2017 Session

Budget Amendments - HB1500 (Member Request)

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Chief Patron: Hodges
Report on Pharmacy Claims (language only)

Item 475 #8h

Item 475 #8h

Central Appropriations
Central Appropriations


Page 461, after line 6, insert:

"8. The plan sponsor shall report quarterly to the Department for all pharmacy claims: the amount paid to the pharmacy provider per claim, including but not limited to cost of drug reimbursement, dispensing fees, and copayments, the amount charged to the plan sponsor for each claim, and the amount charged  by the plan sponsor to the Commonwealth for each claim. In the event there is a difference between these amounts, the plan sponsor shall report an itemization of all administrative fees, rebates, or processing charges associated with the claim."  


(This amendment requires the Department of Human Resource Management to capture information concerning expenditures made for pharmacy claims for the state employee health program.)