Pennsylvania 2019-2020 Regular Session Status: In Committee Bipartisan · 11 R · 7 D cosponsors

HB 945 — An Act amending the act of June 13, 1967 (P.L.31, No.21), known as the Human Services Code, in public assistance, providing for use of pharmacy benefits manager by medical assistance managed care organization.

Last action — Laid on the table

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

This bill died with 2019-2020 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This bill is no longer active — its legislative session has ended, so there are no live odds of enactment. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

53 added · 55 removed

Plain-language change summary

The recent changes to Bill HB 945 include a shift from allowing to requiring the Department to prevent certain medical assistance managed care organizations from using specific pharmacies that might have conflicts of interest. Additionally, the amendment specifies that pharmacy benefits managers cannot mandate that patients use a specific pharmacy for any drug, including specialty drugs. These changes aim to increase transparency and protect patients from potential conflicts of interest in their healthcare choices.

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PRIOR PRINTER'S NO.
PRINTER'S NO.
2167 PRINTER'S NO.
2167 THE GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE BILL Session of No.
2915 THE GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE BILL Session of No.
945 2019 INTRODUCED BY BARRAR, BERNSTINE, DEASY, DeLUCA, DUSH, FLYNN, GAYDOS, GREINER, HARKINS, HILL-EVANS, KAUFFMAN, KLUNK, LAWRENCE, MALONEY, MOUL, PYLE, READSHAW, RIGBY, SAYLOR, SCHMITT AND STRUZZI, JUNE 18, 2019 REFERRED TO COMMITTEE ON HEALTH, JUNE 18, 2019 AN ACT Amending the act of June 13, 1967 (P.L.31, No.21), entitled "An act to consolidate, editorially revise, and codify the public welfare laws of the Commonwealth," in public assistance, assistance managed care organization.s manager by medical The General Assembly of the Commonwealth of Pennsylvania hereby enacts as follows:
945 2019 INTRODUCED BY BARRAR, BERNSTINE, DEASY, DeLUCA, DUSH, FLYNN, GAYDOS, GREINER, HARKINS, HILL-EVANS, KAUFFMAN, KLUNK, LAWRENCE, MALONEY, MOUL, PYLE, READSHAW, RIGBY, SAYLOR, SCHMITT, STRUZZI, QUINN, MASSER, BURNS, KNOWLES, KOSIEROWSKI, STURLA, NEILSON AND WENTLING, JUNE 18, 2019 AS REPORTED FROM COMMITTEE ON HEALTH, HOUSE OF REPRESENTATIVES, AS AMENDED, NOVEMBER 19, 2019 AN ACT Amending the act of June 13, 1967 (P.L.31, No.21), entitled "An welfare laws of the Commonwealth," in public assistance,ublic providing for use of pharmacy benefits manager by medical assistance managed care organization.
The General Assembly of the Commonwealth of Pennsylvania hereby enacts as follows:
Use of Pharmacy Benefits Manager by Medical Assistance Managed Care Organization.--(a) The department shall <-- MAY prevent a medical assistance managed care organization from <-- entering into any contract for pharmacy services with a pharmacy benefits manager if:
Use of Pharmacy Benefits Manager by Medical Assistance Managed Care Organization.--(a) The department shall prevent a medical assistance managed care organization from entering into any contract for pharmacy services with a pharmacy benefits manager if:
or (2) the A pharmacy providing the pharmacy services has an <-- ownership interest in the pharmacy benefits manager or a corporate affiliate of the pharmacy benefits manager.
or (2) the pharmacy providing the pharmacy services has an ownership interest in the pharmacy benefits manager or a corporate affiliate of the pharmacy benefits manager.
(b) A pharmacy benefits manager may not require that a beneficiary use the services of a specific pharmacy for ANY <-- DRUG, INCLUDING a specialty drug.
(b) A pharmacy benefits manager may not require that a beneficiary use the services of a specific pharmacy for a specialty drug.
(iv) Paying claims to pharmacies for prescription drugs dispensed to covered individuals via BY A retail, specialty or <-- mail-order pharmacy.
(iv) Paying claims to pharmacies for prescription drugs dispensed to covered individuals via retail, specialty or mail- order pharmacy.
20190HB0945PN2915 - 2 - (vi) Rebate contracting and administration.
(vi) Rebate contracting and administration.
(vii) Managing a patient compliance, therapeutic intervention and generic substitution program.
20190HB0945PN2167 - 2 - (vii) Managing a patient compliance, therapeutic intervention and generic substitution program.
The term shall include a wholly owned subsidiary ANY AFFILIATED OWNERSHIP <-- of a medical assistance managed care organization that performs pharmacy benefits management.
The term shall include a wholly owned subsidiary of a medical assistance managed care organization that performs pharmacy benefits management.
20190HB0945PN2915 - 3 -
20190HB0945PN2167 - 3 -
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Amendments

2 amendments

Click Show changes on an amendment above to see how it modifies the bill.

Action History

  1. Laid on the table

  2. Removed from table

  3. Laid on the table

  4. First consideration

  5. PN 2915 Reported as amended

  6. PN 2167 Referred to HEALTH

Sponsors

Sponsorship breakdown

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1 sponsors · 28 co-sponsors · 224 not signed on

Sponsors (1)

  • Barrar

Co-sponsors (28)

Not signed on (224)

224 members have not signed on to this bill.

Show all 224 →

"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

Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors HB 945?
HB 945 is sponsored by Barrar, Aaron Bernstine (Republican), Daniel J. Deasy (Democratic), Deluca, Dush, Marty Flynn (Democratic), Valerie S. Gaydos (Republican), Keith J. Greiner (Republican), Patrick J. Harkins (Democratic), Carol Hill-Evans (Democratic), Rob W. Kauffman (Republican), Kate A. Klunk (Republican), John A. Lawrence (Republican), David M. Maloney (Republican), Dan Moul (Republican), Pyle, Readshaw, Jim Rigby (Republican), Saylor, James B. Struzzi (Republican), Quinn, Masser, Frank Burns (Democratic), Knowles, Bridget M. Kosierowski (Democratic), Sturla, Ed Neilson (Democratic), Parke Wentling (Republican), and Louis Schmitt.
What is the current status of HB 945?
This bill died with 2019-2020 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 945?
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