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WV HB5109
Bill
Status
Introduced
2/3/2026
Primary Sponsor
Matthew Rohrbach
Click for details
AI Summary
- Expands the definition of "pharmacy benefits management" to explicitly include claims processing as a core function alongside drug procurement
- Consolidates the administration of prescription drug benefits and pharmacy benefits under a single definitional category
- Removes claims processing as a separate subcategory under pharmacy benefits administration, instead incorporating it into the primary definition
- Streamlines the list of pharmacy benefits management activities from seven subcategories to six by eliminating redundancy
- Applies to pharmacy benefit managers operating in West Virginia under the Pharmacy Audit Integrity Act
Legislative Description
Update the regulation of pharmacy benefit managers
Insurance
Last Action
To House Health and Human Resources
2/3/2026
Committee Referrals
Health & Human Resources2/3/2026
Full Bill Text
No bill text available