Concerning prescription coverage and the use of mail order services.
Summary
Requires health carriers to include in any contract with a pharmacy benefit manager (PBM) a requirement that the PBM receive enrollee authorization prior to filling prescriptions through a nonresident pharmacy.
Requires health plans to allow enrollees to opt out of the mandatory use of a nonresident pharmacy.
Requires health plans and nonresident pharmacies to provide notices to health plan enrollees about the use of nonresident pharmacies.
From the Substitute House Bill Analysis 2019 (SSB 5184), written by the Legislature's nonpartisan staff. Read the full report ↗
Did not passDid not pass · passed Senate, stalled in House