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Bill > HB2817
OK HB2817
OK HB2817Health care; creating the Oklahoma Rebate Pass-Through and Pharmacy Benefits Manager Meaningful Transparency Act of 2025; definitions; requirements; effective date.
summary
Introduced
02/03/2025
02/03/2025
In Committee
02/04/2025
02/04/2025
Crossed Over
Passed
Dead
Introduced Session
2025 Regular Session
Bill Summary
An Act relating to health care; creating the Oklahoma Rebate Pass-Through and Pharmacy Benefits Manager Meaningful Transparency Act of 2025; providing cost sharing calculation methodology, limitations, and requirements; creating penalties; clarifying authority to take certain actions; prohibiting the disclosure of certain information; declaring that certain information not be considered public record; amending 36 O.S. 2021, Section 6960, as last amended by Section 1, Chapter 306, O.S.L. 2024 (36 O.S. Supp. 2024, Section 6960), which relates to definitions; defining terms; creating PBM disclosures; amending 36 O.S. 2021, Section 6962, as last amended by Section 2, Chapter 306, O.S.L. 2024 (36 O.S. Supp. 2024, Section 6962), which relates to pharmacy benefits manager compliance; creating duties; amending 36 O.S. 2021, Section 6964, which relates to a formulary for prescription drugs; creating agency duties; amending 59 O.S. 2021, Section 357, as amended by Section 4, Chapter 332, O.S.L. 2024 (59 O.S. Supp. 2024, Section 357), which relates to definitions; modifying definitions; amending 59 O.S. 2021, Section 358, as amended by Section 5, Chapter 332, O.S.L. 2024 (59 O.S. Supp. 2024, Section 358), which relates to pharmacy benefits management licensure, procedure, and penalties; creating duties; creating licensing application requirements; providing for noncodification; providing for codification; and providing an effective date.
AI Summary
This bill creates the Oklahoma Rebate Pass-Through and Pharmacy Benefits Manager (PBM) Meaningful Transparency Act of 2025, which aims to increase transparency and regulate the practices of pharmacy benefits managers and health insurers in Oklahoma. The bill requires that when calculating an enrollee's cost sharing for prescription drugs, at least 85% of all rebates received by PBMs or insurers must be passed through to reduce the patient's out-of-pocket costs at the point of sale. The legislation introduces new definitions and requirements for PBMs and health insurers, including more stringent rules for pharmacy and therapeutics (P&T) committees that develop drug formularies. The bill mandates that these committees include practicing physicians and pharmacists, base decisions on scientific evidence, and review formularies regularly. It also imposes administrative penalties of $100 to $10,000 for violations and includes strict confidentiality provisions to protect proprietary information about rebates and pricing. Additionally, the bill expands reporting requirements for PBMs, requiring quarterly reports to the Attorney General about rebates, payments, and other financial details. The new regulations aim to increase transparency, reduce patient costs, and provide more oversight of pharmacy benefits management practices in Oklahoma, with the act set to take effect on November 1, 2025.
Sponsors (1)
Last Action
Second Reading referred to Rules (on 02/04/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | http://www.oklegislature.gov/BillInfo.aspx?Bill=hb2817&Session=2600 |
| State Bill Page | http://www.oklegislature.gov/BillInfo.aspx?Bill=hb2817&Session=2500 |
| BillText | https://www.oklegislature.gov/cf_pdf/2025-26%20INT/hB/HB2817%20INT.PDF |
| BillText | https://www3.oklegislature.gov/cf_pdf/2025-26%20INT/hB/HB2817%20INT.PDF |
| BillText | http://webserver1.lsb.state.ok.us/cf_pdf/2025-26%20INT/hB/HB2817%20INT.PDF |
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