pharmacy benefit managers Archives - Indiana Chamber of Commerce

Quick Hits: COVID-19 Protection Legislation Goes to Governor; Favorable Resolution to Chamber-Opposed Pharmacy Benefit Manager Bill; Insurance Bill Outcome Unknown

Quick Hits: COVID-19 Protection Legislation Goes to Governor; Favorable Resolution to Chamber-Opposed Pharmacy Benefit Manager Bill; Insurance Bill Outcome Unknown

House Bill 1002 (Civil Immunity Related to COVID-19), authored by Rep. Jerry Torr (R-Carmel), was concurred on by the House 58-21(20 members were excused from voting). The bill now goes to the Governor for his signature. The Chamber-supported legislation protects health care providers from professional discipline for certain acts or omissions in response to COVID-19. It also provides immunity [...]

Rebecca Patrick2021-04-16T16:12:30-04:00April 16th, 2021|

Senate Passes Pregnancy Accommodation, COVID-19 Protection Legislation; House Passes Union Dues Bill; Pharmacy Benefit Mangers and Insurance Bills Await Fate

Senate Passes Pregnancy Accommodation, COVID-19 Protection Legislation; House Passes Union Dues Bill; Pharmacy Benefit Mangers and Insurance Bills Await Fate

House Bill 1309 (Pregnancy Accommodation), authored by Rep. Karen Engleman (R-Georgetown), passed the Senate 31-19 after a lengthy debate. The bill allows an employee to request an accommodation for the employee’s pregnancy and gives Indiana a law in line with the federal Pregnancy Accommodation Act and Americans With Disabilities Act. Specifically, the bill also prohibits an employer from disciplining, [...]

Rebecca Patrick2021-04-20T21:22:19-04:00April 9th, 2021|

Updates on COVID-19, Health Care and Insurance Legislation

House Bill 1002 (Civil Immunity Related to COVID-19), authored by Rep. Jerry Torr (R-Carmel), finally cleared the Senate Judiciary Committee (7-1) after three weeks of work on an amendment by Sen. Mark Messmer (R-Jasper) that would get the legislation in shape to pass. The bill protects health care providers from professional discipline for certain acts or omissions in response [...]

Rebecca Patrick2021-04-02T13:03:45-04:00April 2nd, 2021|

Senate Health Committee Hears Improved Ambulance Bill; Amendment Expected to Pharmacy Benefit Managers Bill

Senate Health Committee Hears Improved Ambulance Bill; Amendment Expected to Pharmacy Benefit Managers Bill

HB 1434 – Nonemergency Ambulance Service and Physician Order Authored by Rep. Beau Baird (R-Greencastle); sponsored by Sen. Andy Zay (R-Huntington) Specifies that Medicaid may not deny payment for nonemergency advanced life support or basic life support ambulance services, when all policies and procedures have been followed, when rendered to a Medicaid recipient. Requires hospital boards to establish protocols [...]

Rebecca Patrick2021-03-26T13:43:45-04:00March 26th, 2021|

QUICK TAKES: Trio of Prescription Drug Bills Receive Their Fate; Funding Measures Approved for Regional Economic Development, Certified Tech Parks

QUICK TAKES: Trio of Prescription Drug Bills Receive Their Fate; Funding Measures Approved for Regional Economic Development, Certified Tech Parks

Senate Bill 62 (Prescription Drug Rebates and Pricing), authored by Sen. Vaneta Becker (R-Evansville) and opposed by the Indiana Chamber, died this week. Much credit has to be given to Sen. Liz Brown (R-Fort Wayne) for three of four amendments that she filed on second reading. The amendments required disclosure of drug pricing of wholesalers, pharmacies and manufacturers. (The [...]

Rebecca Patrick2021-02-26T11:56:55-05:00February 26th, 2021|

Senate Committee Passes Prescription Drug Rebate Bill That Will Drive Up Costs to Fully Insured Plans; Senate Appropriations Passes Pharmacy Benefit Manager Legislation

Senate Committee Passes Prescription Drug Rebate Bill That Will Drive Up Costs to Fully Insured Plans; Senate Appropriations Passes Pharmacy Benefit Manager Legislation

SB 62 – Prescription Drug Rebates and Pricing Authored by Sen. Vaneta Becker (R-Evansville) Provides that the defined cost sharing for a prescription drug under a policy of accident and sickness insurance or a health maintenance organization contract must be calculated at the point of sale and based on a price that is reduced by an amount equal to [...]

Rebecca Patrick2021-02-19T14:44:32-05:00February 19th, 2021|

House Public Health Committee Hears Ambulance Reimbursement Bill Impacting Employer Plans; Senate Insurance and Financial Institutions Passes More Pharmacy Benefit Managers Legislation

House Public Health Committee Hears Ambulance Reimbursement Bill Impacting Employer Plans; Senate Insurance and Financial Institutions Passes More Pharmacy Benefit Managers Legislation

HB 1454 – Nonemergency Ambulance Service and Physician Order Authored by Rep. Beau Baird (R-Greencastle) Prohibits a health carrier, the office of the secretary of Family and Social Services, and contractors of the office from: (1) denying payments for nonemergency ambulance services when provided according to a properly executed physician order or certification statement; and (2) making reimbursement for [...]

Rebecca Patrick2021-02-12T15:08:58-05:00February 12th, 2021|

Legislation on Transparency Billing, Smoking Age Increase, ASCs for Worker’s Comp and Pharmacy Benefit Managers All Clear Committee

Legislation on Transparency Billing, Smoking Age Increase, ASCs for Worker’s Comp and Pharmacy Benefit Managers All Clear Committee

Unanimous Committee Passage for Ambulatory Surgical Centers for Worker’s Comp HB 1332 – Ambulatory Outpatient Surgical Centers Authored by Rep. Matt Lehman (R-Berne) Sponsored by Sen. Phil Boots (R-Crawfordsville) Provides that ambulatory outpatient surgical centers (ASCs) may be reimbursed in an amount not to exceed 225% of the ASCs Medicare reimbursement rate. Provides that the payment to an ASC [...]

Rebecca Patrick2020-02-28T13:51:19-05:00February 28th, 2020|

Senate Insurance Does Not Move Amendment to Allow for Assignment of Benefits and Arbitration for Dispute Resolution for EMS Transportation

Senate Insurance Does Not Move Amendment to Allow for Assignment of Benefits and Arbitration for Dispute Resolution for EMS Transportation

HB 1372 – Various Insurance Matters Authored by Rep. Martin Carbaugh (R-Fort Wayne) Sponsored by Sen. Eric Bassler (R-Washington) Authorizes a local unit to establish and maintain: (1) an individual self-insurance program to provide health care benefits to its employees; and (2) a health savings account program under which employees may set aside funds tax-free to pay for medical [...]

Rebecca Patrick2020-02-21T12:54:28-05:00February 21st, 2020|

Trio of Health Care Bills Feature Pharmacy Benefit Managers, Provider ‘Gag Clause’ and Emotional Testimony Over Mandate

Trio of Health Care Bills Feature Pharmacy Benefit Managers, Provider ‘Gag Clause’ and Emotional Testimony Over Mandate

Senate Health Committee Hears Bill to Regulate Pharmacy Benefit Managers SB 3 – Benefit Managers Regulation Authored by Sen. Liz Brown (R-Fort Wayne) Requires that a pharmacy benefit manager (PBM) – a company that manages prescription drug benefits on behalf of health insurers – obtain a license issued by the Department of Insurance. Sets forth requirements of the pharmacy [...]

Rebecca Patrick2020-01-24T14:28:27-05:00January 24th, 2020|

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