Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Senate committee advances PBM licensure changes to bar ghost networks, restrict affiliate steering
Summary
Sen. Clint Penzo called Senate Bill 104 the companion to SB103 and said it closes loopholes in the PBM licensure act by banning ghost networks and limiting affiliate steering of specialty prescriptions.
Sen. Clint Penzo called Senate Bill 104 the companion to SB103 and said it closes loopholes in the states PBM licensure law. The sponsor told the committee the bill has several components: a prohibition on "ghost" pharmacy networks, limits on steering patients to PBM-affiliated pharmacies as the only contract option, requirements for accurate pharmacy directories, and protections around disclosure of protected health information to affiliate pharmacies.
Penzo said the bill also addresses patient accommodation processes, requiring PBMs to evaluate reasonable medical exceptions to mandatory mail-order dispensing when circumstances such as complex therapies, storage/temperature concerns, or lack of home support would make mail-order inappropriate. "If the provider has concerns…
Already have an account? Log in
Subscribe to keep reading
Unlock the rest of this article — and every article on Citizen Portal.
- Unlimited articles
- AI-powered breakdowns of topics, speakers, decisions, and budgets
- Instant alerts when your location has a new meeting
- Follow topics and more locations
- 1,000 AI Insights / month, plus AI Chat
