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A 2214 (see companion bill S 2690; combined with A 3993) – New Jersey
Introduced: 2018    Status: Inactive / Dead    
PROHIBITS PHARAMCY BENEFIT MANAGERS FROM COLLECTING COPAYMENTS IN EXCESS OF CERTAIN AMOUNTS “CLAWBACKS”; REQUIRES CERTAIN LANGUAGE PROHIBITNG “GAG CLAUSES” IN CONTRACTS WITH PHARMACISTS: Prohibits a pharmacy benefits manager, in connection with any contract or arrangement …

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 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 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 2863 – California
Introduced: 2018    Status: Enacted     Year Enacted: 2018
HEALTH CARE COVERAGE – PRESCRIPTIONS: This bill would limit the amount a health care service plan, health insurer, or pharmacy benefit manager may require an enrollee or insured to pay at the point of sale …

Ga. Code Ann. § 33-64-11. Prohibited activities of pharmacy benefits manager: Regulation and Licensure of Pharmacy Benefits Managers – Georgia
Status: Enacted     Year Enacted: 2017
A pharmacy benefits manager shall be proscribed from prohibiting a pharmacist or pharmacy from providing an insured individual information on the amount of the insured’s cost share for such insured’s prescription drug and the clinical …
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H 1123 (see companion bill S 728) – Massachusetts
Introduced: 2021    Status: In Process    
Relative to contracts for pharmacy services between health insurance carriers or pharmacy benefits’ managers and pharmacies or pharmacists. Notwithstanding any general or special law to the contrary, no contract for pharmacy services between a health …

H 5038 – South Carolina
Introduced: 2018    Status: Enacted     Year Enacted: 2018
PHARMACY BENEFIT MANAGER: Would prohibit a pharmacy benefits manager from prohibiting or penalizing a pharmacy or pharmacist from informing the patient of a lower cost including the cash price. A pharmacy benefit manager may not …

H 5044 – South Carolina
Introduced: 2018    Status: Inactive / Dead    
PHARMACY BENEFIT MANAGERS: Would prohibit pharmacy benefit managers from prohibiting or penalizing a pharmacist for providing an insured with information on the amount of the insured cost share for a prescribed drug and the clinical …

H 7700 (see companion bill S 2406) – Rhode Island
Introduced: 2018    Status: Inactive / Dead    
RELATING TO BUSINESSES AND PROFESSIONS – PHARMACIES – INSURANCE – PRESCRIPTION DRUG BENEFITS. Establishes rights pursuant to pharmacist-patient relationship. This bill would allow pharmacy benefit managers and pharmacies to provide information regarding the cost share …

HB 0107 – Wyoming
Introduced: 2018    Status: Inactive / Dead    
PHARMACY BENEFIT MANAGERS – PROHIBITED PRACTICES: Would prohibit insurers and pharmacy benefit managers from penalizing pharmacy or pharmacist for disclosing to the consumer information about the cost of the prescription drug or the availability of …

HB 1177 (see companion bill SB 933) – Virginia
Introduced: 2018    Status: Enacted     Year Enacted: 2018
PHARMACISTS AND PHARMACY PRACTICES. Provides that no provider contract between a health carrier or its pharmacy benefits manager and a pharmacy or its contracting agent shall contain a provision (i) authorizing the carrier or its …

HB 1284 – Colorado
Introduced: 2018    Status: Enacted    
DISCLOSURE OF PRESCRIPTION COSTS AT PHARMACIES: The act prohibits a carrier that has a contract with a pharmacy or pharmacist, or a pharmacy benefit management firm acting on behalf of a carrier, from: Prohibiting a …

HB 1302 – Virginia
Introduced: 2018    Status: Inactive / Dead    
Health insurance; copayments for prescription drugs; disclosures. Prohibits any contract between a health carrier or its pharmacy benefits manager and a pharmacy or pharmacist from containing a provision that requires an enrollee to make a …

HB 1741 – New Hampshire
Introduced: 2017    Status: Inactive / Dead    
PAYMENTS FOR COVERED PRESCRIPTION MEDICATIONS UNDER THE MANAGED CARE LAW: After January 1, 2019, no health carrier or pharmacy benefits manager shall require an individual to make a payment at the point of sale for …

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