summary
Introduced
01/05/2022
01/05/2022
In Committee
01/12/2022
01/12/2022
Crossed Over
Passed
Dead
03/14/2022
03/14/2022
Introduced Session
2022 Regular Session
Bill Summary
Authorizing the Office of Insurance Regulation to examine pharmacy benefit managers; providing a penalty for failure to register as a pharmacy benefit manager under certain circumstances; revising the entities conducting pharmacy audits to which certain requirements and restrictions apply; providing that health insurers and health maintenance organizations that transfer a certain payment obligation to pharmacy benefit managers remain responsible for specified violations, etc.
AI Summary
This bill authorizes the Office of Insurance Regulation to examine pharmacy benefit managers (PBMs), which are entities that manage prescription drug benefits on behalf of health insurers and health maintenance organizations (HMOs). It also imposes a $10,000 penalty for failure to register as a PBM. The bill revises the entities conducting pharmacy audits and the requirements and restrictions that apply to those audits, such as notification periods, audit duration, use of pharmacist consultants, and reimbursement for clerical errors. Additionally, it holds health insurers and HMOs responsible for violations by PBMs to whom they have transferred payment obligations. The bill takes effect on July 1, 2022.
Committee Categories
Budget and Finance, Business and Industry
Sponsors (2)
Last Action
Laid on Table, refer to HB 357 (on 03/03/2022)
Official Document
bill text
bill summary
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bill summary
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bill summary
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