Health insurance; retail community pharmacies.Requires a carrier to administer its health benefit plans in a mannerconsistent with certain requirements and to include such requirementsin its provider contracts addressing the provision of pharmacy benefitsmanagement. The bill provides that (i) a covered individual is permittedto fill any mail order-covered prescription, at the covered individual'soption, at any mail order pharmacy or network participating retailcommunity pharmacy under certain conditions; (ii) the carrier orpharmacy benefits manager is prohibited from imposing a differentialcopayment, additional fee, rebate, bonus, or other condition on anycovered individual who elects to fill his prescription at an in-network retail community pharmacy that is not similarly imposed on coveredindividuals electing to fill a prescription from a mail order pharmacy;and (iii) the pharmacy benefits manager is required to expresslydisclose to the carrier in the contract if the pharmacy benefitsmanager retains all or a greater portion of a drug manufacturer'srebate amount or any additional direct or indirect remuneration fromany third party for drugs dispensed through the pharmacy benefitsmanager-owned mail order pharmacy than the pharmacy benefits managerdoes for drugs dispensed through a retail community pharmacy. Thebill also removes the exemption for a self-insured or self-fundedemployee welfare benefit plan under provisions regulating pharmacybenefits managers.
R
Virginia House of Delegates
·
District 44
Del. Israel O'Quinn
Total votes
16,169
all sessions
Attendance
98%
206 missed
Near the chamber average
With party
97%
of cast votes
Near the chamber average
Bipartisan score
2%
crosses aisle rarely
Near the chamber average
Sponsored
693
bills & resolutions
Higher than 75% of chamber peers
Committees
4
assignments
693 bills and resolutions
Sponsored bills
Total
693
Primary
293
Co-sponsor
400
This page
693
matching current filters
Health insurance; retail community pharmacies.
In committee Feb 10, 2022
0 co-sponsors
Celebrating the life of John Joseph Ferguson.
Celebrating the life of John Joseph Ferguson.
Introduced Feb 3, 2022
1 co-sponsor
Celebrating the life of the Honorable Frank DuVal Hargrove, Sr.
Celebrating the life of the Honorable FrankDuVal Hargrove, Sr.
Introduced Feb 3, 2022
1 co-sponsor
Commending the Honorable Mark Cole.
Commending the Honorable Mark Cole.
Introduced Jan 31, 2022
1 co-sponsor
Celebrating the life of Officer Michael D. Chandler.
Celebrating the life of Officer Michael D. Chandler.
Passed Jan 27, 2022
1 co-sponsor
Celebrating the life of the Honorable Robert Tata.
Celebrating the life of the Honorable RobertTata.
Introduced Jan 27, 2022
1 co-sponsor
Commending Daphne Tamara Fulson.
Commending Daphne Tamara Fulson.
Introduced Jan 20, 2022
1 co-sponsor
Commending the Mountain Mission School.
Commending the Mountain Mission School.
Introduced Jan 20, 2022
1 co-sponsor
Commending Feeding Southwest Virginia.
Commending Feeding Southwest Virginia.
Introduced Jan 20, 2022
1 co-sponsor
Celebrating the life of George Millard Harvey, Sr.
Celebrating the life of George Millard Harvey,Sr.
Introduced Jan 20, 2022
1 co-sponsor
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