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Bill > H3582


MA H3582

Prohibiting certain pharmacy claims fees


summary

Introduced
01/23/2017
In Committee
06/01/2017
Crossed Over
Passed
Dead
12/31/2018

Introduced Session

190th General Court

Bill Summary

Relative to charging or holding pharmacists or pharmacies responsible for certain fee related claims. The Judiciary.

AI Summary

This bill prohibits health insurance issuers and pharmacy benefit managers (PBMs) from directly or indirectly charging or holding pharmacists or pharmacies responsible for any fees related to a claim that are not apparent at the time of claim processing, not reported on the remittance advice of an adjudicated claim, or imposed after the initial claim is adjudicated. The bill defines a "pharmacy benefit manager" as a third-party entity that administers the prescription drug, device, or pharmacist services portion of a health benefit plan on behalf of plan sponsors.

Committee Categories

Health and Social Services, Justice

Sponsors (18)

Last Action

Accompanied a new draft, see H4605 (on 06/13/2018)

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