SB 140

Bill Subjects

Health Care Facilities; Pharmacies Health Care Professionals; Licensing (Including Behavioral And Mental Health) Health; Prescription Drugs And Medications Insurance; Health Insurance

Abstract

Requires an ambulatory pharmacy to provide, before March 1, 2027, and March 1 of every other year thereafter, data to the Indiana board of pharmacy (board) relating to the pharmacy's dispensing costs for the previous calendar year. Requires the board to share the dispensing data with the commissioner of the department of insurance (commissioner). Requires the commissioner to: (1) make a determination relating to the average cost to dispense a prescription drug in an ambulatory pharmacy for purposes of determining the minimum reimbursement for a professional dispensing fee; and (2) conduct a study every two years relating to the dispensing data. Requires an insurer, a pharmacy benefit manager, or any other administrator of pharmacy benefits to ensure that a network utilized by the insurer, pharmacy benefit manager, or other administrator is reasonably adequate and accessible and file an annual report regarding the networks with the commissioner. Sets forth certain limitations and requirements with respect to the provision of pharmacy or pharmacist services under a health plan. Allows any insured, pharmacy, or pharmacist impacted by an alleged violation to file a complaint with the commissioner. Provides that the commissioner may order reimbursement to any person who has incurred a monetary loss as a result of a violation. Repeals a superseded provision relating to equal access and incentives to pharmacies within a pharmacy benefit manager's network.