Andy Zay
- Republican
- Senator
- District 17
Author
Allows a public employer and a self-funded health plan to use a reverse auction to procure the services of a pharmacy benefit manager. Requires an audit of prescription drug cost sharing for the state Medicaid program once every three state fiscal years. Requires a pharmacy benefit manager to: (1) perform its contractual duties in good faith and in observance of reasonable commercial standards of fair dealing; and (2) notify a health plan in writing if any activity, policy, or practice of the pharmacy benefit manager presents a conflict of interest. Adds requirements of pharmacy benefit managers when denying an appeal of the maximum allowable cost pricing of a prescription drug. Requires the department of insurance (department) to develop a process for complaints regarding pharmacy benefit managers. Requires a pharmacy benefit manager to provide the department with certain information within 20 business days after the date of a complaint. Prohibits a pharmacy benefit manager from requiring a pharmacy to obtain a signature from an individual for a prescription or immunization during a public health emergency. Requires the legislative services agency to conduct a study of market concentration in Indiana of: (1) the health insurance industry; (2) the hospital industry; (3) the professions of licensed health care practitioners; (4) the retail pharmaceutical industry; (5) the pharmacy benefit manager industry; and (6) the pharmacy services administrative organization industry, including its relationship to pharmaceutical wholesalers. Requires the legislative services agency to present the findings of the study not later than September 1, 2022.
Committee report: amend do pass, adopted
Referred to the Ways and Means pursuant to House Rule 127
Committee report: amend do pass, adopted
First reading: referred to Committee on Financial Institutions and Insurance
Referred to the House
Cosponsors: Representatives Carbaugh, Clere, Shackleford
Third reading: passed; Roll Call 173: yeas 45, nays 3
House sponsor: Representative Lehman
Senator Qaddoura added as coauthor
Second reading: ordered engrossed
Committee report: amend do pass, adopted
Committee report: amend do pass adopted; reassigned to Committee on Appropriations
Senator Freeman added as coauthor
Senator Doriot added as coauthor
Senator Grooms removed as author
Senator Charbonneau added as third author
Senator Grooms added as second author
Senator Zay added as author
Senator Bray removed as author
Senator Grooms added as author
Committee report: amend do pass adopted; reassigned to Committee on Insurance and Financial Institutions
First reading: referred to Committee on Rules and Legislative Procedure
Authored by Senator Bray
| Bill Text Versions | Format |
|---|---|
| Introduced Senate Bill (S) | |
| Senate Bill (S) | |
| Senate Bill (S) | |
| Senate Bill (S) | |
| Senate Bill (H) | |
| Senate Bill (H) |
| Document | Format |
|---|---|
| Fiscal Note: SB0143.06.COMH.FN001 | |
| Floor Amendment: SB0143.06.COMH.AMH001 | |
| Floor Amendment: SB0143.06.COMH.AMH002 | |
| Floor Amendment: SB0143.06.COMH.AMH003 | |
| Floor Amendment: SB0143.06.COMH.AMH004 | |
| Floor Amendment: SB0143.06.COMH.AMH005 | |
| Floor Amendment: SB0143.06.COMH.AMH006 | |
| Floor Amendment: SB0143.06.COMH.AMH007 | |
| Floor Amendment: SB0143.06.COMH.AMH008 | |
| Floor Amendment: SB0143.06.COMH.AMH009 | |
| Floor Amendment: SB0143.06.COMH.AMH010 | |
| Floor Amendment: SB0143.06.COMH.AMH011 | |
| Floor Amendment: SB0143.06.COMH.AMH012 | |
| Floor Amendment: SB0143.06.COMH.AMH013 | |
| Floor Amendment: SB0143.06.COMH.AMH014 | |
| Floor Amendment: SB0143.06.COMH.AMH015 | |
| Floor Amendment: SB0143.06.COMH.AMH016 | |
| Floor Amendment: SB0143.06.COMH.AMH017 |
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