AN ACT relating to pharmacy benefit managers; requiring reporting on pharmacy benefit manager audits; regulating the conduct of pharmacy benefit managers; providing monetary reimbursement level requirements; amending provisions governing pharmacy benefit manager audits; requiring fee transparency; amending provisions governing maximum allowable cost appeals; regulating pharmacy benefit managers regarding the state employees’ and officials’ group insurance program; clarifying application of the Health Care Reimbursement Reform Act of 1985 to pharmacy benefit managers; providing definitions; making conforming amendments; repealing unnecessary definitions; requiring rulemaking; amending rulemaking authority; authorizing personnel; providing appropriations; and providing for effective dates.

AN ACT relating to Medicaid; providing for the expansion of Medicaid eligibility; limiting the continued expansion of Medicaid eligibility as specified; repealing prior authorizations; and providing for an effective date.

AN ACT relating to professions and occupations; entering into a compact with other states to allow licensed occupational therapist and licensed occupational therapy assistants licensed in one compact state to exercise a multistate licensure privilege in other states that are party to the compact; authorizing rulemaking by the compact commission; retaining authority to license occupational therapists and occupational therapy assistants only in this state; approving and specifying terms of the compact; making conforming amendments; providing for criminal history background checks; and providing for an effective date.

AN ACT relating to professions and occupations; entering into a compact with other states to allow licensed professional counselors licensed in one compact state to exercise a multistate licensure privilege in other states that are party to the compact; retaining authority to license counselors only in this state; approving and specifying terms of the compact; making conforming amendments; and providing for an effective date.

AN ACT relating to professions and occupations; authorizing the administration of immunizations by pharmacy technicians and pharmacy interns; repealing the requirements for direct supervision of a pharmacy technician or a pharmacy intern by a licensed pharmacist; making conforming amendments; requiring rulemaking; and providing for effective dates.

AN ACT relating to professions and occupations; providing for the licensure of persons practicing behavior analysis; providing licensure exemptions; providing for the suspension or revocation of behavior analysis licenses; providing for criminal history background checks; modifying the composition of the Wyoming state board of psychology; providing definitions; making conforming amendments; repealing obsolete provisions; and providing for an effective date.

Newly available on the Source: our health policy research team compiled a user-friendly, downloadable Excel spreadsheet of all provider merger review authority for all 50 states, now on the Market Consolidation interactive key issue page. The detailed chart provides clickable citations of all statutes, regulations, and state authority for mergers, acquisitions, conversions, or changes in ownership of healthcare providers.

The comprehensive spreadsheet allows side-by-side comparisons of the level of legal authority for each state to receive notice of impending transactions, review those transactions, and approve, conditionally approve, or disapprove them. It is conveniently organized by each type of state entity:

• Attorney general notice, approval, and review criteria
• Court approval requirement and criteria
• State health agency notice, approval and review criteria
• Certificate of Need (CON) notice, approval, and review criteria

Click on each citation for a direct link to the statutory text and other detailed information as provided by the Database of State Laws Impacting Healthcare Cost and Quality (SLIHCQ). All laws and regulations are current as of July 2021.

Click here to download.

AN ACT relating to trade and commerce; amending prohibitions against unfair trade or commerce discrimination; authorizing investigatory powers for the attorney general for antitrust claims; providing for civil penalties and additional civil remedies relating to antitrust violations as specified; amending criminal penalties for antitrust violations as specified; clarifying the applicability of manufacturing requirements to discrimination provisions; amending and repealing provisions related to the authority and duties of enforcing authorities; and providing for an effective date.

AN ACT relating to insurance; prohibiting insurers and pharmacy benefit managers from imposing limitations on covered persons utilizing pharmacy benefits and options as specified; prohibiting pharmacists and pharmacies from restricting a covered person’s ability to use a pharmacy of the person’s choosing as specified; imposing limits on the right to participate in pharmacy network contracts as specified; providing definitions; making conforming amendments; specifying applicability; requiring rulemaking; and providing for effective dates.