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GA HB196
Bill
Status
5/14/2025
Primary Sponsor
Trey Kelley
Click for details
AI Summary
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Requires insurers under Georgia state health plans to reimburse pharmacies for self-administered drugs using the National Average Drug Acquisition Cost (NADAC) plus a professional dispensing fee, effective January 1, 2026
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Sets minimum dispensing fees at $10.50 for chain pharmacies and $11.50 for independent pharmacies
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Applies to state employees' health insurance, public school teachers and employees health plans, and University System of Georgia Board of Regents health benefit plans
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Prohibits insurers from circumventing reimbursement requirements through prescription drug discount cards or programs
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Grants the Commissioner of Insurance enforcement authority over these requirements under existing pharmacy benefits manager regulation laws
Legislative Description
State employees' health insurance plan; drugs dispensed for self-administration; provisions
Last Action
Effective Date 2025-07-01
5/14/2025