SB489 HFAT Ellington 2-25

CR 3338

Delegate Ellington moved to amend the bill by striking out the title and substituting therefor a new title, to read as follows:

Eng. Senate Bill No. 489 -- A Bill to amend and reenact 5-16-9 of the Code of West Virginia, 1931, as amended; to amend and reenact 33-51-3, 33-51-4, 33-51-7, 33-51-8, and 33-51-9 of said code; and to amend said code by adding thereto a new section, designated 33-51-10, all relating to the regulation of pharmacy benefit managers; defining terms; requiring pharmacy benefit managers to obtain a license from the Insurance Commissioner before doing business in the state; setting forth terms of licensure of pharmacy benefit managers; establishing fees; authorizing the Insurance Commissioner to promulgate rules for legislative approval; providing network adequacy standards; prohibiting a network to be comprised only of mail-order benefits; requiring the Insurance Commissioner to enforce the licensure provisions relating to pharmacy benefit managers; providing for the applicability of provisions to pharmacy benefit managers; clarifying that requirements do not apply to certain prescription drug plans; prohibiting certain practices by an auditing entity; providing exemptions; prohibiting different treatment of a federal 340B drug discount program; requiring the reporting of certain data relating to the payment of pharmacy claims; permitting the public employees insurance agency to cancel a contract if certain conditions are not met; providing disciplinary procedures; and providing civil penalties .

Adopted Rejected