Ed Charbonneau
- Republican
- Senator
- District 5
Author
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 network with the commissioner of the department of insurance (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. Requires, if a pharmacy benefit manger is used with regard to a state employee health plan, the state personnel department to either create a pharmacy benefit manager or contract with an insurer, a pharmacy benefit manager, or other administrator. Prohibits a third party administrator from: (1) requiring, as a condition of a plan sponsor entering into a contract with the third party administrator, that the plan sponsor enter into a contract with a particular pharmacy benefit manager; or (2) charging a different fee for services provided by the third party administrator to a plan sponsor based on the plan sponsor's selection of a particular pharmacy benefit manager. Urges the legislative council to assign to the appropriate study committee the task of studying the topic of contracts for pharmacy benefit coverage under the Medicaid program and a state employee health plan.
Rules Suspended. Conference Committee Report 1: adopted by the Senate;
CCR # 1 filed in the House
CCR # 1 filed in the Senate
Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 560: yeas 84, nays 1
Senate advisors appointed: Jackson, Johnson T and Zay
Senate conferees appointed: Charbonneau and Ford J.D.
Senate dissented from House amendments
Motion to dissent filed
Returned to the Senate with amendments
House advisors appointed: Lehman, Carbaugh, Barrett, Dant Chesser and Shackleford
House conferees appointed: McGuire and Campbell
Third reading: passed; Roll Call 446: yeas 94, nays 0
Second reading: amended, ordered engrossed
Amendment #3 (Lehman) prevailed; voice vote
Amendment #1 (Carbaugh) prevailed; voice vote
Committee report: amend do pass, adopted
Representative Campbell added as cosponsor
Representative Shackleford added as cosponsor
Referred to the House
Senator Becker added as coauthor
Third reading: passed; Roll Call 175: yeas 47, nays 2
House sponsor: Representative McGuire
Reread second time: amended, ordered engrossed
Amendment #8 (Johnson T) prevailed; voice vote
Amendment #13 (Charbonneau) prevailed; voice vote
Placed back on second reading
Second reading: ordered engrossed
Senator Byrne added as coauthor
Senator Zay added as third author
Senator Randolph added as coauthor
Committee report: amend do pass, adopted
Committee report: amend do pass adopted; reassigned to Committee on Appropriations
Senator Johnson T added as second author
Authored by Senator Charbonneau
First reading: referred to Committee on Health and Provider Services
| Bill Text Versions | Format |
|---|---|
| Enrolled Senate Bill (S) | |
| Engrossed Senate Bill (S) | |
| Senate Bill (H) | |
| Engrossed Senate Bill (H) | |
| Senate Bill (S) | PDF PDF |
| Introduced Senate Bill (S) |
| Document | Format |
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| No related documents. |
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