Requires a pharmacy benefit manager to obtain a license issued by the department of insurance and sets forth requirements of the pharmacy benefit manager. Provides for the commissioner of the department of insurance to adopt rules to specify licensure, financial and other standards, and reporting requirements that apply to a pharmacy benefit manager. Sets forth requirements and prohibitions of a pharmacy benefit manager. Allows a party that has contracted with a pharmacy benefit manager to request an audit of compliance at least one time per year. Makes violations of the chapter concerning pharmacy benefit managers an unfair or deceptive act or practice in the business of insurance. Allows a pharmacy benefit manager to obtain the license not later than December 31, 2020, in order to do business in Indiana and provide services for any health provider contract beginning January 1, 2021. (The introduced version of this bill was prepared by the interim study committee on public health, behavioral health, and human services.)
Rep. Matt Lehman
Sponsored bills
A CONCURRENT RESOLUTION honoring the 250th anniversary of William Clark's birth.
A CONCURRENT RESOLUTION honoring Sister M. Elise Kriss upon her retirement as President of the University of Saint Francis.
Honoring Speaker Brian C. Bosma upon his retirement from the Indiana House of Representatives.
A CONCURRENT RESOLUTION recognizing dyslexia in Hoosier youth.
A CONCURRENT RESOLUTION honoring students from Norwell Middle School in Ossian, Indiana, as the National Champions of the Future City Competition.
Provides that a physician noncompete agreement, to be enforceable, must contain the following provisions: (1) A provision requiring the physician's employer to provide the physician with a copy of any notice that: (A) concerns the physician's departure; and (B) was sent to a patient seen or treated by the physician during the two years preceding the termination of the physician's employment or expiration of the departing physician's contract. (2) A provision requiring the physician's employer to provide current or last known contact and location information to a patient seen or treated by the physician during the two years preceding the termination of the physician's employment or expiration of the physician's contract. (3) A provision providing the physician whose employment has terminated or whose contract has expired with the option to purchase a complete and final release from the terms of an enforceable noncompete agreement at a reasonable price. (4) A provision prohibiting the providing of medical records to the physician in a format differing from the format used to create or store the medical record during the ordinary course of business. Provides for information and notification that an employer must give to: (1) a physician who leaves the employment of the provider; and (2) certain patients who request the physician's contact information. Allows a person or entity responsible for copying or transferring a medical record to charge a reasonable fee.
Provides that ambulatory surgical centers may be reimbursed in an amount not to exceed 275% of the ambulatory surgical center's Medicare reimbursement rate. Provides that the payment to an ambulatory surgical center for a medical device under worker's compensation may not exceed the invoice amount plus 3%. Increases benefits for injuries and disablements by 2% each year for three years, beginning on July 1, 2020. Provides that a medical service facility may be reimbursed in an amount not to exceed 200% of the medical service facility's Medicare reimbursement rate.
A CONCURRENT RESOLUTION honoring Dr. Wendy Robinson upon her retirement as Superintendent of Fort Wayne Community Schools.
Repeals the following boards and commissions: (1) Public highway private enterprise review board. (2) Lake Michigan marina and shoreline development commission. Repeals the following advisory councils and advisory boards: (1) Interstate rail passenger advisory council. (2) Orange County development advisory board. Repeals the high speed rail development fund (fund) and requires the budget agency to transfer any unencumbered money in the fund to the state general fund. Provides that money in the industrial service fund may be used to provide money for the Midwest Interstate Passenger Rail Compact. Repeals language concerning responsibilities of the circuit court clerk (clerk) with respect to: (1) the clerk's receipt of the registry of certain alcohol permits; (2) notification to the clerk of a hearing regarding the fitness of an applicant seeking certain alcohol permits; and (3) the clerk's issuance of hunting, trapping, and fishing licenses. Provides that a newspaper may not charge an indigent person a fee for publishing a legal notice that is greater than the governmental rate. Exempts certain work done by the employees of a conservancy district established for the purpose of water or sewage treatment from certain requirements that apply to public works contracts. Makes conforming changes.