HB 2202 – Arizona
Introduced: 2018 Status: Inactive / Dead
PHARMACY PATIENT FAIR PRACTICE ACT: A pharmacy benefits manager may not do any of the following: 1) Charge or collect from an enrollee a cost sharing requirement for a prescription or pharmacy service that exceeds the …
HB 2296 – Washington
Introduced: 2018 Status: Inactive / Dead
EXCESS CHANGES FOR PRESCRIPTION MEDICATIONS: would prohibit PBMS from restricting pharmacists from disclosing specified information to an individual purchasing a drug. Also restricts the maximum amount a health carrier or pharmacy benefit manager may require a person to pay at …
HB 24 – Delaware
Introduced: 2019 Status: Enacted Year Enacted: 2019
This Act would prohibit insurers and pharmacy benefit managers from engaging in the practice of “clawbacks”. When the total cost of a prescription drug to an insurer or pharmacy benefits manager is less than a …
HB 2644 (see companion bill SB 3104) – Hawaii
Introduced: 2018 Status: Inactive / Dead
PHARMACY BENEFIT MANAGERS: (1) Establishes requirements for pharmacy benefit managers and maximum allowable cost, including the ability of pharmacies to receive comprehensive maximum allowable cost lists and bring complaints, within the purview of the Department …
HB 367 (see companion bill SB 220) – Alabama
Introduced: 2023 Status: Inactive / Dead
Relating to pharmacists; to amend Section 27-45A-7, Code of Alabama 1975; to authorize a pharmacist to decline to fill a prescription if the pharmacist will be reimbursed for the drug in an amount that is …
HB 3924 – Oklahoma
Introduced: 2022 Status: Inactive / Dead
Insurance; Patient’s Right to Pharmacy Choice Act; compliance; prohibitions; pharmacy benefits managers; Insurance Commissioner; effective date; emergency. PBMs are prohibited from conducting or practicing spread pricing.
HB 426 – Mississippi
Introduced: 2018 Status: Inactive / Dead
NO GAG RULE ON PHARMACISTS ACT. Would prohibit health insurers and pharmacy benefit managers from requiring contracts with pharmacists to include provisions that penalize pharmacists for disclosing prescription drug cost information, including the availability of …
HB 4287 – West Virginia
Introduced: 2018 Status: Inactive / Dead
This bill prohibits a contract between a health care provider and a pharmacy benefit manager from containing a provision that prohibits disclosure of billed or allowed amounts, reimbursement rates, or out-of-pocket costs. No health carrier …
HB 4348 – Michigan
Introduced: 2021 Status: Enacted Year Enacted: 2022
AN ACT to license and regulate pharmacy benefit managers; to require reporting of certain data; to provide for the powers and duties of certain state governmental officers and entities; to provide remedies; to require the …
HB 463 – Kentucky
Introduced: 2018 Status: Enacted
AN ACT RELATING TO PHARMACY BENEFITS: Create a new section of Subtitle 17A of KRS Chapter 304 to define cost sharing; prohibit an insurer, pharmacy benefit manager, or other administrator from requiring payment for prescription …
HB 479 – Ohio
Introduced: 2018 Status: Inactive / Dead
DISCLOSE DRUG PRICE INFORMATION TO PATIENTS. When filling a prescription, if a pharmacist has information indicating that the cost-sharing amount required by the patient’s health benefit plan exceeds the amount that may otherwise be charged …
HB 5078 (see companion bill SB 106) – Rhode Island
Introduced: 2023 Status: In Process
Regulates PBMs policies and practices relating to accurate costs and pricing reporting, restricts discriminatory practices and establishes consumer protections and enforcement of penalties for violations by the office of the attorney general.
HB 5611 – Rhode Island
Introduced: 2021 Status: Inactive / Dead
AN ACT RELATING TO BUSINESSES AND PROFESSIONS — PHARMACIES — PRESCRIPTIONS: Requires pharmacists to notify their customers whether their cost sharing benefits exceed the actual retail price of the prescription sought, in the absence of …
HB 6477 – Rhode Island
Introduced: 2021 Status: Enacted
AN ACT RELATING TO INSURANCE — PRESCRIPTION DRUG BENEFITS: Bars health insurance plans from prohibiting pharmacists discussing reimbursement criteria with individuals presenting prescriptions. A plan sponsor, health insurance carrier, or pharmacy benefit manager shall not …
HF 3012 (see companion bill SF 2596) – Minnesota
Introduced: 2018 Status: Inactive / Dead
PRESCRIPTION MEDICATIONS LOWEST CONSUMER COST PAYMENT REGULATION. A health plan company or pharmacy benefits manager shall not require an individual to make a payment at the point of sale for a covered prescription medication in an amount …
HF 3535 (see companion bill SF 2674) – Minnesota
Introduced: 2018 Status: Inactive / Dead
CO-PAYMENTS FOR PRESCRIPTION DRUGS LIMITED: A health plan that provides prescription drug coverage shall not require an enrollee to pay a co-payment for a prescription drug at the point of sale that is greater than the …