HB 1177 Virginia House of Delegates · 2018 Regular Session

Health insurance; contracts with pharmacies and pharmacists, etc.

Summary
Provides that no provider contract between a health carrier or its pharmacy benefits manager and a pharmacy or its contracting agent shall contain a provision (i) authorizing the carrier or its pharmacy benefits manager to charge, (ii) requiring the pharmacy or pharmacist to collect, or (iii) requiring an enrollee to make, a copayment for a covered prescription drug in an amount that exceeds the least of the applicable copayment for the prescription drug that would be payable in the absence of this section or the cash price the enrollee would pay for the prescription drug if the enrollee purchased the prescription drug without using the enrollee's health plan. The measure requires provider contracts between a health carrier or its pharmacy benefits manager and a pharmacy or its contracting agent to contain specific provisions that allow a pharmacy to (a) disclose to an enrollee information relating to the provisions of this section and the availability of a more affordable therapeutically equivalent prescription drug; (b) sell a more affordable therapeutically equivalent prescription drug to an enrollee if one is available; and (c) offer and provide direct and limited delivery services to an enrollee as an ancillary service of the pharmacy. The measure applies to provider contracts entered into, amended, extended, or renewed on or after January 1, 2019. This bill is identical to
Bill status signed all 5 stages cleared
Introduction
Jan 2018
Committee Review
Feb 2018
House of Delegates Passage
Feb 2018
Senate Passage
Feb 2018
Signed into Law
Mar 2018
Introduced Jan 10, 2018 Signed Mar 9, 2018
Floor votes

How they voted

This bill passed the Senate. No roll call record of that vote is available.
Full legislative history

Actions timeline

Total actions
18
Key actions
4
Committee
6
Mar 9, 2018
Signed into law
Approved by Governor-Chapter 245 (effective 7/1/18)
executive
Feb 8, 2018
Committee
Referred to Committee on Commerce and Labor
legislature
Feb 7, 2018
Legislature · Passed
Read third time and passed House BLOCK VOTE (98-Y 0-N)
legislature
Feb 6, 2018
Legislature · Passed
Engrossed by House - committee substitute HB1177H1
legislature
Feb 6, 2018
Legislature · Passed
Committee substitute agreed to 18106486D-H1
legislature
Jan 18, 2018
Committee
Referred to Committee on Commerce and Labor
legislature
Jan 18, 2018
Committee
Referred from Health, Welfare and Institutions by voice vote
legislature
Jan 10, 2018
Committee
Referred to Committee on Health, Welfare and Institutions
legislature
Jan 10, 2018
Introduced
Prefiled and ordered printed; offered 01/10/18 18104095D
legislature
1 primary · 5 co-sponsors

Sponsors