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Bill > HB129


NM HB129

NM HB129
Pharmacy Benefit Manager Reporting


summary

Introduced
01/19/2021
In Committee
03/14/2021
Crossed Over
02/28/2021
Passed
03/20/2021
Dead
03/20/2021

Introduced Session

2021 Regular Session

Bill Summary

AN ACT RELATING TO INSURANCE; AMENDING AND ENACTING SECTIONS OF THE PHARMACY BENEFITS MANAGER REGULATION ACT TO PROVIDE FOR INCREASED TRANSPARENCY; REQUIRING CERTAIN DISCLOSURES; PROVIDING FOR COST SHARING CALCULATIONS.

AI Summary

This bill amends the Pharmacy Benefits Manager Regulation Act in New Mexico to increase transparency. It requires pharmacy benefits managers (PBMs) to submit annual transparency reports detailing their rebates, administrative fees, and retained rebate percentages for each of their relationships with health benefit plans or health insurance issuers. The bill also prohibits PBMs from publishing or disclosing confidential information, such as the identity of specific health plans, drug prices, or rebate amounts. Additionally, the bill requires PBMs to calculate an enrollee's cost-sharing based on the price reduced by 100% of all rebates received, and to include all third-party payments or financial assistance when calculating an enrollee's cost-sharing. The bill aims to provide greater visibility into PBM practices and ensure that enrollees benefit from the full value of prescription drug rebates.

Committee Categories

Budget and Finance, Health and Social Services, Justice

Sponsors (3)

Last Action

Passed in the Senate - Y:24 N:17 (on 03/20/2021)

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