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MS SB2677

Bill

Status

Failed

3/4/2025

Primary Sponsor

Rita Potts Parks

Click for details

Origin

Senate

2025 Regular Session

AI Summary

  • Expands the Pharmacy Benefit Prompt Pay Act to extend through Section 73-21-169 and adds new definitions including "clean claim," "network pharmacy," "PSAO," "spread pricing," and "wholesale acquisition cost."

  • Requires pharmacy benefit managers to pay clean electronic claims within 7 days and paper claims within 35 days, with interest penalties of 1.5% monthly for late payments and establishes 95% on-time payment standards.

  • Prohibits spread pricing by pharmacy benefit managers, PSAOs, carriers and health plans; requires full disclosure of rebates and other payments from pharmaceutical manufacturers to plan sponsors.

  • Prohibits pharmacy benefit managers from steering patients to affiliate pharmacies, penalizing patients for non-affiliate pharmacy use, or restricting in-network pharmacies through network exclusions or accreditation standards.

  • Requires drug manufacturers to report wholesale acquisition cost information quarterly to the Board of Pharmacy, and mandates PBMs and PSAOs to report rebates, fees, and drug pricing data; creates new sections for licensing PSAOs, investigating violations, and publishing pricing information on a board website.

Legislative Description

Pharmacy Benefit Prompt Pay Act; define requirements for pharmacy benefit managers and pharmacy services administrative organizations.

Last Action

Died In Committee

3/4/2025

Committee Referrals

State Affairs2/18/2025
Public Health and Welfare1/20/2025

Full Bill Text

No bill text available