Senators Kefalas and Martinez Humenik, co-prime sponsors, presented House Bill 18-1284. This bill prohibits a health insurance carrier or pharmacy benefit manager (PBM) from:
- requiring that a pharmacist charge a covered person a copayment that exceeds the amount billed to the health plan by the pharmacist; or
- prohibiting or penalizing a pharmacist from informing a covered person about cost sharing amounts for a prescription drug or the clinical efficacy of a more affordable alternative drug.
If the Commissioner of Insurance determines that a carrier or PBM violates these provisions, the commissioner must institute a corrective action plan for the carrier and may use other existing enforcement mechanisms to ensure compliance.