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MI HB5941
Bill
Status
7/21/2020
Primary Sponsor
Jason Wentworth
Click for details
AI Summary
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Expands the definition of "third party administrator" (TPA) to include pharmacy benefit managers and carriers under the Third Party Administrator Act.
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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.
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Prohibits carriers from requiring patients to pay copays higher than the actual cost of dispensed drugs.
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Prohibits carriers from excluding or discriminating against pharmacies solely because the carrier does not have a financial interest in the pharmacy.
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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