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HI HB1960

Bill

Status

Introduced

1/21/2014

Primary Sponsor

Mark Nakashima

Click for details

Origin

House of Representatives

2014 Regular Session

AI Summary

  • 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.

  • 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.

  • 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.

  • 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.

  • 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

Committee Referrals

Consumer Protection & Commerce2/5/2014
Labor & Public Employment1/23/2014
Consumer Protection & Commerce1/21/2014

Full Bill Text

No bill text available