Bill > HB1056

This bill, titled the "Prescription Drug Optimized Sourcing Transparency and Integrity Act," aims to increase transparency and protect self-insured employers from misinformation regarding prescription drug purchasing programs. It prohibits Pharmacy Benefit Managers (PBMs) – companies that manage prescription drug benefits for health plans – and health-care consultants from knowingly making false or misleading statements about the legality or safety of lawful "prescription drug optimized sourcing programs," which are arrangements allowing self-insured employers to obtain prescription drugs through channels other than their usual PBM or network, often for cost savings and in compliance with federal law, including importing drugs. Furthermore, upon written request from a self-insured employer, PBMs and health-care consultants must provide detailed cost information for each prescription drug dispensed under the health benefit plan, including total drug cost, member-paid portion, plan-paid portion, and drug specifics like National Drug Code (NDC). The bill clarifies that these provisions do not restrict a self-insured employer's right to use lawful optimized sourcing programs, recognizing "pharmacy stewardship programs" as effective cost-containment tools when implemented legally.