The Source Blog
Trends in Price and Quality Transparency
All Payer Claims Databases (APCD)
For more on APCD’s, check out the report “The Secret of Health Care Prices: Why Transparency Is in the Public Interest”.
State Surprise Billing Protections
For more on state surprise billing statutes, refer to our Issue Brief on The Source Blog.
Recent Action in Price and Quality Transparency
SB 165 – Oklahoma
Introduced: 2022 Status: Inactive / Dead
Prescription drugs; requiring certain entities to report information related to drug prices to Insurance Department; requiring Department to maintain website with certain information.
HB 3060 – Oklahoma
Introduced: 2022 Status: Inactive / Dead
Medical price transparency; penalties; allocation of penalties; health care facility price transparency; penalties; allocation of penalties; effective date.
HB 3492 – Oklahoma
Introduced: 2022 Status: Inactive / Dead
Oklahoma Rebate Pass Through and PBM Meaningful Transparency Act of 2022; amendments; licensing application requirements; agent duties; PBM fairness in cost sharing; penalties; insurer fairness in cost sharing; effective date.
HB 3493 – Oklahoma
Introduced: 2022 Status: Inactive / Dead
Oklahoma Rebate Pass Through and PBM Meaningful Transparency Act of 2022; amendments; licensing application requirements; agent duties; PBM fairness in cost sharing; penalties; insurer fairness in cost sharing; effective date.
HB 4087 – Oklahoma
Introduced: 2022 Status: Inactive / Dead
Oklahoma Rebate Pass-Through and PBM Meaningful Transparency Act of 2022; amendments; licensing application requirements; agent duties; PBM fairness in cost sharing; penalties; insurer fairness in cost sharing; effective date.
SB 1369 – Oklahoma
Introduced: 2022 Status: Enacted
Health information; establishing the Office of the State Coordinator for Health Information Exchange; data; penalty schedule. Effective date. Emergency. SB 1369 creates the Office of the State Coordinator for Health Information Exchange within the Oklahoma …
SB 1324 – Oklahoma
Introduced: 2022 Status: Inactive / Dead
Pharmacy benefits managers; requiring publication of data; establishing regulations and compliance measures. SB 1324 modifies prohibitions to PBM contracts between pharmacy benefits managers and pharmacists or pharmacies for participation in retail pharmacy networks. The measure …
Next | See all Legislation Records
Introduced: 2022 Status: Inactive / Dead
Prescription drugs; requiring certain entities to report information related to drug prices to Insurance Department; requiring Department to maintain website with certain information.
HB 3060 – Oklahoma
Introduced: 2022 Status: Inactive / Dead
Medical price transparency; penalties; allocation of penalties; health care facility price transparency; penalties; allocation of penalties; effective date.
HB 3492 – Oklahoma
Introduced: 2022 Status: Inactive / Dead
Oklahoma Rebate Pass Through and PBM Meaningful Transparency Act of 2022; amendments; licensing application requirements; agent duties; PBM fairness in cost sharing; penalties; insurer fairness in cost sharing; effective date.
HB 3493 – Oklahoma
Introduced: 2022 Status: Inactive / Dead
Oklahoma Rebate Pass Through and PBM Meaningful Transparency Act of 2022; amendments; licensing application requirements; agent duties; PBM fairness in cost sharing; penalties; insurer fairness in cost sharing; effective date.
HB 4087 – Oklahoma
Introduced: 2022 Status: Inactive / Dead
Oklahoma Rebate Pass-Through and PBM Meaningful Transparency Act of 2022; amendments; licensing application requirements; agent duties; PBM fairness in cost sharing; penalties; insurer fairness in cost sharing; effective date.
SB 1369 – Oklahoma
Introduced: 2022 Status: Enacted
Health information; establishing the Office of the State Coordinator for Health Information Exchange; data; penalty schedule. Effective date. Emergency. SB 1369 creates the Office of the State Coordinator for Health Information Exchange within the Oklahoma …
SB 1324 – Oklahoma
Introduced: 2022 Status: Inactive / Dead
Pharmacy benefits managers; requiring publication of data; establishing regulations and compliance measures. SB 1324 modifies prohibitions to PBM contracts between pharmacy benefits managers and pharmacists or pharmacies for participation in retail pharmacy networks. The measure …
Next | See all Legislation Records
Uriel Pharmacy v. Advocate Aurora Health – Wisconsin
District Court: Eastern District of Wisconsin Status: Pending
Brought by Uriel Pharmacy, a self-insured employer, the federal lawsuit alleges Advocate forced insurers to enter all-or-nothing and anti-tiering and anti-steering contract terms. In addition, …
In re Mission Health Antitrust Litigation – North Carolina
District Court: Western District of North Carolina Status: Pending
Originally filed in federal district court by the city of Brevard, North Carolina (City of Brevard, North Carolina v. HCA Healthcare and Mission Health System), …
Davis et al. v. HCA Healthcare and Mission Health System – North Carolina
District Court: North Carolina Superior Court (Buncombe County) Status: Pending
The class action lawsuit filed in North Carolina state court against HCA Healthcare and Mission Health alleges anticompetitive practices in violation of the North Carolina …
Community Hospitals and Wellness Centers v. State of Ohio – Ohio
District Court: Common Pleas Court of Williams County Status: Decided
Ohio’s Healthcare Price Transparency Law, passed in June 2015 (HB 52) by the Ohio Legislature, has been challenged by health care providers arguing that the …
Pharmaceutical Care Management Association (PCMA) v. Mulready – Oklahoma
District Court: District Court of Western District of Oklahoma Status: Pending
The 2019 Oklahoma law, Patient’s Right to Pharmacy Choice Act, targets PBM conflict of interest by prohibiting higher reimbursement rates for PBM-owned pharmacies and bans …
PhRMA and BIO v. Sandoval – Nevada
District Court: District of Nevada Status: Decided
In September 2017, just three months after Nevada passed its insulin transparency law (SB 539) in June 2017 to increase transparency over the price of …
Pharmaceutical Care Management Association (PCMA) v. Rutledge – Arkansas
District Court: Eastern District of Arkansas Status: Decided
Act 900 (SB 688), enacted in 2015, required disclosure of generic drug pricing and sets a floor on prices that PBMs can pay to pharmacies …
Next | See all Litigation Records
District Court: Eastern District of Wisconsin Status: Pending
Brought by Uriel Pharmacy, a self-insured employer, the federal lawsuit alleges Advocate forced insurers to enter all-or-nothing and anti-tiering and anti-steering contract terms. In addition, …
In re Mission Health Antitrust Litigation – North Carolina
District Court: Western District of North Carolina Status: Pending
Originally filed in federal district court by the city of Brevard, North Carolina (City of Brevard, North Carolina v. HCA Healthcare and Mission Health System), …
Davis et al. v. HCA Healthcare and Mission Health System – North Carolina
District Court: North Carolina Superior Court (Buncombe County) Status: Pending
The class action lawsuit filed in North Carolina state court against HCA Healthcare and Mission Health alleges anticompetitive practices in violation of the North Carolina …
Community Hospitals and Wellness Centers v. State of Ohio – Ohio
District Court: Common Pleas Court of Williams County Status: Decided
Ohio’s Healthcare Price Transparency Law, passed in June 2015 (HB 52) by the Ohio Legislature, has been challenged by health care providers arguing that the …
Pharmaceutical Care Management Association (PCMA) v. Mulready – Oklahoma
District Court: District Court of Western District of Oklahoma Status: Pending
The 2019 Oklahoma law, Patient’s Right to Pharmacy Choice Act, targets PBM conflict of interest by prohibiting higher reimbursement rates for PBM-owned pharmacies and bans …
PhRMA and BIO v. Sandoval – Nevada
District Court: District of Nevada Status: Decided
In September 2017, just three months after Nevada passed its insulin transparency law (SB 539) in June 2017 to increase transparency over the price of …
Pharmaceutical Care Management Association (PCMA) v. Rutledge – Arkansas
District Court: Eastern District of Arkansas Status: Decided
Act 900 (SB 688), enacted in 2015, required disclosure of generic drug pricing and sets a floor on prices that PBMs can pay to pharmacies …
Next | See all Litigation Records
News & Opinions
Articles & Reports
Patients Rights Advocate
February 6, 2023
Health Affairs Forefront February 2, 2023
Journal of Health Politics, Policy and Law February 1, 2023
Georgetown University Center for Children and Families January 27, 2023
Health Affairs Forefront February 2, 2023
Journal of Health Politics, Policy and Law February 1, 2023
Georgetown University Center for Children and Families January 27, 2023
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