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40 Pa. Stat. and Pa. Cons. Stat. §§ 4501 through 4503, 4531 through 4535, 4551 through 4562: Pharmacy Audit Integrity and Transparency Act – Pennsylvania
Status: Enacted     Year Enacted: 2016
Governs PBM cost transparency requirements.
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A 02007 (see companion bill S 01507) – New York
Introduced: 2019    Status: Enacted     Year Enacted: 2019
Enacts into law major components of legislation necessary to implement the state health and mental hygiene budget for the 2019-2020 state fiscal year; extends and enhances the Medicaid drug cap and reduces unnecessary pharmacy benefit …

A 02836 (see companion bills S 02087 and S 06531) – New York
Introduced: 2019    Status: Inactive / Dead    
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 02970 (see companion bill S 01705) – New York
Introduced: 2019    Status: Inactive / Dead    
Implements the pharmacy benefit manager transparency act requiring disclosure and publishing of reports relating to pharmacy benefit managers.

A 09902 (see companion bill S 07828) – New York
Introduced: 2020    Status: Inactive / Dead    
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 10026 (see companion bill S 8384) – New York
Introduced: 2018    Status: Inactive / Dead    
PHARMACY BENEFIT MANAGER TRANSPARENCY ACT: A pharmacy benefit manager shall notify a covered entity in writing of any activity, policy, practice, ownership, interest, or affiliation of the pharmacy benefit manager that presents a conflict on …

A 10985 (see companion bills S 8934 and A 2661) – New York
Introduced: 2018    Status: Inactive / Dead    
PHARMACY BENEFIT MANAGEMENT AND THE PROCUREMENT OF PRESCRIPTION DRUGS: 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 …

A 1258 (see companion bill S 1210) – New Jersey
Introduced: 2020    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.

A 1259 (see companion bill S 249) – New Jersey
Introduced: 2020    Status: Inactive / Dead    
Requires pharmacy benefits manager providing services within Medicaid program to disclose certain information to DHS. It is the sponsor’s goal that such transparency will help the State to assess the magnitude in which pharmacy benefits …

A 1396 (see companion bill S 3762) – New York
Introduced: 2021    Status: Enacted    
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 2033 (see companion bill S 727) – New Jersey
Introduced: 2018    Status: Inactive / Dead    
Would allow the Department of Banking and Insurancet to regulate pharmacy benefit managers that fall under the category of organized delivery systems because they provide limited health care services. The bill also provides that a …

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 2661 (see companion bills A 10985 and S 8934) – New York
Introduced: 2018    Status: Inactive / Dead    
PHARMACY BENEFIT MANAGEMENT AND THE PROCUREMENT OF PRESCRIPTION DRUGS: 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 …

A 277 – New Jersey
Introduced: 2020    Status: Enacted    
Requires public members of Drug Utilization Review Board to disclose financial interests and benefits received from and investment interests held in pharmaceutical distributors, pharmaceutical manufacturers, or pharmacy benefits managers.*

A 291 (see companion bill S 1768) – New York
Introduced: 2021    Status: In Process    
Relates to reducing pharmacy benefit manager costs; defines “pharmacy benefit manager”.

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 …

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