summary
Introduced
02/09/2023
02/09/2023
In Committee
03/07/2023
03/07/2023
Crossed Over
03/02/2023
03/02/2023
Passed
05/16/2023
05/16/2023
Dead
Signed/Enacted/Adopted
05/26/2023
05/26/2023
Introduced Session
125th General Assembly
Bill Summary
A bill TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING ARTICLE 18 OF CHAPTER 71, TITLE 38, RELATING TO PHARMACY AUDIT RIGHTS, SO AS TO EXPAND THE RIGHTS AND DUTIES OF PHARMACIES DURING AUDITS; BY AMENDING ARTICLE 21 OF CHAPTER 71, TITLE 38, RELATING TO PHARMACY BENEFITS MANAGERS, SO AS TO DEFINE TERMS AND MAKE CONFORMING CHANGES; BY ADDING ARTICLE 23 TO CHAPTER 71, TITLE 38 SO AS TO DEFINE TERMS AND OUTLINE RESPONSIBILITIES AND DUTIES OF PHARMACY SERVICES ADMINISTRATIVE ORGANIZATIONS; AND BY REPEALING SECTION 38-71-147 RELATING TO FREEDOM OF SELECTION AND PARTICIPATION IN HEALTH INSURANCE POLICIES OR HEALTH MAINTENANCE ORGANIZATION PLANS.
AI Summary
This bill expands the rights and duties of pharmacies during audits by pharmacy benefits managers (PBMs), defines terms and outlines responsibilities and duties of Pharmacy Services Administrative Organizations (PSAOs), and requires PBMs to be licensed and regulated by the Department of Insurance. Key provisions include new requirements for PBM audits, limits on PBM practices like retroactive fees or patient steering, and an external appeals process for pharmacies to challenge PBM reimbursement decisions. The bill also repeals a prior law related to freedom of selection and participation in health insurance policies. Overall, the bill aims to increase transparency and oversight of PBM activities in the state.
Committee Categories
Business and Industry
Sponsors (32)
Nikki Setzler (D)*,
Brian Adams (R),
Thomas Alexander (R),
Karl Allen (D),
Chip Campsen (R),
Wes Climer (R),
Ronnie Cromer (R),
Tom Davis (R),
Mike Fanning (D),
Mike Gambrell (R),
Billy Garrett (R),
Stephen Goldfinch (R),
Larry Grooms (R),
Penry Gustafson (R),
Greg Hembree (R),
Darrell Jackson (D),
Kevin Johnson (D),
Michael Johnson (R),
Josh Kimbrell (R),
Thomas McElveen (D),
Luke Rankin (R),
Rex Rice (R),
Ronnie Sabb (D),
John Scott (D),
Sandy Senn (R),
Katrina Shealy (R),
Vernon Stephens (D),
Scott Talley (R),
Ross Turner (R),
Danny Verdin (R),
Kent Williams (D),
Tom Young (R),
Last Action
Act No. 30 (on 05/26/2023)
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.scstatehouse.gov/billsearch.php?billnumbers=0520&session=125&summary=B |
| BillText | https://www.scstatehouse.gov/sess125_2023-2024/prever/520_20230504A.htm |
| BillText | https://www.scstatehouse.gov/sess125_2023-2024/prever/520_20230504.htm |
| BillText | https://www.scstatehouse.gov/sess125_2023-2024/prever/520_20230224.htm |
| BillText | https://www.scstatehouse.gov/sess125_2023-2024/prever/520_20230222.htm |
| Fiscal Note - S0520 2023-02-09 Introduced | https://www.scstatehouse.gov/sess125_2023-2024/fiscalimpactstatements/S0520%202023-02-09%20introduced.pdf |
| BillText | https://www.scstatehouse.gov//sess125_2023-2024/prever/520_20230209.htm |
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