Connecticut 2025 Regular Session

Connecticut Senate Bill SB00821 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1
2	2
3	3	LCO No. 2507 1 of 2
4	4
5	5	General Assembly Proposed Bill No. 821
6	6	January Session, 2025
7	7	LCO No. 2507
8	8
9	9
10	10	Referred to Committee on INSURANCE AND REAL ESTATE
11	11
12	12
13	13	Introduced by:
14	14	SEN. MARTIN, 31st Dist.
15	15
16	16
17	17
18	18	AN ACT CONCERNING PHARMACY BENEFITS MANAGER REFORM
19	19	AND PRICE GOUGING IN THE HEALTH CARE SECTOR.
20	20	Be it enacted by the Senate and House of Representatives in General
21	21	Assembly convened:
22	22
23	23	That title 38a of the general statutes be amended to: (1) Prohibit any 1
24	24	pharmacy benefits manager from imposing post-transaction fees or 2
25	25	implementing reimbursement clawbacks on pharmacies; (2) require that 3
26	26	any rebate, discount or financial incentive provided by any drug 4
27	27	manufacturer to any pharmacy benefits manager be passed directly to 5
28	28	the covered person at the point of sale; (3) decouple any pharmacy 6
29	29	benefits manager compensation from the cost of medications; (4) 7
30	30	prohibit any pharmacy benefits manager from charging fees for 8
31	31	formulary placement or tier-level access; (5) require that any group 9
32	32	purchasing organization that contracts with any pharmacy benefits 10
33	33	manager in this state be incorporated in the United States and that such 11
34	34	group purchasing organization disclose all fees and administrative costs 12
35	35	associated with such contracts; (6) prohibit any pharmacy benefits 13
36	36	manager from prioritizing more expensive medications over less 14
37	37	expensive and clinically appropriate medications; (7) prohibit any 15 Proposed Bill No. 821
38	38
39	39
40	40	LCO No. 2507 2 of 2
41	41
42	42	pharmacy benefits manager from preventing pharmacists from 16
43	43	informing patients about lower-priced prescription drugs; (8) require 17
44	44	that cash payments for prescription drugs be applied toward any 18
45	45	coinsurance, copayment, deductible or other out-of-pocket expense; (9) 19
46	46	require that the Attorney General oversee pharmacy benefits manager 20
47	47	operations in this state to ensure compliance with rebate transparency 21
48	48	and clawback prohibitions and to establish a duty of care owed by 22
49	49	pharmacy benefits managers; and (10) allow the Attorney General to 23
50	50	investigate, intervene in or bring a civil or administrative action in the 24
51	51	name of the state, seeking injunctive or declaratory relief, damages and 25
52	52	any other relief that may be available under law, whenever any person 26
53	53	in the insurance, pharmaceutical, pharmacy benefits management or 27
54	54	utility sector is or has engaged in a practice or pattern of conduct that 28
55	55	constitutes price gouging. 29
56	56	Statement of Purpose:
57	57	To reform pharmacy benefits manager practices in this state, establish a
58	58	duty of care for pharmacy benefits managers and regulate health care
59	59	price gouging in this state.