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MS SB2677
Bill
Status
3/4/2025
Primary Sponsor
Rita Potts Parks
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AI Summary
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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."
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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.
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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.
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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.
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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