HB 961: Prescription Drug Benefits
GENERAL BILL by Toledo ; Fine ; (CO-INTRODUCERS) Beltran ; Brown ; Eskamani ; Geller ; Goff-Marcil ; Killebrew ; Mercado ; Sabatini ; Santiago ; Sirois ; Slosberg ; Smith, C.
Prescription Drug Benefits; Provides pharmacy benefit managers have fiduciary duty to specified individuals & entities; provides requirements for services performance, contracts, specified funds, & maximum allowable cost lists; requires pharmacy benefit managers to allow payors access to specified records; requires income & financial benefits to be passed through to payors; requires DFS to investigate violations; requires group health plans, health insurers, & pharmacy benefit managers to base plan beneficiaries' & insureds' coinsurance obligations for prescription drugs on specified drug prices.
Last Action: 3/14/2020 House - Died in Health Market Reform Subcommittee
Bill Text: PDF
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Bill History
Date Chamber Action 12/16/2019 House • Filed
1/3/2020 House • Referred to Health Market Reform Subcommittee; Appropriations Committee; Health and Human Services Committee -HJ 83
1/14/2020 House • Introduced -HJ 83
3/14/2020 House • Indefinitely postponed and withdrawn from consideration
• Died in Health Market Reform Subcommittee
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HB 961, Original Filed Version (Current Bill Version) Posted 12/16/2019 at 10:39 AM
Bill Text: PDF Analyses: None Related Bills (2)
Bill Number Subject Filed By Relationship Last Action and Location Track Bills S 1444 Prescription Drug Benefits Harrell Similar Last Action: 3/14/2020 S Died in Banking and Insurance 
S 1682 Prescription Drug Price Transparency Rodriguez Compare Last Action: 3/14/2020 S Died in Banking and Insurance
Citations - Statutes (20)
Citation Catchline Location in Bill Location In Bill Help 409.9201 Medicaid fraud. Page 42 (pdf) 458.331 Grounds for disciplinary action; action by the board and department. Page 43 (pdf) 459.015 Grounds for disciplinary action; action by the board and department. Page 45 (pdf) 465.003 Definitions. Page 3 (pdf) 465.014 Pharmacy technician. Page 47 (pdf) 465.015 Violations and penalties. Page 48 (pdf) 465.0156 Registration of nonresident pharmacies. Page 48 (pdf) 465.016 Disciplinary actions. Page 48 (pdf) 465.0197 Internet pharmacy permits. Page 49 (pdf) 465.022 Pharmacies; general requirements; fees. Page 49 (pdf) 465.023 Pharmacy permittee; disciplinary action. Page 50 (pdf) 465.1901 Practice of orthotics and pedorthics. Page 51 (pdf) 465.203 Page 12 (pdf) 499.003 Definitions of terms used in this part. Page 51 (pdf) 624.490 Registration of pharmacy benefit managers. Page 20 (pdf) 627.42385 Page 21 (pdf) 627.64741 Pharmacy benefit manager contracts. Page 25 (pdf) 627.6572 Pharmacy benefit manager contracts. Page 30 (pdf) 641.314 Pharmacy benefit manager contracts. Page 36 (pdf) 893.02 Definitions. Page 52 (pdf)