A 5935 (see companion bill S 3898) – New Jersey
Introduced: 2021 Status: Inactive / Dead
Removes exception of self-insured health benefits plans from law concerning pharmacy benefits managers.
A 5999 – New Jersey
Introduced: 2019 Status: Inactive / Dead
Prohibits pharmacy benefits managers from requiring covered persons to use mail service pharmacies.
A 6352 (see companion bill S 1888) – New York
Introduced: 2023 Status: In Process
Relates to reducing pharmacy benefit manager costs; defines “pharmacy benefit manager”.
A 6733 – New York
Introduced: 2017 Status: Inactive / Dead
Enacts provisions governing the conduct of audits of pharmacies by pharmacy benefit managers; provides timeframes for reports, specifies documentation to be used; exempts certain investigations
A 7197 (see companion bill S 3509) – New York
Introduced: 2023 Status: In Process
Requires Medicaid managed care plans to reimburse retail pharmacies in an amount equal to the fee-for-service rate; allows retail pharmacies the opportunity to participate in another provider’s network under the medical assistance program; prohibits pharmacy …
A 73 – New York
Introduced: 2019 Status: Inactive / Dead
Requires prescription information to be kept confidential.
A 7598 (see companion bill S 6603) – New York
Introduced: 2021 Status: Inactive / Dead
Requires Medicaid managed care plans to reimburse retail pharmacies in an amount equal to the fee-for-service rate; allows retail pharmacies the opportunity to participate in another provider’s network under the medical assistance program; prohibits pharmacy …
A 7789 – New York
Introduced: 2023 Status: In Process
Relates to establishing the “340B prescription drug anti-discrimination act”; prohibits pharmaceutical manufacturers and pharmacy benefit managers from discriminating against covered entities and New York state pharmacies based on participation in the drug discount program authorized …
A 8781 (see companion bill S 6940) – New York
Introduced: 2017 Status: Inactive / Dead
PHARMACY BENEFIT MANAGERS: Prohibits pharmacy benefit managers from prohibiting pharmacies from disclosing to consumers the cost of prescription medication, the availability of alternative medications or alternative means of purchasing prescription medications; and prohibits pharmacy benefit …
A 8838 (see companion bill S 7837) – New York
Introduced: 2022 Status: In Process
Provides for pharmacy benefit management and the procurement of prescription drugs to be dispensed to patients, or the administration or management of prescription drug benefits; sets forth definitions; provides for funds received by a pharmacy …
A 9165 (see companion bill S 7909) – New York
Introduced: 2022 Status: In Process
Requires Medicaid managed care plans to reimburse retail pharmacies in an amount equal to the fee-for-service rate; allows retail pharmacies the opportunity to participate in another provider’s network under the medical assistance program; prohibits pharmacy …
A 955 (see companion bill S 3481) – New Jersey
Introduced: 2020 Status: Inactive / Dead
Prohibits pharmacy benefits managers from requiring covered persons to use mail service pharmacies.
A 9893 (see companion bill S 7191A) – New York
Introduced: 2018 Status: Inactive / Dead
RELATES TO ENHANCING PHARMACEUTICAL TRANSPARENCY AND CONSUMER PROTECTION: No contract for pharmacy services entered into in the state between a health insurance carrier or a pharmacy benefit manager and a pharmacy, pharmacist or a pharmacy’s …
AB 103 (see companion bill SB 100) – Wisconsin
Introduced: 2023 Status: In Process
Application of prescription drug payments to health insurance cost-sharing requirements. Health insurance policies and plans often apply deductibles and out-of-pocket maximum amounts to the benefits covered by the policy or plan. A deductible is an …
AB 1091 – California
Introduced: 2023 Status: In Process
Health Care Consolidation and Contracting Fairness Act of 2023. This bill, the Health Care Consolidation and Contracting Fairness Act of 2023, would prohibit a contract issued, amended, or renewed on or after January 1, 2024, …
AB 114 (see companion bill SB 100) – Wisconsin
Introduced: 2019 Status: Inactive / Dead
Registration and regulation of pharmacy benefit managers, drug pricing transparency, granting rule-making authority, and providing a penalty. The bill requires pharmacy benefit managers to provide a reasonably adequate and accessible network of pharmacies. The bill …