summary
Introduced
03/29/2021
03/29/2021
In Committee
02/17/2022
02/17/2022
Crossed Over
Passed
Dead
12/31/2022
12/31/2022
Introduced Session
192nd General Court
Bill Summary
For legislation to reduce the cost of pharmacy benefits. Financial Services.
AI Summary
This bill seeks to reduce the cost of pharmacy benefits by implementing several key provisions. It defines a "pharmacy benefit manager" (PBM) as an entity that manages prescription drug coverage on behalf of health carriers, self-insurance plans, or other third-party payers. The bill prohibits PBMs from requiring pharmacies or providers to meet accreditation standards beyond state or federal requirements, and it prohibits health carriers or PBMs from requiring covered persons to use specific pharmacies in which the PBM has an ownership interest. Additionally, the bill requires PBMs to annually submit a transparency report detailing their aggregate rebates, administrative fees, and retained rebate percentages, which the Health Policy Commission will publish to allow insurers and others to negotiate cost-effective contracts. The Attorney General can impose civil fines and penalties for violations of these provisions.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (2)
Last Action
Accompanied a study order, see S2800 (on 03/31/2022)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://malegislature.gov/Bills/192/S684 |
| Bill | https://malegislature.gov/Bills/192/S684.pdf |
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