SB 1680
Establishing a Prescription drug affordability board, setting cost affordability review and upper payment limits, requiring annual report and study.
Establishing a Prescription drug affordability board, setting cost affordability review and upper payment limits, requiring annual report and study.
A resolution supporting a national Medicare For All system of health care coverage.
Right To Shop Act of 2022: Establish a comparable health care service incentive program that includes an interactive mechanism on its publicly accessible website or a toll-free telephone number that enables an enrollee to request and obtain from the health insurer information on the payments made by the health insurer to network health care facilities or health care providers for comparable health care services as well as quality data for those health care facilities or health care providers to the extent available. The interactive mechanism or toll-free telephone number shall allow an enrollee seeking [...]
The bill would prohibit pharmacy benefit managers (PBMs) from requiring, steering, or otherwise inducing their enrollees to utilize an "affiliated provider" or a pharmacy to receive covered prescription drugs or physician-administered drugs. Affiliated providers include pharmacies or durable medical equipment providers in which the PBM has a direct or indirect controlling interest.
Among other provisions, the bill would prohibit health insurers and pharmacy benefit managers (PBM) from reimbursing 340B pharmacies at rates lower than the rates they would reimburse similarly-sized non-340B pharmacies.
This is part of a series of summaries that highlight notable legislation and initiatives in health policy and reform of all 50 states. Check back on The Source as we roll out additional states each week. See Arizona page. Arizona is active in promoting price transparency in health care. The state has some protections in place that address surprise billing for emergency services and services from out-of-network providers. This includes creating a solution for settling payment disputes between out-of-network providers and insurers by limiting patients’ liability and allowing for arbitration to settle disputes. The [...]