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Bill > SB01012
CT SB01012
CT SB01012An Act Requiring Contracts Between Pharmacy Benefits Managers And Health Carriers To Provide Fee-based Compensation.
summary
Introduced
01/22/2025
01/22/2025
In Committee
01/22/2025
01/22/2025
Crossed Over
Passed
Dead
06/04/2025
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
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bill summary
Document Type | Source Location |
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State Bill Page | https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&bill_num=SB01012&which_year=2025 |
BillText | https://www.cga.ct.gov/2025/TOB/S/PDF/2025SB-01012-R00-SB.PDF |
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