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HB234

Health insurance; synchronization of medications.

Status:
Enacted

Chief Patron:
Patrick Hope (D)

Session:
2018 Regular Session

Summary

As Passed House of Origin. Health insurance; synchronization of medications.

Requires any health plan providing prescription drug coverage to permit and apply a prorated daily cost-sharing rate to prescriptions that are dispensed by a network pharmacy for a partial supply if the prescribing provider or the pharmacist determines the fill or refill to be in the best interest of the enrollee and the enrollee requests or agrees to a partial supply for the purpose of synchronizing the enrollee's medications. Such a proration shall not occur more frequently than annually. The measure also prohibits such a health plan from denying coverage for the dispensing of a medication that is dispensed by a network pharmacy on the basis that the dispensing is for a partial supply if the prescribing provider or the pharmacist determines the fill or refill is in the best interest of the enrollee and the enrollee requests or agrees to a partial supply for the purpose of synchronizing his medications. The measure requires health plans to allow a pharmacy to override denial codes indicating that a prescription is being refilled too soon for the purpose of synchronizing the enrollee's medications. The measure prohibits health plans from using payment structures incorporating prorated dispensing fees and requires that dispensing fees for partially filled or refilled prescriptions be paid in full for each prescription dispensed regardless of any prorated copay or fee paid for synchronization services. (Less)
  • Bill History

  • 12/31/2017 - House: Prefiled and ordered printed; offered 01/10/18 18100454D
  • 12/31/2017 - House: Referred to Committee on Commerce and Labor
  • 01/18/2018 - House: Assigned C & L sub: Subcommittee #1
  • 01/24/2018 - House: Impact statement from DPB (HB234)
  • 01/25/2018 - House: Subcommittee recommends reporting with amendment (8-Y 0-N)
  • 01/30/2018 - House: Reported from Commerce and Labor with amendment (22-Y 0-N)
  • 02/01/2018 - House: Read first time
  • 02/02/2018 - House: Read second time
  • 02/02/2018 - House: Committee amendment agreed to
  • 02/02/2018 - House: Engrossed by House as amended HB234E
  • 02/02/2018 - House: Printed as engrossed 18100454D-E
  • 02/02/2018 - House: Impact statement from DPB (HB234E)
  • 02/05/2018 - House: Read third time and passed House BLOCK VOTE (98-Y 0-N)
  • 02/05/2018 - House: VOTE: BLOCK VOTE PASSAGE (98-Y 0-N)
  • 02/06/2018 - Senate: Constitutional reading dispensed
  • 02/06/2018 - Senate: Referred to Committee on Commerce and Labor
  • 02/26/2018 - Senate: Reported from Commerce and Labor (14-Y 0-N)
  • 02/28/2018 - Senate: Constitutional reading dispensed (40-Y 0-N)
  • 03/01/2018 - Senate: Read third time
  • 03/01/2018 - Senate: Passed Senate (40-Y 0-N)
  • 03/05/2018 - House: Enrolled
  • 03/05/2018 - House: Bill text as passed House and Senate (HB234ER)
  • 03/05/2018 - House: Impact statement from DPB (HB234ER)
  • 03/05/2018 - House: Signed by Speaker
  • 03/08/2018 - Senate: Signed by President
  • 03/14/2018 - House: Enrolled Bill communicated to Governor on March 14, 2018
  • 03/14/2018 - Governor: Governor's Action Deadline Midnight, April 9, 2018
  • 03/30/2018 - Governor: Approved by Governor-Chapter 561 (effective 7/1/18)
  • 03/30/2018 - Governor: Acts of Assembly Chapter text (CHAP0561)