Health insurance; carrier contracts with pharmacy providers, definition of overpayment. (HB108)

Introduced By

Del. Lee Ware (R-Powhatan)

Progress

Introduced
Passed Committee
Passed House
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

Bill Has Passed

History

DateAction
12/16/2013Committee
12/16/2013Prefiled and ordered printed; offered 01/08/14 14101849D
12/16/2013Referred to Committee on Commerce and Labor
01/14/2014Reported from Commerce and Labor with substitute (21-Y 0-N) (see vote tally)
01/14/2014Committee substitute printed 14103935D-H1
01/16/2014Read first time
01/17/2014Read second time
01/17/2014Committee substitute agreed to 14103935D-H1
01/17/2014Engrossed by House - committee substitute HB108H1
01/20/2014Read third time and passed House BLOCK VOTE (96-Y 0-N)
01/20/2014VOTE: BLOCK VOTE PASSAGE (96-Y 0-N) (see vote tally)
01/21/2014Constitutional reading dispensed
01/21/2014Referred to Committee on Commerce and Labor
01/27/2014Impact statement from SCC (HB108)
01/30/2014Impact statement from SCC (HB108H1)
02/24/2014Reported from Commerce and Labor (16-Y 0-N) (see vote tally)
02/26/2014Constitutional reading dispensed (38-Y 0-N)
02/27/2014Read third time
02/27/2014Passed Senate (40-Y 0-N)
03/04/2014Enrolled
03/04/2014Bill text as passed House and Senate (HB108ER)
03/04/2014Signed by Speaker
03/05/2014Impact statement from SCC (HB108ER)
03/07/2014Signed by President
03/27/2014G Approved by Governor-Chapter 308 (effective 1/1/15)
03/27/2014G Acts of Assembly Chapter text (CHAP0308)