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GA SB198
Bill
Status
Vetoed
5/7/2024
Primary Sponsor
Sally Harrell
Click for details
AI Summary
- Effective January 1, 2025, pharmacy benefits managers (PBMs) serving Georgia's state health benefit plan for school teachers, school employees, and state employees must reimburse independent pharmacies at no less than the average reimbursement paid to chain retail pharmacies for the same drug dispensed for self-administration
- The Department of Community Health is granted discretion to define what constitutes an independent pharmacy versus a chain retail pharmacy, how PBMs must calculate average drug prices, and the procedures for correcting under-reimbursements at initial claim adjudication
- PBMs must provide an annual certification to the Department of Community Health confirming compliance with the new reimbursement requirements
- PBMs must make their records available and cooperate with the Department of Community Health upon written demand for financial examinations, audits, and investigations related to compliance
- Amends Code Section 33-64-9.1 of the Official Code of Georgia Annotated by adding a new subsection (d) governing PBM reimbursement methodologies
Legislative Description
Georgians with Intellectual and Developmental Disabilities Innovation Commission; create
Last Action
Veto V10
5/7/2024
Committee Referrals
Public Health3/4/2024
Health and Human Services2/16/2023
Full Bill Text
No bill text available