|
State of South Dakota
|
|
NINETY-FOURTH SESSION LEGISLATIVE ASSEMBLY, 2019 |
| 846B0596 | HOUSE BILL NO. 1137 |
|
Introduced by: Representatives Gosch, Anderson, Jensen (Kevin), Lake, and Peterson (Kent)
and Senators Steinhauer, Bolin, Rusch, Smith (VJ), and Solano
|
FOR AN ACT ENTITLED, An Act to revise certain provisions regarding pharmacy benefit
managers.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF SOUTH DAKOTA:
Section 1. That chapter 58-29E be amended by adding a NEW SECTION to read:
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF SOUTH DAKOTA:
Section 1. That chapter 58-29E be amended by adding a NEW SECTION to read:
No pharmacy benefit manager shall contractually require a health plan or a pharmacist, who
is a participating provider in a health plan, to collect cost sharing in an amount greater than the
amount the person without coverage under a health benefit plan would pay for the drug.
Section 2. That chapter 58-29E be amended by adding a NEW SECTION to read:
Section 2. That chapter 58-29E be amended by adding a NEW SECTION to read:
No health plan insurer, pharmacy benefit manager, or administrator of a self-funded health
plan shall retroactively adjust a claim for reimbursement submitted by a pharmacy for a
prescription drug unless the adjustment is a result of either of the following:
(1) A pharmacy audit conducted in accordance with chapter 58-29F; or
(2) A technical billing error.
|
100 copies were printed on recycled paper by the South Dakota Legislative Research Council at a cost of $.167 per page. |
. |
Insertions into existing statutes are indicated by underscores. Deletions from existing statutes are indicated by |
