HB 1162

Abstract

Health insurance; discrimination prohibited against covered entities and contract pharmacies. Prohibits carriers and pharmacy benefits managers from discriminating in the requirements, exclusions, terms, or other conditions imposed on a covered entity or contract pharmacy on the basis that the entity or pharmacy is operating under the 340B Program of the federal Public Health Service Act. Such prohibition does not (i) apply to drugs with an annual estimated per-patient cost exceeding $250,000 or (ii) prohibit the identification of a 340B reimbursement request. The bill also prohibits a carrier or pharmacy benefits manager from interfering in a covered individual's right to choose a contract pharmacy or covered entity.

Health insurance; discrimination prohibited against covered entities and contract pharmacies. Prohibits carriers and pharmacy benefits managers from discriminating in the requirements, exclusions, terms, or other conditions imposed on a covered entity or contract pharmacy on the basis that the entity or pharmacy is operating under the 340B Program of the federal Public Health Service Act. The bill also prohibits a carrier or pharmacy benefits manager from interfering in a covered individual's right to choose a contract pharmacy or covered entity.

Health insurance; discrimination prohibitedagainst covered entities and contract pharmacies. Prohibits carriersand pharmacy benefits managers from discriminating in the requirements,exclusions, terms, or other conditions imposed on a covered entityor contract pharmacy on the basis that the entity or pharmacy isoperating under the 340B Program of the federal Public Health ServiceAct. The bill also prohibits a carrier or pharmacy benefits managerfrom interfering in a covered individual's right to choose a contract pharmacy or covered entity.