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2019 SESSION
HB 2223 Pharmacies; delivery of prescription drugs, pharmacy benefits managers.
Introduced by: Israel D. O'Quinn | all patrons ... notes | add to my profiles
SUMMARY AS PASSED HOUSE: (all summaries)
Pharmacies; delivery of prescription drugs; pharmacy benefits managers. Requires health every carrier, as applicable, to administer its health benefit plans in a manner consistent with, or include in contracts for pharmacy benefits management, criteria and provisions that (i) permit a covered individual to fill any mail order-covered prescription, at the covered individual's option, at any mail order pharmacy or network participating retail community pharmacy if the network participating retail community pharmacy agrees to accept a price that is comparable to that of the mail order pharmacy, calculated to reflect all drug manufacturer's rebates, direct and indirect administrative fees, costs and any remuneration; (ii) prohibit a pharmacy benefits manager (PBM) or carrier from imposing a differential copayment, additional fee, or other condition on any covered individual who elects to fill his prescription at an in-network retail community pharmacy that is not similarly imposed on covered individuals electing to fill a prescription from a mail order pharmacy; and (iii) require the PBM to use the same benchmark index to reimburse all pharmacies participating in the health benefit plan regardless of whether a pharmacy is a mail order pharmacy or a retail community pharmacy. The measure applies with respect to contracts entered into, amended, extended, or renewed on or after January 1, 2020.
FULL TEXT
- 01/08/19 House: Prefiled and ordered printed; offered 01/09/19 19103343D pdf | impact statement
- 01/31/19 House: Committee substitute printed 19106247D-H1 pdf | impact statement
AMENDMENTS
HISTORY
- 01/08/19 House: Prefiled and ordered printed; offered 01/09/19 19103343D
- 01/08/19 House: Referred to Committee on Health, Welfare and Institutions
- 01/16/19 House: Assigned HWI sub: Subcommittee #1
- 01/24/19 House: Referred from Health, Welfare and Institutions by voice vote
- 01/24/19 House: Referred to Committee on Commerce and Labor
- 01/31/19 House: Reported from Commerce and Labor with substitute (11-Y 8-N)
- 01/31/19 House: Committee substitute printed 19106247D-H1
- 02/03/19 House: Read first time
- 02/04/19 House: Read second time
- 02/04/19 House: Committee substitute agreed to 19106247D-H1
- 02/04/19 House: Engrossed by House - committee substitute HB2223H1
- 02/05/19 House: Read third time and passed House (53-Y 46-N)
- 02/05/19 House: VOTE: PASSAGE (53-Y 46-N)
- 02/06/19 Senate: Constitutional reading dispensed
- 02/06/19 Senate: Referred to Committee on Education and Health
- 02/14/19 Senate: Passed by indefinitely in Education and Health with letter (11-Y 4-N)