H.F. 3280 Summary

• Defines "clinician-administered drugs" as outpatient prescription drugs (excluding vaccines) that cannot be self-administered and are typically administered by authorized health care providers in clinical settings.

• Prohibits pharmacy benefit managers and health carriers from requiring clinician-administered drugs or their administration to be covered as pharmacy benefits.

• Requires that enrollees be permitted to obtain clinician-administered drugs from any authorized health care provider or pharmacy of choice without financial incentives steering them to specific providers or affiliated pharmacies.

• Mandates that cost-sharing, coverage limitations, and reimbursement rates for clinician-administered drugs be applied equally regardless of whether drugs are obtained from affiliated pharmacies or other selected pharmacies.

• Prohibits specialty pharmacies from dispensing clinician-administered medications directly to patients for transport to providers, and permits but does not require the use of home infusion pharmacies or external infusion sites.