5213-S2.E AMH BRON MORI 093

  

E2SSB 5213 - H AMD TO HCW COMM AMD (H-3396.2/24) 1141

By Representative Bronoske

NOT ADOPTED 02/29/2024

On page 14, beginning on line 5 of the striking amendment, strike all of section 7

Renumber the remaining sections consecutively and correct any internal references accordingly.

EFFECT: Removes the prohibition against a pharmacy benefit manager (PBM): (1) Reimbursing a network pharmacy less than the contract price between the PBM and the payor; (2) requiring or coercing a patient to use the PBM's owned or affiliated pharmacies; or (3) requiring a covered person to pay more at point of sale than is required by law. Removes the requirement that a PBM: (1) Apply the same utilization review, fees, days allowance, and other conditions across its pharmacy network; (2) permit covered persons to receive delivery of mail-order of prescriptions through any network non-mail-order pharmacy; (3) receive affirmative authorization from a covered person prior to filling new prescriptions through a mail-order pharmacy; (4) ensure patients have easy and timely access to prescription counseling by a pharmacist; and (5) allow for dispensing of mail-order prescriptions at local network pharmacies if the prescription is delayed or arrives in an unusable condition.

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