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AL HB492
Bill
Status
3/3/2021
Primary Sponsor
Nathaniel Ledbetter
Click for details
AI Summary
HB492 Summary
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Prohibits pharmacy benefits managers from reimbursing pharmacies at lower rates than affiliated pharmacies or from charging health plans different amounts than what they pay pharmacies (spread pricing).
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Requires enrollees to receive at least 80 percent of rebates and discounts for prescription drugs that accrue to health benefit plans at the pharmacy counter.
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Prohibits steering covered individuals to mail-order or affiliated pharmacies through requirements, plan designs, data usage, or cost penalties.
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Establishes pharmacy benefits managers as fiduciaries required to disclose all direct or indirect payments and report annually to clients the aggregate rebates received and not passed through.
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Prohibits limitations on patient pharmacy choice, pharmacist services, cost-sharing discrepancies, point-of-sale fees, and misrepresentations; establishes civil penalties up to $5,000 per violation enforceable by the Commissioner of Insurance.
Legislative Description
Pharmacy benefits managers, practices relating to patient steering, price discrimination, fiduciary duty to client, price disclosure, etc. regulated, Dept of Insurance, duties and authorities revised, Act 2019-457, 2019 Reg. Sess., sections amended and renumbered; Secs. 27-45A-6 to 27-45A-11, inclusive, 27-45A-13 added; Secs. 27-45A-3, 27-45A-4, 27-45A-5 am'd.
Pharmacies and Pharmacists
Last Action
Read for the first time and referred to the House of Representatives committee on Ways and Means Education
3/3/2021