summary
Introduced
01/19/2021
01/19/2021
In Committee
03/14/2021
03/14/2021
Crossed Over
02/28/2021
02/28/2021
Passed
03/20/2021
03/20/2021
Dead
03/20/2021
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)
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.nmlegis.gov/lcs/legislation.aspx?chamber=H&legtype=B&legno=129&year=21 |
| BillText | https://www.nmlegis.gov/Sessions/21%20Regular/bills/house/HB0129.pdf |
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