A 3277 – New Jersey
Introduced: 2018 Status: Inactive / Dead
REGULATES CERTAIN PRACTICES OF PHARMACY BENEFITS MANAGEMENT COMPANIES. The bill provides that a PBM shall not: (1) mandate that a covered person use a specific retail pharmacy, mail-order pharmacy, specialty pharmacy, or other pharmacy practice …
A 3525 – New Jersey
Introduced: 2018 Status: Inactive / Dead
Prescription Drug Consumer Transparency Act: This bill supplements P.L.2015, c.179 (C.17B:27F-1 et seq.) by requiring pharmacy benefits managers (PBMs) to disclose certain information about prescription drug pricing and generic substitutions to benefit plan purchasers. The …
A 3532 – New Jersey
Introduced: 2020 Status: Inactive / Dead
Regulates certain practices of pharmacy benefits management companies.
A 3717 (see companion bill S 728) – New Jersey
Introduced: 2018 Status: Enacted
PROHIBITS PHARMACY BENEFIT MANAGERS FROM MAKING CERTAIN RETROACTIVE REDUCTIONS IN CLAIM PAYMENTS TO PHARMACIES: After the date of receipt of a clean claim for payment made by a pharmacy, a pharmacy benefits manager shall not …
A 3993 (see companion bill S 2690; combined with A 2214) – New Jersey
Introduced: 2018 Status: Inactive / Dead
PROHIBITS PHARMACY BENEFIT MANAGERS FROM COLLECTING “CLAWBACK” COPAYMENTS; PROHIBITS “GAG CLAUSES” IN CONTRACTS WITH PHARMACISTS; PROVIDES CERTAIN PENALTES. A pharmacy benefits manager, in connection with any contract or arrangement with a private health insurer, prescription …
A 4041 (see ompanion bill S 2438) – New Jersey
Introduced: 2018 Status: Inactive / Dead
Would prohibit “gag clauses” by requiring a pharmacy benefits manager to include in any contract between the pharmacy benefits manager and a pharmacy in the State, language that permits the pharmacy to disclose to a …
A 4425 – New Jersey
Introduced: 2022 Status: In Process
Prohibits SHBP, SEHBP, and Medicaid from denying coverage for maintenance medications for chronic conditions for covered persons solely because of change in health benefits plan or pharmacy benefits manager.
A 4676 (see companion bill S 3185) – New Jersey
Introduced: 2016 Status: Enacted Year Enacted: 2018
PRESCRIPTION DRUG PATIENT PROTECTION ACT: Requires pharmacy benefits managers to obtain, in accordance with the bill’s provisions, a certificate of authority from the Commissioner of Banking and Insurance in order to operate in this State. …
A 4717 (see companion bill S 5623) – New York
Introduced: 2017 Status: Inactive / Dead
Establishes civil penalties for violations concerning the pharmacy benefit manager contract appeals process; five thousand dollars for each violation recoverable by the attorney generals office; relates to the process for appeals
A 4846 (see companion bill S 3341) – New Jersey
Introduced: 2019 Status: Inactive / Dead
Regulates certain practices of pharmacy benefits managers related to specialty drugs; requires disclosure of payment information related to prescription drugs.
A 5212 (see companion bill S 3604) – New Jersey
Introduced: 2023 Status: In Process
Authorizes use of healthcare platforms providing discounted prices for payment of prescription and non-prescription drugs or devices and for telehealth and telemedicine services.
A 5218 (see companion bill S 2006) – New York
Introduced: 2021 Status: In Process
Requires individual and small group insurance carriers and group and blanket accident and health carriers to certify that at least a majority of prescription drug rebates are provided to patients at the point of sale.
A 536 (see companion bill S 1616/A 2841) – New Jersey
Introduced: 2022 Status: In Process
Under the bill, a pharmacy or pharmacist may provide to an insured information regarding the insured’s total cost for pharmacist services for a prescription drug. A pharmacy benefits manager is not to prohibit a pharmacy …
A 5496 (see companion bill S 4210) – New Jersey
Introduced: 2019 Status: Inactive / Dead
REQUIRES PHARMACY BENEFITS MANAGER UNDER CONTRACT WITH SHBP AND SEHBP TO REPORT PRICE PAID TO PHARMACY AND AMOUNT CHARGED TO SHBP AND SEHBP. This bill will requires a pharmacy benefit manager that has a contract …
A 5548 (see companion bill S 3929) – New Jersey
Introduced: 2019 Status: Inactive / Dead
Requires pharmacy benefits manager providing services within Medicaid program to disclose certain information to DHS.
A 5911 (see companion bill S 5136) – New York
Introduced: 2023 Status: In Process
Relates to pharmacy services provided by managed care providers; requires pharmacy benefit managers and managed care providers to reimburse retail pharmacies for each outpatient drug, at the National Average Drug Acquisition Cost (NADAC); repeals related …