Pharmacy benefits managers; requirements, application of law, report, delayed effective date.

The requirement for the State Corporation Commission to investigate if carriers force patients to use pharmacy benefits manager affiliates was removed.

A new provision was added stating that compensation arrangements inspected by the Commission are subject to confidentiality protections defined in another section of the code.

The bill's committee origin was changed from Labor and Commerce to Appropriations, and the document header was updated to reflect an 'Offered for Consideration' status.

The document format was updated from a 'Senate Substitute' draft to the final 'Chaptered' version, including the addition of official chapter numbers, approval dates, and page markers.

Added a new clause permitting carriers to pay performance bonuses to pharmacy benefits managers based on cost savings, as long as the bonus is not contingent on drug acquisition costs or the fees the manager retains.

Changed the document status from 'Enrolled' (final) to 'Substitute' (amended by a committee), adding new header text and page numbering typical of legislative drafts.

The deadline for resubmitting a pharmacy claim without cause was extended from 90 days to one year.

Rebate distribution rules were updated to allow pharmacy benefits managers to direct 100% of rebates directly to covered individuals at the point of sale to reduce cost-sharing amounts.

The requirement for the state pharmacy benefits manager to adhere to specific federal provisions was removed.

The deadline for the State Corporation Commission to report findings on pharmacy services utilization was changed from December 1, 2023 to December 1, 2026.

The requirement to amend § 32.1-325.5 regarding the selection of a state pharmacy benefits manager was removed from the final enrolled text.

The definition of 'Pass-through pricing model' was removed from the definitions section.

The document layout was changed from a single-column format to a wide-column format with line numbers, while the actual legal text and policy provisions remained identical.

The document structure was altered to include 'House Substitute' headers, page numbers, and extra spacing, while the substantive text of the bill was preserved.