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Bill > SB689


MD SB689

Pharmacy Benefits Managers - Prohibited Actions


summary

Introduced
02/04/2022
In Committee
02/04/2022
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 a PBM's policy or contract, taking more than 30 days to review a pharmacy's application to participate, and setting different fees for a beneficiary's copay based on whether the pharmacy is affiliated with an independent or chain pharmacy. The bill also applies the same requirements for PBMs that contract with carriers to those that contract with managed care organizations, and prohibits PBMs from requiring beneficiaries to use a mail order pharmacy to fill a prescription.

Committee Categories

Budget and Finance

Sponsors (1)

Last Action

Senate Finance Hearing (13:00 3/16/2022 ) (on 03/16/2022)

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