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Bill > SB247
NH SB247
NH SB247Prohibiting network exclusion for pharmacies that refuse to dispense a prescription of the PBM reimbursement that is below the pharmacy's acquisition cost.
summary
Introduced
01/23/2025
01/23/2025
In Committee
03/28/2025
03/28/2025
Crossed Over
03/28/2025
03/28/2025
Passed
Dead
Introduced Session
2025 Regular Session
Bill Summary
This bill: I. Permits a pharmacy to decline to fill a prescription if reimbursement from the pharmacy benefits manager is less than the pharmacy's acquisition cost and excludes Medicaid and Medicaid care management from this option and other provider contract standards. II. Defines pharmacy services administrative organization for purposes of pharmacy and PBM contract requirements; and makes the failure of a pharmacy services administrative organization to comply with such requirements a violation of the consumer protection act.
AI Summary
This bill allows pharmacies to refuse to dispense a prescription if the reimbursement from a pharmacy benefits manager (PBM) is less than the pharmacy's cost to acquire the drug, with an exception for Medicaid programs. It also defines a "pharmacy services administrative organization" as an entity that provides administrative services to independent pharmacies and negotiates contracts with PBMs on their behalf, and makes it a violation of consumer protection laws if these organizations fail to meet certain contract requirements, such as providing contract details to pharmacies within three days or requiring pharmacies to buy drugs from specific sources.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (5)
Last Action
Refer for Interim Study: Motion Adopted Voice Vote 01/07/2026 House Journal 1 (on 01/07/2026)
Official Document
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