Bill > H0386

This bill adds new requirements for pharmacy benefit managers (PBMs) operating in the state of Idaho. It requires PBMs to register annually with the Department of Insurance, prohibits them from prohibiting pharmacists from providing information to patients about cost-sharing and available alternatives, establishes requirements for maximum allowable cost pricing by PBMs, and prohibits the retroactive denial or reduction of claims that have already been adjudicated, except in cases of fraud or improper submission. The bill aims to provide more transparency and consumer protections around the practices of PBMs in the state.

Business and Industry, Health and Social Services, Justice

Health and Welfare Committee (House)

https://legislature.idaho.gov/sessioninfo/2020/legislation/H0386/