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IN SB0040

Bill

Official Source

Status

Introduced

1/3/2019

Primary Sponsor

Ronald Grooms

Click for details

Origin

Senate

2019 Regular Session

AI Summary

  • Pharmacy benefit managers (PBMs) not licensed as administrators must register with the Indiana Board of Pharmacy, with a $140 application fee and $140 annual renewal fee, effective July 1, 2019
  • PBMs must update maximum allowable cost lists for generic drugs every 7 business days and provide network pharmacies access to pricing sources and an appeal process for reimbursement disputes
  • Annual reporting to the board required beginning June 1, 2020, including aggregate rebates received from pharmaceutical manufacturers, administrative fees, and retained rebates not passed to insurers
  • PBMs and insurers prohibited from using financial incentives (premium, deductible, copayment variations) to steer covered individuals toward pharmacies in which the PBM has an ownership interest
  • Operating as an unregistered PBM subjects violators to a $500 civil penalty per violation

Legislative Description

Pharmacy benefit managers. Requires a pharmacy benefit manager that is not licensed as an administrator to be registered with the board of pharmacy. Specifies requirements for registration, renewal, conduct, appeals, and annual reporting by pharmacy benefit managers.

Last Action

Senator Grooms added as author

1/14/2019

Committee Referrals

Health and Provider Services1/14/2019
Rules and Legislative Procedure1/3/2019

Full Bill Text

No bill text available