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HI HB2584

Bill

Status

Engrossed

3/4/2014

Primary Sponsor

Angus McKelvey

Click for details

Origin

House of Representatives

2014 Regular Session

AI Summary

  • Establishes reimbursement rates for prescription drugs under motor vehicle insurance personal injury protection (PIP) benefits at 140% of the average wholesale price as set by the original manufacturer and published in the Medi-Span Master Drug Database on the date of dispensing.

  • Allows insurers to contract directly with providers for lower reimbursement amounts than the 140% standard rate.

  • Requires generic drug substitution for brand name drugs unless the prescribing physician certifies that the patient's condition does not tolerate a generic alternative.

  • Sets reimbursement for compounded medications at 140% of the combined average wholesale price by gram weight of each underlying prescription drug in the compound, using the original manufacturer's pricing from the Medi-Span database.

  • Takes effect July 1, 2112.

Legislative Description

Motor Vehicle Insurance; Personal Injury Protection Benefits; Reimbursement; Drugs

Last Action

The committee on CPN deferred the measure.

3/18/2014

Committee Referrals

Commerce and Consumer Protection3/6/2014
Consumer Protection & Commerce1/27/2014

Full Bill Text

No bill text available