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MS HB1125
Bill
Status
2/4/2025
Primary Sponsor
Gene Newman
Click for details
AI Summary
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Prohibits health insurers and pharmacy benefit managers from requiring covered individuals to purchase pharmacy services exclusively through pharmacies in which they have an ownership interest.
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Prohibits insurers and pharmacy benefit managers from increasing plan or patient costs (premiums, deductibles, copayments, coinsurance) if a covered individual chooses not to use an insurer-owned pharmacy.
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Requires insurers and pharmacy benefit managers to reimburse independent pharmacies at the same rate as pharmacies in which they have an ownership interest for the same covered services.
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Prohibits insurers and pharmacy benefit managers from denying preferred network participation status to willing pharmacies that accept the same terms and conditions as other preferred network pharmacies.
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Takes effect July 1, 2025.
Legislative Description
Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.
Last Action
Died In Committee
2/4/2025