Bill > HB448

This bill establishes new regulations for how health insurance plan issuers must handle prescription drug rebates in Ohio. The bill defines key terms like "price protection rebate" and "rebate," which include various price concessions and negotiated discounts that health plan issuers receive from drug manufacturers or pharmacies. The main provision requires health plan issuers to calculate a patient's out-of-pocket costs at the point of sale by reducing the drug's price by 100% of all rebates received or expected to be received for that prescription. The bill also includes strict confidentiality provisions that prohibit health plan issuers and their agents from publicly revealing specific details about the actual rebate amounts they receive for different drugs, manufacturers, or pharmacies. These details are considered confidential and cannot be released in a way that could compromise the financial or competitive nature of the information. If a health plan issuer violates these requirements, they will be considered engaged in an unfair and deceptive insurance practice and may be subject to legal proceedings. The bill specifically excludes public employee benefit plans for state employees from these requirements.

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https://www.legislature.ohio.gov/legislation/136/hb448