Medical assistance services; managed care organization contracts with pharmacy benefits managers. (HB1291)

Introduced By

Del. Keith Hodges (R-Urbanna) with support from co-patron Del. Les Adams (R-Chatham)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


Medical assistance services; managed care organization contracts with pharmacy benefits managers; spread pricing. Requires the Department of Medical Assistance Services to require a managed care organization with which the Department enters into an agreement for the delivery of medical assistance services to include in any agreement between the managed care organization and a pharmacy benefits manager provisions prohibiting the pharmacy benefits manager or a representative of the pharmacy benefits manager from conducting spread pricing with regard to the managed care organization's managed care plans. The bill defines "spread pricing" as the model of prescription drug pricing in which the pharmacy benefits manager charges a managed care plan a contracted price for prescription drugs, and the contracted price for the prescription drugs differs from the amount the pharmacy benefits manager directly or indirectly pays the pharmacist or pharmacy for pharmacist services. The bill applies to agreements entered into, amended, extended, or renewed on or after July 1, 2020. This bill is identical to SB 568. Read the Bill »


Bill Has Passed


01/08/2020Prefiled and ordered printed; offered 01/08/20 20103645D
01/08/2020Referred to Committee on Health, Welfare and Institutions
01/17/2020Assigned HWI sub: Health
01/30/2020Impact statement from DPB (HB1291)
02/03/2020Subcommittee recommends reporting (5-Y 0-N)
02/04/2020Assigned App. sub: Health & Human Resources
02/04/2020Reported from Health, Welfare and Institutions (22-Y 0-N) (see vote tally)
02/04/2020Referred to Committee on Appropriations
02/05/2020Reported from Appropriations with amendment (21-Y 0-N)
02/05/2020Impact statement from DPB (HB1291)
02/05/2020House subcommittee amendments and substitutes offered
02/05/2020Subcommittee recommends reporting with amendment (8-Y 0-N)
02/05/2020Reported from Appropriations with amendments (21-Y 0-N) (see vote tally)
02/06/2020Read first time
02/07/2020Read second time
02/07/2020Committee amendments agreed to
02/07/2020Engrossed by House as amended HB1291E
02/07/2020Printed as engrossed 20103645D-E
02/10/2020Read third time and passed House BLOCK VOTE (99-Y 0-N)
02/10/2020Impact statement from DPB (HB1291E)
02/10/2020VOTE: Block Vote Passage (99-Y 0-N) (see vote tally)
02/11/2020Constitutional reading dispensed
02/11/2020Referred to Committee on Commerce and Labor
03/02/2020Reported from Commerce and Labor (15-Y 0-N) (see vote tally)
03/04/2020Constitutional reading dispensed (40-Y 0-N) (see vote tally)
03/05/2020Read third time
03/05/2020Passed Senate (40-Y 0-N) (see vote tally)
03/12/2020Bill text as passed House and Senate (HB1291ER)
03/12/2020Impact statement from DPB (HB1291ER)
03/12/2020Signed by Speaker
03/12/2020Signed by President
03/17/2020Enrolled Bill communicated to Governor on March 17, 2020
03/17/2020G Governor's Action Deadline 11:59 p.m., April 11, 2020
04/10/2020G Approved by Governor-Chapter 1082 (effective 7/1/20)
04/10/2020G Acts of Assembly Chapter text (CHAP1082)