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HI HB1643
Bill
Status
Engrossed
3/10/2026
Primary Sponsor
Scot Matayoshi
Click for details
AI Summary
- Establishes comprehensive audit requirements for registered pharmacists and pharmacies when audited by the state, counties, insurers, pharmacy benefit managers, or health maintenance organizations
- Requires written electronic notice at least two weeks before on-site audits and prohibits audits from being scheduled during the first seven calendar days of any month
- Protects pharmacies from fraud allegations based solely on clerical or recordkeeping errors (typographical, scrivener's, or computer errors) unless the error results in actual overpayment or wrong medication dispensed
- Limits audit periods to two years from claim submission, requires preliminary audit reports within 120 days of audit conclusion, and prohibits extrapolation in calculating recoupments or penalties
- Mandates that pharmacy benefit managers establish an appeals process for unfavorable audit findings and restricts recoupments to only after final internal disposition including appeals
Legislative Description
Relating To Pharmacy.
Pharmacy
Last Action
Referred to HHS, CPN.
3/12/2026
Committee Referrals
Health and Human Services3/12/2026
Consumer Protection & Commerce2/18/2026
Health1/26/2026
Full Bill Text
No bill text available