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2017 SESSION
HB 1450 Health insurer/health maintenance organization; response to notice from pharmacy's intermediary.
Introduced by: R. Lee Ware | all patrons ... notes | add to my profiles | history
SUMMARY AS PASSED HOUSE:
Pharmacy freedom of choice. Provides that if a pharmacy has provided notice through an intermediary of its agreement to accept reimbursements at rates applicable to preferred providers, the insurer or its intermediary may elect to respond directly to the pharmacy instead of the intermediary. The measure does not require a carrier to contract with a pharmacy's intermediary and does not prohibit an insurer or its intermediary from contracting with or disclosing confidential information to a pharmacy's intermediary.
SUMMARY AS INTRODUCED:
Pharmacy freedom of choice. Requires a health insurer or health maintenance organization, or its intermediary (the carrier), when it receives notice from a pharmacy's intermediary of the pharmacy's agreement to accept reimbursement for its services at rates applicable to pharmacies that are preferred providers as payment in full, to respond to the notice in the same manner as it is currently required to respond to a notice received from the pharmacy. The measure does not require a carrier to contract with a pharmacy's intermediary and does not prohibit a carrier from contracting with a pharmacy's intermediary.