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Bill > HB755


MD HB755

Pharmacy Benefits Managers - Prohibited Actions


summary

Introduced
02/03/2022
In Committee
02/03/2022
Crossed Over
Passed
Dead
04/11/2022

Introduced Session

2022 Regular Session

Bill Summary

Prohibiting a pharmacy benefits manager from taking certain actions related to pricing, the participation of a pharmacy or pharmacist in a policy or contract with the pharmacy benefits manager, fees, and the use of a mail order pharmacy by beneficiaries; providing that certain provisions of the Act apply to pharmacy benefits managers that contract with managed care organizations in the same manner as they apply to pharmacy benefits managers that contract with carriers; etc.

AI Summary

This bill prohibits pharmacy benefits managers (PBMs) from engaging in certain practices, such as spread pricing, denying pharmacies the right to participate in PBM contracts, taking more than 30 days to review pharmacy applications, and setting different fees for beneficiaries' copays based on whether the pharmacy is affiliated with an independent or chain pharmacy. It also requires PBMs that contract with managed care organizations to comply with the same provisions that apply to PBMs that contract with carriers. The bill applies to all policies or contracts issued, delivered, or renewed in the state on or after January 1, 2023, and takes effect on January 1, 2023.

Committee Categories

Health and Social Services

Sponsors (10)

Last Action

House Health and Government Operations Hearing (13:30 3/10/2022 ) (on 03/10/2022)

bill text


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