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IA HF213
Bill
Status
2/6/2025
Primary Sponsor
Tracy Ehlert
Click for details
AI Summary
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Defines "mail order pharmacy provider" as a pharmacy whose primary business is dispensing prescription drugs and delivering them by mail, common carrier, or delivery service
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Requires amounts paid by covered persons for prescription drugs to be applied toward their health benefit plan deductible
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Prohibits pharmacy benefits managers (PBMs) from restricting covered persons from filling prescriptions at any in-state pharmacy that accepts the same terms and conditions as network pharmacies
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Prohibits PBMs from imposing different cost-sharing or additional fees based on which pharmacy a covered person uses, except for value-based quality incentive programs
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Prohibits PBMs from requiring covered persons to purchase prescription drugs exclusively through mail order pharmacies as a condition of payment or reimbursement
Legislative Description
A bill for an act relating to pharmacy benefits managers, pharmacies, and prescription drug benefits, and including applicability provisions.
Last Action
Introduced, referred to Commerce. H.J. 253.
2/6/2025