Care Organizations
Health Maintenance Organizations -see also- Manage Care Orgs
Nonprofit Organizations
Pharmacy Benefits Managers
Pharmacists and Pharmacies
Reimbursement Rates
Statutes:Article - Insurance
(15-1012, 15-1632)

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February 13, 2018 5:44 P.M.