HF 213: Relating to pharmacy benefits managers, pharmacies, and prescription drug benefits, and including applicability provisions

What it does

This bill relates to pharmacy benefits managers (PBM), pharmacies, and prescription drug benefits. The bill requires that any amount paid by a covered person for a drug in the circumstances detailed in the bill must be applied to any deductible imposed by the covered person’s health benefit plan in accordance with the plan’s coverage documents. Under the bill, a covered person cannot be prohibited from filling a drug order at any pharmacy located in the state if the pharmacy accepts the same terms and conditions as the covered person’s benefit plan.

Lobbying · 0 for, 3 against

Against: Cigna Corporate Services, LLC; Pharmaceutical Care Management Association; Wellmark, Inc.

In plain words

1. February 6, 2025Filed in the House and sent to the Commerce committee