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2004 SESSION
HB 1416 Health insurance; allows for pharmacy of choice.
Introduced by: David A. Nutter | all patrons ... notes | add to my profiles
SUMMARY AS INTRODUCED:
Health insurance; pharmacies; freedom of choice. Prohibits insurers from imposing upon pharmacies terms or conditions that are not equally required of all pharmacies in the Commonwealth, whether or not such benefits are furnished by pharmacists who are nonpreferred providers. The bill also prohibits insurers from requiring any payment, compensation, or reimbursement structure that results in, or would tend to result in: (i) discrimination in price or services to be rendered; or (ii) direct or indirect discrimination by the insurer, where the effect of such discrimination may be substantially to lessen competition or tend to create a monopoly. Insurers are also prohibited from directly or indirectly paying or accepting incentives between or among the insurer, the insurer's pharmacy benefit manager, or a pharmacy in a manner that would be a violation of state or federal law. Requiring or inducing a person receiving pharmacy benefits to use a mail order pharmacy for maintenance medications is also prohibited unless the pharmacy has not agreed to accept reimbursement for such services at the same rates, terms, and conditions that are applicable to mail order pharmacies.
FULL TEXT
HISTORY
- 01/23/04 House: Presented & ordered printed 048322436
- 01/23/04 House: Referred to Committee on Commerce and Labor
- 02/10/04 House: Continued to 2005 in Commerce and Labor (22-Y 0-N)