30th Legislature, 2019
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Floor session convene times for March 25, 2019:
Senate: 11:30 a.m. | House of Representatives: 12:00 p.m.
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SB507       (?)


Measure Title: RELATING TO PHARMACY BENEFIT MANAGERS.
Report Title: Prescription Drugs; Pharmacy Benefit Managers; Maximum Allowable Costs; Department of Health; Insurance Commissioner
Description: Requires pharmacy benefit managers to notify contracting pharmacies of changes to maximum allowable costs for any drug, identified by its National Drug Code, fifteen days prior to the change. Requires pharmacy benefit managers to disclose where an equivalent drug can be obtained at or below the maximum allowable cost, when a maximum allowable cost appeal is upheld on appeal. Requires pharmacy benefit managers to: allow contracting pharmacies to reverse and rebill claims if the pharmacy benefit manager establishes a maximum allowable cost that is denied on appeal; and pay the difference to the contracting pharmacies. Permits contracting pharmacies to decline to dispense a drug if the reimbursement is less than the acquisition cost. Permits the insurance commissioner to revoke a pharmacy benefit manager's registration if the manager does not comply with state law. Requires the Department of Health to annually report to the legislature and any other state agency on appeals and disposition.
Companion:
Package: None
Current Referral: CPH, WAM
Introducer(s): KIM, English, Fevella, Harimoto, Ihara, K. Kahele, Keith-Agaran, J.Keohokalole, Moriwaki, Riviere, Ruderman, Shimabukuro, L. Thielen

Sort by Date Status Text
1/18/2019SIntroduced.
1/22/2019SPassed First Reading.
1/24/2019SReferred to CPH, WAM.

S = Senate | H = House | D = Data Systems | $ = Appropriation measure | ConAm = Constitutional Amendment

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SB507




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