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2020 SESSION
SB 251 Pharmacy benefits managers; licensure and regulation definitions.
Introduced by: John S. Edwards | all patrons ... notes | add to my profiles
SUMMARY AS PASSED: (all summaries)
Pharmacy benefits managers; licensure and regulation. Provides that no person is authorized to provide pharmacy benefits management services or otherwise act as a pharmacy benefits manager without first obtaining a license from the State Corporation Commission. The measure prohibits a carrier on its own or through its contracted pharmacy benefits manager or representative of a pharmacy benefits manager from (i) causing or knowingly permitting the use of any advertisement, promotion, solicitation, representation, proposal, or offer that is untrue; (ii) charging a pharmacist or pharmacy a fee related to the adjudication of a claim other than a reasonable fee for an initial claim submission; (iii) reimbursing a pharmacy or pharmacist an amount less than the amount that the pharmacy benefits manager reimburses a pharmacy benefits manager affiliate for providing the same pharmacist services, calculated on a per-unit basis using the same generic product identifier or generic code number and reflecting all drug manufacturer's rebates, direct and indirect administrative fees, and costs and any remuneration; or (iv) penalizing or retaliating against a pharmacist or pharmacy for exercising rights provided by this measure. The measure also prohibits a carrier from (a) imposing provider accreditation standards or certification requirements inconsistent with, more stringent than, or in addition to requirements of the Virginia Board of Pharmacy or other state or federal entity; (b) including any mail order pharmacy or pharmacy benefits manager affiliate in calculating or determining network adequacy; or (c) conducting spread pricing in the Commonwealth. The measure also imposes recordkeeping and reporting requirements. The bill has a delayed effective date of October 1, 2020. This bill incorporates SB 252 and SB 862 and is identical to HB 1290.
FULL TEXT
- 01/02/20 Senate: Prefiled and ordered printed; offered 01/08/20 20101086D pdf | impact statement
- 01/27/20 Senate: Committee substitute printed 20105876D-S1 pdf | impact statement
- 03/02/20 Senate: Bill text as passed Senate and House (SB251ER) pdf | impact statement
- 05/21/20 Governor: Acts of Assembly Chapter text (CHAP1288) pdf
AMENDMENTS
- House amendments adopted
- House amendments engrossed
- Senate amendments not adopted
- Governor's recommendation
HISTORY
- 01/02/20 Senate: Prefiled and ordered printed; offered 01/08/20 20101086D
- 01/02/20 Senate: Referred to Committee on Commerce and Labor
- 01/15/20 Senate: Assigned C&L sub: Health Insurance
- 01/27/20 Senate: Reported from Commerce and Labor with substitute (9-Y 6-N)
- 01/27/20 Senate: Incorporates SB252 (Edwards)
- 01/27/20 Senate: Incorporates SB862 (Pillion)
- 01/27/20 Senate: Committee substitute printed 20105876D-S1
- 01/29/20 Senate: Constitutional reading dispensed (40-Y 0-N)
- 01/30/20 Senate: Passed by for the day
- 01/31/20 Senate: Passed by for the day
- 02/03/20 Senate: Read second time
- 02/03/20 Senate: Reading of substitute waived
- 02/03/20 Senate: Committee substitute agreed to 20105876D-S1
- 02/03/20 Senate: Reading of amendments waived
- 02/03/20 Senate: Amendments by Senator Hanger rejected
- 02/03/20 Senate: Engrossed by Senate - committee substitute SB251S1
- 02/04/20 Senate: Read third time and passed Senate (33-Y 7-N)
- 02/18/20 House: Placed on Calendar
- 02/18/20 House: Read first time
- 02/18/20 House: Referred to Committee on Labor and Commerce
- 02/18/20 House: Reported from Labor and Commerce with amendments (20-Y 0-N)
- 02/20/20 House: Read second time
- 02/21/20 House: Read third time
- 02/21/20 House: Committee amendments agreed to
- 02/21/20 House: Engrossed by House as amended
- 02/21/20 House: Passed House with amendments BLOCK VOTE (98-Y 0-N)
- 02/21/20 House: VOTE: Block Vote Passage (98-Y 0-N)
- 02/25/20 Senate: House amendments agreed to by Senate (38-Y 2-N)
- 03/02/20 Senate: Enrolled
- 03/02/20 Senate: Bill text as passed Senate and House (SB251ER)
- 03/02/20 House: Signed by Speaker
- 03/03/20 Senate: Signed by President
- 03/12/20 Senate: Enrolled Bill Communicated to Governor on March 12, 2020
- 03/12/20 Governor: Governor's Action Deadline 11:59 p.m., April 11, 2020
- 04/11/20 Senate: Governor's recommendation received by Senate
- 04/22/20 Senate: Senate rejected Governor's recommendation (19-Y 21-N)
- 04/22/20 Senate: Reconsideration of Governor's recommendation agreed to (40-Y 0-N)
- 04/22/20 Senate: Passed by temporarily
- 04/22/20 Senate: Senate rejected Governor's recommendation (19-Y 21-N)
- 04/22/20 Senate: Reconsideration of Governor's recommendation rejected (35-Y 3-N)
- 04/22/20 Senate: Second reconsideration requires unanimous consent
- 04/22/20 Senate: Communicated to Governor
- 04/22/20 Governor: Governor's Action Deadline 11:59 p.m., May 22, 2020
- 05/21/20 Governor: Approved by Governor-Chapter 1288 (effective - see bill)
- 05/21/20 Governor: Acts of Assembly Chapter text (CHAP1288)