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MD HB1150

State Health and Welfare Benefits Program - Maryland Competitive Pharmacy Benefits Manager Marketplace Act


summary

Introduced
02/06/2020
In Committee
03/18/2020
Crossed Over
03/16/2020
Passed
03/18/2020
Dead
Signed/Enacted/Adopted
05/08/2020

Introduced Session

2020 Regular Session

Bill Summary

Requiring the Department of Budget and Management to use a reverse auction, as provided for in certain provisions of law established by the Act, to select a pharmacy benefits manager or other entity to administer the State Rx Program; requiring the Department to procure a certain platform and associated services in a certain manner a certain period of time before the reverse auction is scheduled to be completed; requiring the Department to consult with certain other Departments in conducting a certain procurement; etc.

AI Summary

This bill requires the Department of Budget and Management to use a reverse auction process to select a pharmacy benefits manager (PBM) or other entity to administer the State Rx Program. It also requires the Department to procure a technology platform and associated services to evaluate PBM qualifications, automate prescription drug claims adjudication, and collect data on pharmacy reimbursement. The bill allows other state-funded, self-funded, and public employee health plans to participate in the reverse auction process individually or as a joint purchasing group. It also allows the Department to perform annual market checks on PBM services to ensure continuing competitiveness of prescription drug pricing.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (24)

Last Action

Enacted under Article II, Section 17(c) of the Maryland Constitution - Chapter 434 (on 05/08/2020)

bill text


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