Adds to existing law to provide for certain requirements for pharmacy benefit managers.
INSURANCE -- Adds to existing law to provide for certain requirements for pharmacy benefit managers.
STATEMENT OF PURPOSE
Pharmacy Benefit Managers (PBMs) are third party administrators under contract by health plans, employers and government entities to manage prescription drug programs for health plan recipients. PBMs decide which pharmacies are included in a prescription drug plan's network and how much the pharmacy will be paid for dispensing services. Idaho is one of just five states that do not regulate or have any oversight at all over PBMs. This bill will require PBMs that operate in Idaho to register with the Department of Insurance. It also gives pharmacists more flexibility in informing patients how they can pay less out-of-pocket for prescriptions. Today, PBMs prohibit pharmacies from discussing prescription cost options with their patients. Recently, legislation passed and was signed into law at the federal level prohibiting "gag clauses" on Medicare Part D and Advantage plans, but State legislation is still needed for all other insurance. Most already have this type of law in effect.
HOW THEY VOTED
Senate Third Reading
YEA (32)
ABSENT / NOT VOTING (1)
LATEST ACTION
Read First Time, Referred to Health & Welfare