SB209
AN ACT relating to pharmacy benefit managers; expanding the scope of certain provisions; prohibiting pharmacy benefit managers from engaging in certain practices; requiring pharmacy benefit managers to make certain disclosures; requiring pharmacy benefit managers to pass rebates along to certain insurers and insureds; requiring pharmacy benefit managers and the Commissioner of Insurance to prepare certain reports; providing a cause of action for certain pharmacies; requiring certain insurers to use passed-along rebate funds for certain purposes; providing penalties; and providing other matters properly relating thereto. Close title AN ACT relating to pharmacy benefit managers; expanding the scope of certain provisions; prohibiting pharmacy benefit managers from engaging in certain practices; requiring pharmacy benefit managers to make certain disclosures; requiring pharmacy benefit managers to pass rebates along to certain insurers and insureds; requiring pharmacy benefit managers and the Commissioner of Insurance to prepare certain reports; providing a cause of action for certain pharmacies; requiring certain insurers to use passed-along rebate funds for certain purposes; providing penalties; and providing other matters properly relating thereto.
Introduction Date
Tuesday, February 18, 2025
Primary Sponsor
?
Public exhibits
0
Support 0 · Opp 0 · Neutral 0
Auditor findings
0
recusal 0 · QPQ 0
AN ACT relating to pharmacy benefit managers; expanding the scope of certain provisions; prohibiting pharmacy benefit ma
Existing law requires a pharmacy benefit manager to obtain a certificate of registration as an insurance administrator from the Commissioner of Insurance and comply with the requirements that apply to insurance administrators generally. (NRS 683A.025, 683A.08522-683A.0893) Existing law additionally imposes certain requirements specifically regulating the operation of pharmacy benefit managers, which are entities that manage pharmacy benefits plans. (NRS 683A.171-683A.179) Existing law defines “pharmacy benefits plan” to refer to insurance coverage of prescription drugs. (NRS 683A.175) Section 19 of this bill expands the scope of that definition to also refer to insurance coverage of pharmacist services. Section 19 thereby expands the scope of provisions governing pharmacy benefit managers to also apply to entities that manage such coverage. Sections 2-13 of this bill define certain other terms relevant to pharmacy benefit managers, and section 18 of this bill establishes the applicability of those definitions. Section 14 of this bill prohibits a pharmacy benefit manager that manages a plan which provides coverage through a network from requiring a person to use a pharmacy affiliated with the pharmacy benefit manager if there are other, nonaffiliated pharmacies in the network. Section 14 additionally prohibits a pharmacy benefit manager from engaging in certain practices which are intended or have the effect of steering a person towards an affiliated pharmacy instead of a nona
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