Bill

Bill > HB2057


OR HB2057

OR HB2057
Relating to prescription drugs; prescribing an effective date.


summary

Introduced
01/13/2025
In Committee
01/17/2025
Crossed Over
Passed
Dead
06/27/2025

Introduced Session

Potential new amendment
2025 Legislative Measures

Bill Summary

The statement includes a measure digest written in compliance with applicable readability standards. Digest: Tells insurers and PBMs not to require that drugs be labeled as 340B drugs in a claim for repayment. (Flesch Readability Score: 62.8). Prohibits insurers offering policies or certificates of health insurance and pharmacy benefit managers from requiring that a claim for reimbursement of a prescription drug include a modifier or other indicator that the drug is a 340B drug. Takes effect on the 91st day following adjournment sine die.

AI Summary

This bill addresses regulations around 340B drugs, which are prescription drugs purchased at a discount by certain healthcare providers under a federal program. The legislation prohibits insurers and pharmacy benefit managers (PBMs) from requiring claims for prescription drugs to include a modifier or indicator identifying the drug as a 340B drug, with two specific exceptions: when the claim is for payment by a state medical assistance program or when the modifier is legally required to prevent duplicate discounts or rebates. The bill amends existing Oregon Revised Statutes to clarify that PBMs cannot reimburse 340B pharmacies differently based on their status and cannot impose additional requirements on these pharmacies. By preventing mandatory labeling of 340B drugs, the legislation aims to reduce administrative burdens on pharmacies and ensure consistent reimbursement practices. The bill will take effect 91 days after the adjournment of the 2025 regular legislative session, providing time for healthcare providers, insurers, and PBMs to adjust to the new requirements.

Committee Categories

Health and Social Services

Sponsors (3)

Last Action

In committee upon adjournment. (on 06/27/2025)

bill text


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