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GA HB1027
Bill
Status
Introduced
2/25/2020
Primary Sponsor
Lee Hawkins
Click for details
AI Summary
- Pharmacy benefits managers (PBMs) must annually report to each client the aggregate amount of all rebates received from pharmaceutical manufacturers and the aggregate amount not passed through to the client
- PBMs must offer plan sponsors an option to reduce enrollees' point-of-sale cost sharing by at least 80 percent of all rebates received or to be received in connection with each prescription drug
- Beginning July 1, 2021, PBMs must annually report to the Georgia Insurance Department the number and percentage of clients that opted for point-of-sale cost sharing reductions
- Actual rebate amounts received by PBMs, including product-, manufacturer-, or pharmacy-specific rebate information, are protected as trade secrets and exempt from open records disclosure
- Exemptions apply to care management organizations, the Department of Community Health, the State Health Benefit Plan, and licensed group model HMOs operating their own pharmacies; the Act becomes effective July 1, 2020, and applies to contracts issued on or after January 1, 2021
Legislative Description
Insurance; rebates received from pharmaceutical manufacturers; provide requirements
Last Action
House Committee Favorably Reported By Substitute
3/12/2020
Full Bill Text
No bill text available