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NC H450

Bill

Status

Introduced

3/22/2023

Primary Sponsor

Wayne Sasser

Click for details

Origin

House of Representatives

2023-2024 Session

AI Summary

  • 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.

  • Mandates that insurers accept credentialing for pharmacists employed or contracted with health care facilities that have delegated credentialing agreements with those insurers.

  • 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.

  • 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.

  • 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

Committee Referrals

Health3/23/2023

Full Bill Text

No bill text available