Virginia 2022 Regular Session Status: In Committee

HB 560 — Health insurance; retail community pharmacies.

Last action — Continued to 2023 in Health, Welfare and Institutions

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House of Delegates
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2022 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

Health insurance; retail community pharmacies.Requires a carrier to administer its health benefit plans in a mannerconsistent with certain requirements and to include such requirementsin its provider contracts addressing the provision of pharmacy benefitsmanagement. The bill provides that (i) a covered individual is permittedto fill any mail order-covered prescription, at the covered individual'soption, at any mail order pharmacy or network participating retailcommunity pharmacy under certain conditions; (ii) the carrier orpharmacy benefits manager is prohibited from imposing a differentialcopayment, additional fee, rebate, bonus, or other condition on anycovered individual who elects to fill his prescription at an in-network retail community pharmacy that is not similarly imposed on coveredindividuals electing to fill a prescription from a mail order pharmacy;and (iii) the pharmacy benefits manager is required to expresslydisclose to the carrier in the contract if the pharmacy benefitsmanager retains all or a greater portion of a drug manufacturer'srebate amount or any additional direct or indirect remuneration fromany third party for drugs dispensed through the pharmacy benefitsmanager-owned mail order pharmacy than the pharmacy benefits managerdoes for drugs dispensed through a retail community pharmacy. Thebill also removes the exemption for a self-insured or self-fundedemployee welfare benefit plan under provisions regulating pharmacybenefits managers.

Bill Text

Action History

  1. Continued to 2023 in Health, Welfare and Institutions

  2. Subcommittee recommends continuing to 2023

  3. Assigned HWI sub: Subcommittee #3

  4. Referred to Committee on Health, Welfare and Institutions

  5. Prefiled and ordered printed; offered 01/12/22 22101659D

Sponsors

Sponsorship breakdown

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1 sponsors · 1 co-sponsors · 146 not signed on

Sponsors (1)

Co-sponsors (1)

Not signed on (146)

146 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB 560 do?
Health insurance; retail community pharmacies.Requires a carrier to administer its health benefit plans in a mannerconsistent with certain requirements and to include such requirementsin its provider contracts addressing the provision of pharmacy benefitsmanagement. The bill provides that (i) a covered individual is permittedto fill any mail order-covered prescription, at the covered individual'soption, at any mail order pharmacy or network participating retailcommunity pharmacy under certain conditions; (ii) the carrier orpharmacy benefits manager is prohibited from imposing a differentialcopayment, additional fee, rebate, bonus, or other condition on anycovered individual who elects to fill his prescription at an in-network retail community pharmacy that is not similarly imposed on coveredindividuals electing to fill a prescription from a mail order pharmacy;and (iii) the pharmacy benefits manager is required to expresslydisclose to the carrier in the contract if the pharmacy benefitsmanager retains all or a greater portion of a drug manufacturer'srebate amount or any additional direct or indirect remuneration fromany third party for drugs dispensed through the pharmacy benefitsmanager-owned mail order pharmacy than the pharmacy benefits managerdoes for drugs dispensed through a retail community pharmacy. Thebill also removes the exemption for a self-insured or self-fundedemployee welfare benefit plan under provisions regulating pharmacybenefits managers.
Who sponsors HB 560?
HB 560 is sponsored by Israel D. O'Quinn and H. Otto Wachsmann, Jr..
What is the current status of HB 560?
This bill died with 2022 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HB 560?
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