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MI HB5941

Bill

Status

Introduced

7/21/2020

Primary Sponsor

Jason Wentworth

Click for details

Origin

House of Representatives

100th Legislature

AI Summary

  • Expands the definition of "third party administrator" (TPA) to include pharmacy benefit managers and carriers under the Third Party Administrator Act.

  • Prohibits pharmacy benefit managers from reimbursing 340B entities (covered entities and contracted pharmacies) at rates lower than pharmacies with similar prescription volume that are not 340B entities.

  • Prohibits carriers from requiring patients to pay copays higher than the actual cost of dispensed drugs.

  • Prohibits carriers from excluding or discriminating against pharmacies solely because the carrier does not have a financial interest in the pharmacy.

  • Requires contracts between pharmacy benefit managers and pharmacies to allow pharmacies to disclose current selling prices of drugs as defined in the public health code, effective upon the bill's enactment.

Legislative Description

Insurance: third party administrators; definition and regulation of a pharmacy benefit manager; provide for, and regulate certain actions by a carrier relating to prescriptions drugs. Amends title & sec. 2 of 1984 PA 218 (MCL 550.902) & adds secs. 26 & 27.

Health: pharmaceuticals

Last Action

Referred To Committee On Ways And Means

9/24/2020

Committee Referrals

Ways And Means9/24/2020
Health Policy7/21/2020

Full Bill Text

No bill text available