Bill

Bill > SB01012


CT SB01012

CT SB01012
An Act Requiring Contracts Between Pharmacy Benefits Managers And Health Carriers To Provide Fee-based Compensation.


summary

Introduced
01/22/2025
In Committee
01/22/2025
Crossed Over
Passed
Dead
06/04/2025

Introduced Session

2025 General Assembly

Bill Summary

To require that any contract between a health carrier and a pharmacy benefits manager provide fee-based compensation that shall not be connected to the price of the prescription drug, any rebate, premiums or cost-sharing.

AI Summary

This bill aims to change existing insurance regulations by requiring that contracts between health carriers (insurance companies) and pharmacy benefits managers (PBMs) must use fee-based compensation structures that are completely independent of prescription drug prices, rebates, premiums, or cost-sharing expenses. In practical terms, this means PBMs would be paid a flat fee for their services rather than receiving compensation that varies based on the cost or pricing mechanisms of prescription drugs. The bill seeks to potentially reduce conflicts of interest and create more transparency in how PBMs are compensated for managing prescription drug benefits for health insurance plans. By mandating a fee-based approach that is disconnected from drug pricing, the legislation intends to eliminate potential incentives for PBMs to favor more expensive medications or manipulate drug pricing structures for their own financial gain.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Referred to Joint Committee on Insurance and Real Estate (on 01/22/2025)

bill text


bill summary

Loading...

bill summary

Loading...
Loading...