Bill Text - HB670 (2019)

Relative to the cost of prescription drugs.


Revision: Jan. 16, 2019, 10:23 a.m.

HB 670-FN - AS INTRODUCED

 

 

2019 SESSION

19-0804

01/06

 

HOUSE BILL 670-FN

 

AN ACT relative to the cost of prescription drugs.

 

SPONSORS: Rep. Butler, Carr. 7; Rep. Marsh, Carr. 8; Rep. Knirk, Carr. 3; Sen. Sherman, Dist 24

 

COMMITTEE: Commerce and Consumer Affairs

 

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ANALYSIS

 

This bill requires health insurance carriers to maintain certain information relative to prescription drug  costs within  their data systems for purposes of the managed care law.

 

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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

19-0804

01/06

 

STATE OF NEW HAMPSHIRE

 

In the Year of Our Lord Two Thousand Nineteen

 

AN ACT relative to the cost of prescription drugs.

 

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

 

1  New Paragraph; Managed Care Law: Prescription Drugs.  Amend RSA 420-J:7-b by inserting after paragraph X the following new paragraph:

XI.  Health carriers shall maintain within their data systems amounts paid to pharmacies and other health care providers for all prescription drugs on behalf of their covered members.  Carriers shall maintain a record of any amounts due to the pharmacy from the covered member in the form of cost sharing, such as copayments, deductibles, or coinsurance.  The health carrier shall be responsible for maintaining this information in its own data system even when the prescription drug benefit is administered by a pharmacy benefit manager or similar entity.

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

 

LBAO

19-0804

1/15/19

 

HB 670-FN- FISCAL NOTE

AS INTRODUCED

 

AN ACT relative to the cost of prescription drugs.

 

FISCAL IMPACT:      [ X ] State              [    ] County               [    ] Local              [    ] None

 

 

 

Estimated Increase / (Decrease)

STATE:

FY 2020

FY 2021

FY 2022

FY 2023

   Appropriation

$0

$0

$0

$0

   Revenue

Indeterminable

Indeterminable

Indeterminable

Indeterminable

   Expenditures

Indeterminable

Indeterminable

Indeterminable

Indeterminable

Funding Source:

  [ X ] General            [    ] Education            [    ] Highway           [    ] Other

 

 

 

 

 

METHODOLOGY:

This bill requires insurers writing managed care coverage to maintain data relative to prescription drug benefits even if such coverage is managed by a pharmacy benefit manager (PBM).  The Insurance Department states the bill's impact on insurers' administrative costs is unclear, as is the impact on the contracts insurers maintain with PBMs.  As such, the bill will have an indeterminable impact on state insurance premium tax revenue.  

 

The Department of Health and Human Services states that although the bill will have no direct impact on expenditures, Medicaid managed care organizations may seek to pass along any resulting cost increases to the Department through the contracting process.  The extent of any such costs is indeterminable.

 

The Department of Administrative Services states the bill will have no fiscal impact.

 

AGENCIES CONTACTED:

Insurance Department, and Departments of Health and Human Services and Administrative Services