HI SB507 | 2019 | Regular Session

Note: Carry Foward to future SB507

Status

Spectrum: Strong Partisan Bill (Democrat 12-1)
Status: Introduced on January 18 2019 - 25% progression, died in committee
Action: 2019-01-24 - Referred to CPH, WAM.
Pending: Senate Commerce, Consumer Protection, and Health Committee
Text: Latest bill text (Introduced) [HTML]

Summary

Requires pharmacy benefit managers to notify contracting pharmacies of changes to maximum allowable costs for any drug, identified by its National Drug Code, fifteen days prior to the change. Requires pharmacy benefit managers to disclose where an equivalent drug can be obtained at or below the maximum allowable cost, when a maximum allowable cost appeal is upheld on appeal. Requires pharmacy benefit managers to: allow contracting pharmacies to reverse and rebill claims if the pharmacy benefit manager establishes a maximum allowable cost that is denied on appeal; and pay the difference to the contracting pharmacies. Permits contracting pharmacies to decline to dispense a drug if the reimbursement is less than the acquisition cost. Permits the insurance commissioner to revoke a pharmacy benefit manager's registration if the manager does not comply with state law. Requires the Department of Health to annually report to the legislature and any other state agency on appeals and disposition.

Tracking Information

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Title

Relating To Pharmacy Benefit Managers.

Sponsors


History

DateChamberAction
2019-01-24SenateReferred to CPH, WAM.
2019-01-22SenatePassed First Reading.
2019-01-18SenateIntroduced.

Same As/Similar To

SB507 (Carry Over) 2019-01-24 - Referred to CPH, WAM.

Subjects


Hawaii State Sources


Bill Comments

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