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2019 SESSION

• | print version

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

• House committee, floor amendments and substitutes offered

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)