Bill

Bill > A5743


NJ A5743

Requires carriers to pass prescription drug savings to consumers.


summary

Introduced
08/23/2019
In Committee
08/23/2019
Crossed Over
Passed
Dead
01/08/2020

Introduced Session

2018-2019 Regular Session

Bill Summary

This bill requires carriers to pass prescription drug savings on to consumers. The bill provides that all compensation paid by a pharmaceutical manufacturer to a pharmaceutical benefits manager as a result of negotiations of a reduced price for a pharmaceutical between a pharmacy benefits manager and a manufacturer, in relation to a contract between a pharmacy benefits manager and a carrier related to its prescription drug benefits, shall be remitted to and retained by the carrier and must be used by the carrier to lower the premium for covered persons under the carrier's health benefits plan. In addition, the bill provides that a carrier shall annually file with the commissioner a report demonstrating how the carrier has complied with the provisions of the bill. Under the bill, "compensation" is defined as any direct or indirect financial benefit, including, but not limited to, rebates, discounts, credits, fees, grants, charge-backs, or other payments or benefits of any kind.

AI Summary

This bill requires carriers to pass prescription drug savings on to consumers. The bill mandates that all compensation, such as rebates, discounts, and fees, paid by pharmaceutical manufacturers to pharmacy benefits managers as a result of negotiations for reduced drug prices must be retained by the carrier and used to lower premiums for covered persons under the carrier's health benefits plan. Additionally, the bill requires carriers to annually report to the commissioner on their compliance with these provisions. The key terms defined in the bill include "carrier," "compensation," and "pharmaceutical manufacturer."

Committee Categories

Business and Industry

Sponsors (7)

Last Action

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 08/23/2019)

bill text


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