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Bill > SB789
OK SB789
OK SB789Pharmacy benefit managers; permitting use of certain records without limitations of date or source for certain purposes; establishing certain reimbursement rates for certain drugs. Effective date.
summary
Introduced
02/03/2025
02/03/2025
In Committee
04/23/2025
04/23/2025
Crossed Over
03/31/2025
03/31/2025
Passed
05/28/2025
05/28/2025
Dead
Signed/Enacted/Adopted
05/28/2025
05/28/2025
Introduced Session
2025 Regular Session
Bill Summary
An Act ENROLLED SENATE BILL NO. 789 By: Gollihare, Coleman, Alvord, Jech, Murdock, Guthrie, Bullard, Standridge, Weaver, Pugh, Pederson, Hicks, Hamilton, Deevers, Paxton, Prieto, Boren, Burns, Stewart, Stanley, Haste, Seifried, McIntosh, Kirt, Brooks, Hines, Sacchieri, Goodwin, Reinhardt, Hall, Gillespie, Bergstrom, and Mann of the Senate and Stinson, Marti, Stewart, Turner, Manger, Roe, Culver, Moore, Pittman, Dobrinski, May, Cornwell, Cantrell, Kelley, and Pogemiller of the House An Act relating to professions and occupations; amending 59 O.S. 2021, Sections 356.2, as amended by Section 2, Chapter 332, O.S.L. 2024, 357, as amended by Section 4, Chapter 332, O.S.L. 2024, and 360, as amended by Section 6, Chapter 332, O.S.L. 2024 (59 O.S. Supp. 2024, Sections 356.2, 357, and 360), which relate to pharmacy audits, definitions, and pharmacy benefit managers; modifying provisions related to audit requirements; prescribing requirements related to certain leases; restricting combination of certain plans; prohibiting effective rate contracting; prohibiting waiver, voiding, or nullification pursuant to contract; and providing an effective date. SUBJECT: Pharmacy benefit managers
AI Summary
This bill modifies regulations for pharmacy benefit managers (PBMs), which are entities that manage prescription drug benefits for health plans. The bill introduces several key provisions: pharmacies can now use drug purchase records without date or source limitations to validate prescription dispensing; PBMs are prohibited from using "effective rate contracting," which means they cannot establish drug reimbursement rates based on fluctuating effective payment rates; and PBMs must provide clear notice and contact information when leasing their provider networks to other PBMs. The bill also expands audit guidelines for pharmacies, such as permitting pharmacies to use various records to validate prescriptions, limiting audits to 50 prescriptions per year, and requiring PBMs to provide detailed audit findings and appeal processes. Additionally, the bill restricts PBMs from combining different types of health plans (like ERISA and government plans) and prohibits contracts that could nullify these new regulations. These changes aim to increase transparency, fairness, and accountability in how pharmacy benefits are managed and reimbursed, ultimately protecting pharmacies and patients from potentially unfair practices.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (48)
Todd Gollihare (R)*,
Preston Stinson (R)*,
Jerry Alvord (R),
Micheal Bergstrom (R),
Mary Boren (D),
Michael Brooks (D),
David Bullard (R),
George Burns (R),
Josh Cantrell (R),
Bill Coleman (R),
Rusty Cornwell (R),
Bob Culver (R),
Dusty Deevers (R),
Mike Dobrinski (R),
Christi Gillespie (R),
Regina Goodwin (D),
Brian Guthrie (R),
Chuck Hall (R),
Warren Hamilton (R),
John Haste (R),
Carri Hicks (D),
Kelly Hines (R),
Darcy Jech (R),
Mike Kelley (R),
Julia Kirt (D),
Robert Manger (R),
Mark Mann (D),
T.J. Marti (R),
Stan May (R),
Julie McIntosh (R),
Anthony Moore (R),
Casey Murdock (R),
Lonnie Paxton (R),
Roland Pederson (R),
Ajay Pittman (D),
Ellen Pogemiller (D),
Dana Prieto (R),
Adam Pugh (R),
Aaron Reinhardt (R),
Cindy Roe (R),
Kendal Sacchieri (R),
Ally Seifried (R),
Lisa Standridge (R),
Brenda Stanley (R),
Jack Stewart (R),
Ronald Stewart (D),
Tim Turner (R),
Darrell Weaver (R),
Last Action
Becomes law without Governor's signature 05/28/2025 (on 05/28/2025)
Official Document
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