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HB 20-1078 - Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions - Colorado Key Vote

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Title: Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions

See How Your Politicians Voted

Title: Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions

Vote Smart's Synopsis:

Vote to concur with senate amendments and pass a bill that prohibits pharmacies from charging retroactive fees on already filled medical prescriptions.

Highlights:

 

  • Prohibits pharmacy benefit managers from reimbursing a pharmacy less than the amount that they reimburse any affiliates for the same services (Sec 1). 

  • Specifies that pharmacy benefit managers are not prohibited from reimbursing an affiliate for satisfying a performance-based contract (Sec 1). 

  • Requires pharmacy benefit management firms from reducing the payment on a claim after the point of sale after receiving a claim as a part of a contract between a pharmacy or pharmacy services organization (Sec 1).

  • Requires carriers that have contracts going into effect on or after January 1st, 2021 with a pharmacy benefit management firm to manage or administer prescription drug benefits to amend their contracts to reflect these changes (Sec 1).

  • Specifies that this act is effective on August 5th, 2020 unless a petition is filed against the act (Sec 2).

See How Your Politicians Voted

Title: Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions

Vote Smart's Synopsis:

Vote to amend and pass a bill that prohibits pharmacies from charging retroactive fees on already filled medical prescriptions.

Highlights:

 

  • Prohibits pharmacy benefit managers from reimbursing a pharmacy less than the amount that they reimburse any affiliates for the same services (Sec 1). 

  • Specifies that pharmacy benefit managers are not prohibited from reimbursing an affiliate for satisfying a performance-based contract (Sec 1). 

  • Requires pharmacy benefit management firms from reducing the payment on a claim after the point of sale after receiving a claim as a part of a contract between a pharmacy or pharmacy services organization (Sec 1).

  • Requires carriers that have contracts going into effect on or after January 1st, 2021 with a pharmacy benefit management firm to manage or administer prescription drug benefits to amend their contracts to reflect these changes (Sec 1).

  • Specifies that this act is effective on August 5th, 2020 unless a petition is filed against the act (Sec 2).

Title: Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions

Title: Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions

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