Relating to: plan sponsors’ right to access claims data.

SB 703 requires health insurers, administrators, and pharmacy benefit managers (PBMs) to provide large employer plan sponsors (those covering 50+ employees) with full access to their health claims data. Plan sponsors own this data and can request specific details - like itemized billing for high-cost claims ($25,000+ medical, $10,000+ pharmacy), payment histories, pharmacy rebates, and administrative fees - within 7 business days of a written request. Insurers and PBMs must deliver this data electronically in usable formats, and cannot sell the data without the plan sponsor’s and individual’s permission. The bill directly affects large employers managing health benefits and the companies providing those benefits, ensuring transparency in how claims data is handled and shared.