Health insurance; carrier contracts with pharmacy providers, definition of overpayment. (HB108)
Introduced By
Progress
✓ |
Introduced |
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Passed Committee |
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Passed House |
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Passed Senate |
✓ |
Signed by Governor |
☐ |
Became Law |
Description
Health insurance; carrier contracts with pharmacy providers. Requires any contract between a carrier and its intermediary, pursuant to which the intermediary has the right or obligation to conduct audits of participating pharmacy providers, and any provider contract between a carrier and a participating pharmacy provider or its contracting agent, pursuant to which the carrier has the right or obligation to conduct audits of participating pharmacy providers, that is entered into, amended, extended, or renewed on or after January 1, 2015, to contain provisions that prohibit the carrier or intermediary, in the absence of fraud by the participating pharmacy provider, from recouping amounts calculated from or arising out of specified acts, claims, or methods. Such contracts are also required to contain provisions prohibiting the carrier or intermediary, in the absence of fraud by the provider, from terminating or failing to renew the contractual relationship with a participating pharmacy provider for invoking its rights under these required contractual provisions. Read the Bill »
Outcome
History
Date | Action |
---|---|
12/16/2013 | Committee |
12/16/2013 | Prefiled and ordered printed; offered 01/08/14 14101849D |
12/16/2013 | Referred to Committee on Commerce and Labor |
01/14/2014 | Reported from Commerce and Labor with substitute (21-Y 0-N) (see vote tally) |
01/14/2014 | Committee substitute printed 14103935D-H1 |
01/16/2014 | Read first time |
01/17/2014 | Read second time |
01/17/2014 | Committee substitute agreed to 14103935D-H1 |
01/17/2014 | Engrossed by House - committee substitute HB108H1 |
01/20/2014 | Read third time and passed House BLOCK VOTE (96-Y 0-N) |
01/20/2014 | VOTE: BLOCK VOTE PASSAGE (96-Y 0-N) (see vote tally) |
01/21/2014 | Constitutional reading dispensed |
01/21/2014 | Referred to Committee on Commerce and Labor |
01/27/2014 | Impact statement from SCC (HB108) |
01/30/2014 | Impact statement from SCC (HB108H1) |
02/24/2014 | Reported from Commerce and Labor (16-Y 0-N) (see vote tally) |
02/26/2014 | Constitutional reading dispensed (38-Y 0-N) |
02/27/2014 | Read third time |
02/27/2014 | Passed Senate (40-Y 0-N) |
03/04/2014 | Enrolled |
03/04/2014 | Bill text as passed House and Senate (HB108ER) |
03/04/2014 | Signed by Speaker |
03/05/2014 | Impact statement from SCC (HB108ER) |
03/07/2014 | Signed by President |
03/27/2014 | G Approved by Governor-Chapter 308 (effective 1/1/15) |
03/27/2014 | G Acts of Assembly Chapter text (CHAP0308) |