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News & Press: WSPA News

WSPA Fighting for PBM Regulation to Address Drug Cost and Patient Access

Monday, January 27, 2020   (0 Comments)
Posted by: Jeff Rochon
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The WSPA's top legislative priority is:

Improve Safe Patient Access to Affordable Prescription Medications Handout PDF

 

Target: Regulatory Oversight of Pharmacy Benefit Managers and Prescription Drug Cost Transparency

 

In the two year biennium session more than 20 bills have been introduce to address drug pricing, patient access and predatory PBM practices. The WSPA is pushing hard to pass our thrid PBM bill in 6 years. The PBMs have evaded the regulations passed in 2014 and 2016 and our efforts this year are to create an enforcement structure for these powerful middlemen.

 

Our primary bills, SB 5601/HB 1562 are a solution to address the issues raised in the other 20 bills introduced. 

 

SB 5601 Health care benefit managers  Bill is in negotiations in Senate Healthcare Committee

Public Hearing January 27 In the Senate Committee on Health & Long-Term Care

 

HB 1562 Health care benefit managers

Public Hearing on January 21 in the House Health and Wellness Committee 

 

These companion bills create a new chapter in law specific to health care benefit managers. Pharmacy benefit managers are included in the definition of health care benefit manager.

Require that all health benefit managers be licensed by the Office of the Insurance Commissioner in order to do business in Washington; Fee must be set in the amount that covers oversight activities

Benefit managers must file all contracts and contract amendments between the benefit manager and the insurer.

Lifts definitions from SB 6137 and SB 5857 the PBM bills passed in 2014 and 2016.

May not penalize, require or provide financial incentives including variations in premiums, deductibles, copayments, or coinsurance to beneficiaries to use specific provider or retail, mail order, or other network pharmacy, in which a carrier, program, or a benefit manager has an ownership interest.

Defines "Critical Access Pharmacy" as a pharmacy in WA that is outside a 10-mile radius of any other pharmacy

Applies fiduciary responsibility to HCBM

 

 

2020 WSPA Legislative Days: Join Us in the Fight!

January 27th with UW School of Pharmacy

February 4th Community Pharmacy Day in Olympia

February 17th with WSU College of Pharmacy and Pharmaceutical Sciences

 

Contact WSPA at askwsparx.org or 425-228-7171 for details.


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