Pharmacy benefits managers; licensure and regulation. (SB251)
Introduced By
Sen. John Edwards (D-Roanoke) with support from co-patron Sen. Todd E. Pillion (R-Abingdon)
Progress
✓ |
Introduced |
✓ |
Passed Committee |
✓ |
Passed House |
✓ |
Passed Senate |
☐ |
Signed by Governor |
☐ |
Became Law |
Description
Pharmacy benefits managers; licensure and regulation. Provides that no person is authorized to provide pharmacy benefits management services or otherwise act as a pharmacy benefits manager without first obtaining a license from the State Corporation Commission. The measure prohibits a carrier on its own or through its contracted pharmacy benefits manager or representative of a pharmacy benefits manager from (i) causing or knowingly permitting the use of any advertisement, promotion, solicitation, representation, proposal, or offer that is untrue; (ii) charging a pharmacist or pharmacy a fee related to the adjudication of a claim other than a reasonable fee for an initial claim submission; (iii) reimbursing a pharmacy or pharmacist an amount less than the amount that the pharmacy benefits manager reimburses a pharmacy benefits manager affiliate for providing the same pharmacist services, calculated on a per-unit basis using the same generic product identifier or generic code number and reflecting all drug manufacturer's rebates, direct and indirect administrative fees, and costs and any remuneration; or (iv) penalizing or retaliating against a pharmacist or pharmacy for exercising rights provided by this measure. The measure also prohibits a carrier from (a) imposing provider accreditation standards or certification requirements inconsistent with, more stringent than, or in addition to requirements of the Virginia Board of Pharmacy or other state or federal entity; (b) including any mail order pharmacy or pharmacy benefits manager affiliate in calculating or determining network adequacy; or (c) conducting spread pricing in the Commonwealth. The measure also imposes recordkeeping and reporting requirements. The bill has a delayed effective date of October 1, 2020. This bill incorporates SB 252 and SB 862 and is identical to HB 1290. Read the Bill »
Status
03/03/2020: Passed the General Assembly
History
Date | Action |
---|---|
01/02/2020 | Prefiled and ordered printed; offered 01/08/20 20101086D |
01/02/2020 | Referred to Committee on Commerce and Labor |
01/15/2020 | Assigned C&L sub: Health Insurance |
01/16/2020 | Impact statement from SCC (SB251) |
01/27/2020 | Reported from Commerce and Labor with substitute (9-Y 6-N) (see vote tally) |
01/27/2020 | Incorporates SB252 (Edwards) |
01/27/2020 | Incorporates SB862 (Pillion) |
01/27/2020 | Committee substitute printed 20105876D-S1 |
01/29/2020 | Constitutional reading dispensed (40-Y 0-N) (see vote tally) |
01/30/2020 | Passed by for the day |
01/31/2020 | Passed by for the day |
02/03/2020 | Printed as engrossed 20105876D-ES1 |
02/03/2020 | Read second time |
02/03/2020 | Reading of substitute waived |
02/03/2020 | Committee substitute agreed to 20105876D-S1 |
02/03/2020 | Reading of amendments waived |
02/03/2020 | Amendments by Senator Hanger rejected |
02/03/2020 | Engrossed by Senate - committee substitute SB251S1 |
02/04/2020 | Read third time and passed Senate (33-Y 7-N) (see vote tally) |
02/04/2020 | Impact statement from SCC (SB251S1) |
02/18/2020 | Placed on Calendar |
02/18/2020 | Read first time |
02/18/2020 | Referred to Committee on Labor and Commerce |
02/18/2020 | Reported from Labor and Commerce with amendments (20-Y 0-N) (see vote tally) |
02/20/2020 | Read second time |
02/21/2020 | Read third time |
02/21/2020 | Committee amendments agreed to |
02/21/2020 | Engrossed by House as amended |
02/21/2020 | Passed House with amendments BLOCK VOTE (98-Y 0-N) |
02/21/2020 | VOTE: Block Vote Passage (98-Y 0-N) (see vote tally) |
02/25/2020 | House amendments agreed to by Senate (38-Y 2-N) (see vote tally) |
03/02/2020 | Enrolled |
03/02/2020 | Bill text as passed Senate and House (SB251ER) |
03/02/2020 | Impact statement from SCC (SB251ER) |
03/02/2020 | Signed by Speaker |
03/03/2020 | Signed by President |
03/12/2020 | Enrolled Bill Communicated to Governor on March 12, 2020 |
03/12/2020 | G Governor's Action Deadline 11:59 p.m., April 11, 2020 |
04/11/2020 | Governor's recommendation received by Senate |
04/22/2020 | Reconsideration of Governor's recommendation agreed to (40-Y 0-N) (see vote tally) |
04/22/2020 | Passed by temporarily |
04/22/2020 | Senate rejected Governor's recommendation (19-Y 21-N) (see vote tally) |
04/22/2020 | Reconsideration of Governor's recommendation rejected (35-Y 3-N) (see vote tally) |
04/22/2020 | Second reconsideration requires unanimous consent |
04/22/2020 | Communicated to Governor |
04/22/2020 | G Governor's Action Deadline 11:59 p.m., May 22, 2020 |