HB659 (2019) Compare Changes


The Bill Text indicates a new section is being inserted. This situation is not handled right now, and the new text is displayed in both the changed and unchanged versions.

Unchanged Version

Text to be removed highlighted in red.

1 New Paragraph; Health Coverage; Requested Information. Amend RSA 420-G:14-a by inserting after paragraph V the following new paragraph:

V-a. With respect to prescription drug benefits that are outsourced to a pharmacy benefit manager or similar entity, the commissioner shall request and health carriers shall supply information and data, no later than June 30. The information and data shall include spread amounts between payments to pharmacies and amounts paid to the pharmacy benefit manager by the carrier, drug rebate amounts from drug manufacturers to the pharmacy benefit manager or the carrier, and all administrative fees charged by the pharmacy benefit manager to the carrier, including, but not limited to, fees for wellness or disease management programs, analytic services, and claims processing. This requirement shall exist whether or not the pharmacy benefit manager or similar entity is affiliated with the carrier. The carrier may identify information as confidential and the department shall not publish those data on a carrier specific basis.

2 Effective Date. This act shall take effect 60 days after its passage.

Changed Version

Text to be added highlighted in green.

1 New Paragraph; Health Coverage; Requested Information. Amend RSA 420-G:14-a by inserting after paragraph V the following new paragraph:

V-a. With respect to prescription drug benefits that are outsourced to a pharmacy benefit manager or similar entity, the commissioner shall request and health carriers shall supply information and data, no later than June 30. The information and data shall include spread amounts between payments to pharmacies and amounts paid to the pharmacy benefit manager by the carrier, drug rebate amounts from drug manufacturers to the pharmacy benefit manager or the carrier, and all administrative fees charged by the pharmacy benefit manager to the carrier, including, but not limited to, fees for wellness or disease management programs, analytic services, and claims processing. This requirement shall exist whether or not the pharmacy benefit manager or similar entity is affiliated with the carrier. The carrier may identify information as confidential and the department shall not publish those data on a carrier specific basis.

2 Effective Date. This act shall take effect 60 days after its passage.