AB 627 — Pharmacy benefit managers: contracting pharmacies.

Summary

Existing law imposes specified requirements on an audit of pharmacy services provided to beneficiaries of a health benefit plan, and defines certain terms for its purposes, including, among others, pharmacy benefit manager. This bill would exempt certain contracts governing the medicines and medical supplies that are required to be provided to injured employees in workers' compensation cases from these requirements. The bill would also require a pharmacy benefit manager that reimburses a contracting pharmacy for a drug on a maximum allowable cost basis to include in a contract, initially entered into, or renewed on its scheduled renewal date, on or after January 1, 2016, information identifying any national drug pricing compendia or other data sources used to determine the maximum allowable cost for the drugs on a maximum allowable cost list and to provide for an appeal process for the contracting pharmacy, as specified. The bill would also require a pharmacy benefit manager to make available to a contracting pharmacy, upon request, the most up-to-date maximum allowable cost list or lists used by the pharmacy benefit manager for patients served by the pharmacy in a readily accessible, secure, and usable Web-based format or other comparable format. The bill would prohibit a drug from being included on a maximum allowable cost list or from being reimbursed on a maximum allowable cost basis unless certain requirements are met, including, but not limited to, that the drug is not obsolete.

Bill Text

• Chaptered 07/13/15 - Chaptered Current pdf July 13, 2015
• Enrolled 06/29/15 - Enrolled pdf June 29, 2015
• Amended 06/16/15 - Amended Senate pdf June 16, 2015
• Amended 05/27/15 - Amended Senate pdf May 27, 2015
• Amended 03/26/15 - Amended Assembly pdf March 26, 2015
• Introduced 02/24/15 - Introduced pdf February 24, 2015
• AB627 View text html

Action History

1. July 13, 2015

   Chaptered by Secretary of State - Chapter 74, Statutes of 2015.

2. July 13, 2015

   Approved by the Governor.

3. July 01, 2015

   Enrolled and presented to the Governor at 2:30 p.m.

4. June 25, 2015

   Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 80. Noes 0. Page 2140.).

5. June 23, 2015

   In Assembly. Concurrence in Senate amendments pending. May be considered on or after June 25 pursuant to Assembly Rule 77.

6. June 22, 2015

   Read third time. Passed. Ordered to the Assembly. (Ayes 37. Noes 0. Page 1549.).

7. June 17, 2015

   Ordered to special consent calendar.

8. June 16, 2015

   Read second time and amended. Ordered to third reading.

9. June 15, 2015

   From committee: Amend, and do pass as amended. (Ayes 9. Noes 0.) (June 15).

10. June 02, 2015

    In committee: Set, first hearing. Hearing canceled at the request of author.

11. May 27, 2015

    From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on B., P. & E.D.

12. May 21, 2015

    Referred to Com. on B., P. & E.D.

13. May 07, 2015

    In Senate. Read first time. To Com. on RLS. for assignment.

14. May 07, 2015

    Read third time. Passed. Ordered to the Senate. (Ayes 77. Noes 0. Page 1343.)

15. May 06, 2015

    Read second time. Ordered to third reading.

16. May 05, 2015

    From committee: Do pass. (Ayes 14. Noes 0.) (May 5).

17. April 15, 2015

    From committee: Do pass and re-refer to Com. on B. & P. (Ayes 16. Noes 0.) (April 14). Re-referred to Com. on B. & P.

18. April 06, 2015

    Re-referred to Com. on HEALTH.

19. March 26, 2015

    From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.

20. March 26, 2015

    Referred to Coms. on HEALTH and B. & P.

21. February 25, 2015

    From printer. May be heard in committee March 27.

22. February 24, 2015

    Read first time. To print.

Sponsors

• Gomez · Primary
• Mark Stone · Cosponsor

Votes

Subjects