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NC H450
Bill
Status
3/22/2023
Primary Sponsor
Wayne Sasser
Click for details
AI Summary
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Requires health benefit plan insurers in North Carolina to reimburse pharmacists at the same rate as other advanced practice or mid-level health care providers (such as nurse practitioners or physician assistants) when providing equivalent health care services within the pharmacist's scope of practice.
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Mandates that insurers accept credentialing for pharmacists employed or contracted with health care facilities that have delegated credentialing agreements with those insurers.
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Requires insurers to reimburse contracted health care facilities or pharmacists directly for covered services performed by pharmacists, regardless of whether the pharmacist is a participating provider in the insurer's network.
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Specifies that a pharmacy's participation in a drug benefit provider network does not fulfill any requirement for insurers to include pharmacists in their medical benefit provider networks.
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Becomes effective October 1, 2023, and applies to contracts entered into, renewed, or amended on or after that date; extends requirements to insurance agents and third-party administrators.
Legislative Description
Pharmacist Provided Health Care Services
Health Services; Insurance; Insurance
Last Action
Ref to the Com on Health, if favorable, Rules, Calendar, and Operations of the House
3/23/2023