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Committee debates requiring rebates be applied at point of sale; insurers warn of higher premiums
Summary
House File 1075, sponsored by Representative Steve Elkins, would require pharmacy rebates to be applied at the pharmacy point of sale to lower enrollees' out‑of‑pocket costs. Insurers and PBMs warned the change could raise premiums; the committee adopted an author’s A1 amendment and laid the bill over.
Representative Steve Elkins said House File 1075 would require plans and PBMs to apply negotiated drug rebates at the pharmacy point of sale to reduce a patient's out‑of‑pocket costs instead of using rebates to lower overall premiums. "What this bill would do is require the PBMs and the plans to take the rebates and use the rebates to buy down the cost of the drugs at the retail pharmacy point of sale for the patient," Elkins told the committee.
Speakers representing plans and PBMs said the change could shift…
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