Bill > S2385

This bill aims to protect patients, healthcare providers, and taxpayers from high prescription drug costs by requiring greater pharmacy benefit manager (PBM) transparency and accountability. It gives the Office of Health Insurance Commissioner (OHIC) the authority to promulgate regulations and oversee implementation. Key provisions include: prohibiting PBMs from engaging in "spread pricing" and discriminatory practices, requiring 100% pass-through of manufacturer-derived revenues or discounts, and restricting utilization management policies that delay or discourage medically necessary care. The bill also mandates that PBMs provide detailed financial information to OHIC for enforcement purposes. The act would take effect upon passage.

Health and Social Services

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