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TN SB0881

TN SB0881
AN ACT to amend Tennessee Code Annotated, Title 56, relative to pharmacy benefits managers.


summary

Introduced
02/05/2025
In Committee
Crossed Over
03/31/2025
Passed
04/28/2025
Dead
Signed/Enacted/Adopted
05/15/2025

Introduced Session

114th General Assembly

Bill Summary

As enacted, removes the aggregate penalty limits for violations of law concerning pharmacy benefits managers; provides that a pharmacy benefits manager regulated under law relative to pharmacy benefits managers is subject to the insurance laws relative to timely reimbursement of health insurance claims and its requirements for timing of payments to pharmacists; provides that a violation of the prompt pay standards is governed by the penalties set out in insurance laws relative to timely reimbursement of health insurance claims. - Amends TCA Title 56.

AI Summary

This bill amends Tennessee's laws regarding Pharmacy Benefits Managers (PBMs), which are companies that manage prescription drug benefits for health insurers. The bill makes several key changes: first, it modifies existing language to subject PBMs to specific sanctions described in another section of Tennessee code, with a new provision explicitly addressing violations by PBMs; second, it establishes a new section requiring PBMs to comply with prompt payment standards when reimbursing pharmacists, specifically referring to existing regulations in § 56-7-109 that govern the timing of payments. The bill also clarifies that violations of these prompt payment standards will be governed by the penalties outlined in the referenced section, rather than creating new penalties. Additionally, the bill includes a provision stating that the headings in the act are for reference only, and it will take effect immediately upon becoming law, applying to conduct occurring on or after its effective date. The overall intent appears to be increasing accountability and standardizing the regulations surrounding PBM practices in Tennessee.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Effective date(s) 05/09/2025 (on 05/15/2025)

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