Virginia House Bill 560 (Prior Session Legislation)

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Spectrum: Partisan Bill (Republican 2-0)
Status: Introduced on January 11 2022 - 25% progression, died in committee
Action: 2022-11-22 - Left in Health, Welfare and Institutions
Pending: House Health, Welfare and Institutions Committee
Text: Latest bill text (Prefiled) [HTML]

Health insurance; retail community pharmacies. Requires a carrier to administer its health benefit plans in a manner consistent with certain requirements and to include such requirements in its provider contracts addressing the provision of pharmacy benefits management. The bill provides that (i) a covered individual is permitted to fill any mail order-covered prescription, at the covered individual's option, at any mail order pharmacy or network participating retail community pharmacy under certain conditions; (ii) the carrier or pharmacy benefits manager is prohibited from imposing a differential copayment, additional fee, rebate, bonus, 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) the pharmacy benefits manager is required to expressly disclose to the carrier in the contract if the pharmacy benefits manager retains all or a greater portion of a drug manufacturer's rebate amount or any additional direct or indirect remuneration from any third party for drugs dispensed through the pharmacy benefits manager-owned mail order pharmacy than the pharmacy benefits manager does for drugs dispensed through a retail community pharmacy. The bill also removes the exemption for a self-insured or self-funded employee welfare benefit plan under provisions regulating pharmacy benefits managers.

Health insurance; retail community pharmacies.

Del. Israel O'Quinn [R]

Del. Otto Wachsmann [R]

Date	Chamber	Action
2022-11-22	House	Left in Health, Welfare and Institutions
2022-02-10	House	Continued to 2023 in Health, Welfare and Institutions by voice vote
2022-02-08	House	Subcommittee recommends continuing to 2023 by voice vote
2022-01-26	House	Assigned HWI sub: Subcommittee #3
2022-01-11	House	Referred to Committee on Health, Welfare and Institutions
2022-01-11	House	Prefiled and ordered printed; offered 01/12/22 22101659D

HB560 (Carry Over) 2022-02-10 - Continued to 2023 in Health, Welfare and Institutions by voice vote

Chapter	Article	Section	Citation Type	Statute Text
38	2	3407.15:7	(n/a)	See Bill Text
38	2	3470	(n/a)	See Bill Text

Type	Source
Summary	https://lis.virginia.gov/cgi-bin/legp604.exe?231+sum+HB560
Text	https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+HB560+hil