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House Bill 1455 |
House Author: Hunter et al. |
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Effective: 9-1-19 |
Senate Sponsor: Buckingham et al. |
House Bill 1455 amends the Insurance Code to prohibit a health benefit plan issuer or pharmacy benefit manager that audits wholesale invoices during an audit of a pharmacist or pharmacy from auditing the pharmacy claims of another health benefit plan or pharmacy benefit manager. The bill requires a health benefit plan issuer or pharmacy benefit manager to reverse a finding of a discrepancy under certain circumstances, sets out the documents an issuer or manager must accept as evidence to support the validity of a claim related to a dispensed drug, and requires an issuer or manager to provide a pharmacist or pharmacy with any supporting documents the pharmacist's or pharmacy's suppliers provided to the issuer or manager by a certain date after the pharmacist or pharmacy requests the documents.