Relating to pharmacy benefits managers, pharmacies, and prescription drug benefits, and including effective date and applicability provisions

Amendments · 7

4 adopted · 0 failed · 1 never voted on. Newest first.

• S-5182 · filed May 24, 2022 by Sen. Mike Klimesh (R)

  AI summary This amendment updates several definitions used in the bill, such as "facility," "health care provider," and "rebate." It also changes the term "health carrier" to "third-party payor" in several places and lists specific entities, like the department of human services, that are not considered third-party payors. Finally, it modifies the reporting requirements for pharmacy benefits managers to ensure they provide specific financial information to the commissioner of insurance. Its wording →
  Adopted
  May 24, 2022
• H-8401 · filed May 24, 2022 by

  AI summary This amendment updates several definitions used in the bill, such as "facility," "health care provider," and "rebate." It also changes the term "health carrier" to "third-party payor" in several places and clarifies that certain entities, like the department of human services and certain Medicaid programs, are not considered third-party payors. Finally, it updates the reporting requirements for pharmacy benefits managers to use these new terms. Its wording →
  Never voted on
• S-5159 · filed May 23, 2022 by Sen. Mike Klimesh (R)

  AI summary This amendment updates several definitions used in the bill, such as "facility," "health care provider," and "rebate." It changes the term "health carrier" to "third-party payor" in many sections and clarifies that certain state programs and federal plans are not included in that definition. It also adds specific rules regarding how pharmacy benefits managers must allow patients to use local pharmacies and how cost-sharing applies to specialty drugs. Its wording →
  Withdrawn
  May 24, 2022
• S-5158Strike everything · filed May 23, 2022 by Sen. Mike Klimesh (R)

  AI summary This amendment replaces the entire bill with a new version that defines key terms and sets rules for pharmacy benefits managers. It requires these managers to act in good faith, disclose conflicts of interest, and avoid discriminating against pharmacies. The amendment also regulates how substitute drugs are dispensed, prevents certain fees from being charged to pharmacies, and limits how much a person must pay at the pharmacy counter. Its wording →

  Amends this SF 2231 to CONFORM to HF 2384
  Adopted
  May 24, 2022
• H-8260 · filed March 23, 2022 by

  AI summary This amendment updates the definition of a health carrier to exclude the department of human services and certain managed care organizations. It adds a rule that pharmacy appeals must account for any hidden discounts or rebates known at the time of the appeal. It also adds exceptions to certain cost-sharing rules for specialty drugs, generic equivalents, and high-deductible health plans to ensure they remain compliant with federal tax laws. Its wording →
  Adopted
  March 23, 2022
• H-8221 · filed March 22, 2022 by

  AI summary This amendment changes the definition of a "health carrier" to specifically exclude the department of human services and certain organizations that manage medical assistance or Hawk-I programs. It also removes several sections of text from the original bill. Its wording →
  Withdrawn
  March 23, 2022
• H-8198 · filed March 21, 2022 by

  AI summary This amendment changes several terms, such as replacing "acquisition" with "invoice" and "rebill" with "resubmit," and adds new definitions and rules regarding the 340B drug program. It requires pharmacy benefits managers to act in the best interest of health carriers and establishes protections to prevent discrimination against contract pharmacies participating in the 340B program. Additionally, it modifies how cost-sharing is calculated for health savings accounts and increases a specific time limit from seven to thirty days. Its wording →
  Adopted
  March 23, 2022