Bill Text - SB90 (2009)

Establishing a private right of action for pharmacies against health maintenance organizations.


Revision: April 9, 2009, midnight

SB 90 – AS AMENDED BY THE SENATE

04/08/09 1178s

2009 SESSION

09-0958

10/01

SENATE BILL 90

AN ACT establishing a private right of action for pharmacies against health maintenance organizations.

SPONSORS: Sen. Gilmour, Dist 12; Sen. Roberge, Dist 9; Sen. Cilley, Dist 6; Rep. Case, Rock 1; Rep. Keans, Straf 1

COMMITTEE: Judiciary

ANALYSIS

This bill establishes a private action for pharmacies injured by violations of preferred provider requirements of health maintenance organizations.

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Explanation: Matter added to current law appears in bold italics.

Matter removed from current law appears [in brackets and struckthrough.]

Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

04/08/09 1178s

09-0958

10/01

STATE OF NEW HAMPSHIRE

In the Year of Our Lord Two Thousand Nine

AN ACT establishing a private right of action for pharmacies against health maintenance organizations.

Be it Enacted by the Senate and House of Representatives in General Court convened:

1 New Section; Health Maintenance Organizations; Sanctions; Private Action by Pharmacies. Amend RSA 420-B by inserting after section 14 the following new section:

420-B:14-a Private Action by Pharmacy.

I. In addition to the sanctions provided in RSA 420-B:13, a pharmacy injured by a health maintenance organization’s violation of RSA 420-B:12, V, may bring an action for damages and for such equitable relief, including an injunction, as the court deems necessary and proper. If the court finds for the plaintiff, recovery shall be in the amount of actual damages or $1,000, whichever is greater. If the court finds that the health maintenance organization’s violation was a willful or knowing violation of RSA 420-B:12, V, it shall award up to 3 times, but not less than 2 times, such amount. In addition, a prevailing plaintiff shall be awarded the costs of the suit and reasonable attorney’s fees, as determined by the court.

II. Upon commencement of any action brought under this section, the clerk of the court shall mail a copy of the complaint or other initial pleadings to the commissioner and, upon entry of any judgment or decree in the action, shall mail a copy of such judgment or decree to the commissioner.

2 Effective Date. This act shall take effect January 1, 2010.