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HB19-1154

Patient Choice Of Pharmacy

Concerning the ability of a person eligible for prescription drug benefits to choose the pharmacy at which to fill a prescription drug order.
Session:
2019 Regular Session
Subject:
Health Care & Health Insurance
Bill Summary

The bill prohibits a carrier that offers or issues a health benefit plan that covers pharmaceutical services, including prescription drug coverage, or a pharmacy benefit management firm managing those benefits for a carrier, from:

  • Limiting or restricting a covered person's ability to select a pharmacy or pharmacist if certain conditions are met;
  • Imposing a copayment, fee, or other cost-sharing requirement for selecting a pharmacy of the covered person's choosing;
  • Imposing other conditions on a covered person, pharmacist, or pharmacy that limit or restrict a covered person's ability to use a pharmacy of the covered person's choosing; or
  • Denying a pharmacy or pharmacist the right to participate in any of its pharmacy network contracts in this state or as a contracting provider in this state if the pharmacy or pharmacist has a valid license in Colorado and the pharmacy or pharmacist agrees to specified conditions
    (Note: This summary applies to this bill as introduced.)

Status

Introduced
Lost

Bill Text

Sponsors

Sponsor Type Legislators
Prime Sponsor

Rep. M. Catlin, Rep. K. Mullica
Sen. D. Coram, Sen. J. Danielson

Sponsor

Co-sponsor