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HI HB1960
Bill
Status
1/21/2014
Primary Sponsor
Mark Nakashima
Click for details
AI Summary
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Establishes price caps on prescription drug reimbursement in workers' compensation and motor vehicle insurance claims at 140% of the average wholesale price published in the Red Book as of the date of dispensing.
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Reduces the reimbursement cap to 100% of average wholesale price for prescription drugs not available at major retail pharmacies (defined as having 5+ locations in Hawaii and 10+ in other states) within the state.
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Caps reimbursement for compounded medications at 140% of average wholesale price by gram weight of each underlying drug, based on the Red Book pricing at the date of compounding.
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Mandates substitution of equivalent generic drugs for brand name pharmaceuticals unless the prescribing physician certifies the injured employee's condition will not tolerate a generic preparation.
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Applies drug pricing protections automatically to motor vehicle insurance benefits unless the insurance commissioner modifies them through rulemaking after enactment; takes effect upon approval.
Legislative Description
Workers' Compensation Insurance; Motor Vehicle Insurance; Drug Pricing
Last Action
Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; none voting no (0) and Representative(s) Yamane excused (1).
2/5/2014