- Title
- Health Insurance - Pharmacy Benefits Managers - Specialty Drugs
- Sponsored by
- Delegates S. Johnson, A. Johnson, Alston, Bagnall, Bhandari, Chisholm, Cullison, Guzzone, Hill, Hutchinson, Kaiser, Kerr, Kipke, R. Lewis, Lopez, Martinez, M. Morgan, Pena-Melnyk, Reilly, Rosenberg, Szeliga, Taveras, White Holland, and Woods
- Status
- In the Senate - First Reading Finance
- Analysis
- Fiscal and Policy Note (Revised)
Synopsis
Prohibiting certain insurers, nonprofit health service plans, and health maintenance organizations from excluding coverage for certain specialty drugs that are administered or dispensed by a provider that meets certain criteria; and requiring the reimbursement rate for certain specialty drugs to be the same as the rate applied to a designated specialty pharmacy for dispensing the covered specialty drugs and billed at a nonhospital level of care or place of service.
Committees
- Opposite:
- Finance
Committee Testimony
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Last Updated: 4/15/2024 2:47 PM