Pharmacy contracts; establishes requirements for audit procedures. (HB198)
Introduced By
Progress
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Introduced |
X |
Passed Committee |
☐ |
Passed House |
☐ |
Passed Senate |
☐ |
Signed by Governor |
☐ |
Became Law |
Description
Pharmacy contracts; audits. Establishes requirements for audit procedures with respect to contracts between a health insurance carrier and its pharmacy benefits administrator, or between a carrier and a participating pharmacy provider or its contracting agent. Requirements address notice of audits, nondiscrimination, use of a licensed pharmacist to assist the auditor, provision of preliminary audit reports, use of extrapolations, charging interest, recovery or setoff for any overpayment or denial of claims, and related matters. Such contracts shall include a claims review process. The measure applies to contracts entered into, amended, extended, or renewed on or after January 1, 2011. View Full Text »
Outcome
Bill Has Failed
View Bill's History
Comments
Commerce - Audit