Bill > SB1617

This bill amends Tennessee laws related to pharmacy benefits and pharmacy benefits managers (PBMs). Key provisions include: 1. Prohibiting health insurance issuers, PBMs, or other payers from reimbursing 340B entities (entities participating in the federal 340B drug discount program) at lower rates than non-340B entities, assessing fees on 340B entities that are not equally applied to non-340B entities, or excluding 340B entities from their pharmacy networks. 2. Prohibiting PBMs or covered entities from requiring patients to pay additional fees or penalties when obtaining prescription drugs, including specialty drugs, from a contracted pharmacy of their choice. 3. Requiring PBMs to base coinsurance or deductibles on the allowed drug amount and prohibiting PBMs from reimbursing pharmacies less than the actual cost of the drug, with some exceptions. 4. Requiring PBMs to report to the plan and patient any benefit percentage the patient is entitled to as a covered person. 5. Requiring covered entities to provide real-time information to patients, their providers, or authorized third parties on drug costs, benefits, coverage, and utilization management requirements. The bill aims to provide more transparency and protect patients' choice of pharmacy and access to 340B program benefits.

Budget and Finance, Business and Industry

https://wapp.capitol.tn.gov/apps/Billinfo/default.aspx?BillNumber=SB1617&ga=112