summary
Introduced
01/24/2023
01/24/2023
In Committee
02/22/2023
02/22/2023
Crossed Over
02/08/2023
02/08/2023
Passed
03/01/2023
03/01/2023
Dead
Signed/Enacted/Adopted
03/17/2023
03/17/2023
Introduced Session
2023 General Session
Bill Summary
AN ACT relating to the insurance code; prohibiting specified actions by pharmacy benefit managers; allowing individuals to choose in network retail pharmacies as specified; providing definitions; excluding certain claims as specified; amending a definition; requiring pharmacy benefit managers to provide contact information as specified; amending the process for when a maximum allowable cost appeal is denied; requiring pharmacy benefit managers to allow pharmacies to file appeals in electronic batch formats; requiring pharmacy benefit managers to reimburse pharmacies as specified; authorizing pharmacies to decline to provide pharmacy services as specified; making conforming amendments; requiring rulemaking; providing appropriations; and providing for effective dates.
AI Summary
This bill, the Wyoming Prescription Drug Transparency Act, aims to regulate pharmacy benefit managers (PBMs) and promote transparency in prescription drug pricing and reimbursement. Key provisions include: prohibiting PBMs from engaging in deceptive practices, restricting consumer choice of network pharmacies, or retaining funds paid by drug manufacturers; requiring PBMs to allow pharmacies to appeal reimbursement decisions and file appeals in batch format; allowing pharmacies to decline to provide services if the reimbursement is less than the pharmacy's acquisition cost; and appropriating funds to the Department of Insurance to implement and administer the new requirements. The bill also amends definitions related to PBMs, pharmacy services, and specialty medications.
Committee Categories
Budget and Finance, Health and Social Services
Sponsors (13)
Dalton Banks (R)*,
John Bear (R)*,
Anthony Bouchard (R)*,
Bob Davis (R)*,
Dan Dockstader (R)*,
Lynn Hutchings (R)*,
Troy McKeown (R)*,
Ken Pendergraft (R)*,
Sarah Penn (R)*,
Rachel Rodriguez-Williams (R)*,
Tomi Strock (R)*,
Clarence Styvar (R)*,
John Winter (R)*,
Last Action
Assigned Chapter Number 189 (on 03/17/2023)
Official Document
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bill summary
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