WV HB5482

Prohibits health insurers and pharmacy benefit managers from refusing to pay participating providers for covered clinician-administered drugs or requiring these medications to be dispensed only by plan-selected pharmacies

Protects patients' right to choose their provider or pharmacy for clinician-administered drugs without financial penalties, steering, or additional cost-sharing beyond standard plan amounts

Defines clinician-administered drugs as prescription medications that cannot reasonably be self-administered and are typically given by healthcare professionals in clinical settings such as physician offices or infusion centers

Allows insurers to offer, but not require, home infusion or external infusion sites, and permits specialty care centers of excellence based on objective quality measures

Violations constitute unfair trade practices subject to penalties under West Virginia's Unfair Trade Practices and Consumer Protection Law, and any contract provisions contrary to these rules are void and unenforceable