Pharmacy benefits managers; licensure and regulation. Provides that no person is authorized to provide pharmacy benefits management services or otherwise act as a pharmacy benefits manager without first obtaining a license from the State Corporation Commission. The measure prohibits a carrier on its own or through its contracted pharmacy benefits manager or representative of a pharmacy benefits manager from (i) causing or knowingly permitting the use of any advertisement, promotion, solicitation, representation, proposal, or offer that is untrue; (ii) charging a pharmacist or pharmacy a fee related to the adjudication of a claim other than a reasonable fee for an initial claim submission; (iii) reimbursing a pharmacy or pharmacist an amount less than the amount that the pharmacy benefits manager reimburses a pharmacy benefits manager affiliate for providing the same pharmacist services, calculated on a per-unit basis using the same generic product identifier or generic code number and reflecting all drug manufacturer's rebates, direct and indirect administrative fees, and costs and any remuneration; or (iv) penalizing or retaliating against a pharmacist or pharmacy for exercising rights provided by this measure. The measure also prohibits a carrier from (a) imposing provider accreditation standards or certification requirements inconsistent with, more stringent than, or in addition to requirements of the Virginia Board of Pharmacy or other state or federal entity; (b) including any mail order pharmacy or pharmacy benefits manager affiliate in calculating or determining network adequacy; or (c) conducting spread pricing in the Commonwealth. The measure also imposes recordkeeping and reporting requirements. The bill has a delayed effective date of October 1, 2020. This bill incorporates HB 1292, HB 1459, HB 1479, and HB 1659 and is identical to SB 251.
Total votes
9,987
all sessions
Attendance
100%
25 missed
Higher than 83% of chamber peers
With party
94%
of cast votes
Lower than 79% of chamber peers
Bipartisan score
3%
crosses aisle rarely
Higher than 77% of chamber peers
Sponsored
355
bills & resolutions
Lower than 90% of chamber peers
Committees
0
assignments
355 bills and resolutions
Sponsored bills
Total
355
Primary
139
Co-sponsor
216
This page
355
matching current filters
Pharmacy benefits managers; licensure and regulation definitions.
Signed into law Mar 10, 2020
1 co-sponsor
Commending Tonda Finney.
Commending Tonda Finney.
Passed Mar 8, 2020
0 co-sponsors
Commending Janet Hancock.
Commending Janet Hancock.
Passed Mar 8, 2020
0 co-sponsors
Commemorating the life and legacy of Boaz Fleming.
Commemorating the life and legacy of Boaz Fleming.
Passed Mar 7, 2020
1 co-sponsor
Celebrating the life of the Honorable Charles Henry Duff, Jr.
Celebrating the life of the Honorable CharlesHenry Duff, Jr.
Introduced Mar 7, 2020
1 co-sponsor
Commending Rosa B. Price.
Commending Rosa B. Price.
Passed Mar 7, 2020
1 co-sponsor
Celebrating the life of Lorine Bernice Allen Jordan.
Celebrating the life of Lorine Bernice AllenJordan.
Introduced Mar 7, 2020
1 co-sponsor
Commending Roman Eagle Masonic Lodge No. 122.
Commending Roman Eagle Masonic Lodge No. 122.
Introduced Mar 5, 2020
1 co-sponsor
Commending the Magna Vista High School JROTC Raider team.
Commending the Magna Vista High School JROTCRaider team.
Introduced Mar 5, 2020
1 co-sponsor
Commending Averett University.
Commending Averett University.
Introduced Mar 5, 2020
1 co-sponsor
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