Provides for employer-provided health plans and specialty pharmacies. (8/15/10)
The implications of SB 698 on state law are significant, especially concerning employers’ obligations and the rights of employees regarding their pharmacy options. By establishing guidelines around the use of specialty pharmacies, the bill recognizes the unique nature of certain drugs and the necessity for proper dispensation. This legislative change ensures that employees cannot be penalized for choosing local or specialty pharmacies over mail-order options, representing a shift towards more inclusive health care practices. It is expected to facilitate better access to critical medications that are otherwise difficult to source through standard pharmacies.
Senate Bill 698 mandates changes to employer-provided health plans concerning pharmacy benefits, specifically addressing the use of specialty pharmacies. The bill prohibits employers from requiring employees to obtain prescription drugs solely from a designated mail order pharmacy as a condition for payment. It also allows for exceptions where an employer can provide pharmacy benefits through a specialty pharmacy, offering higher benefit levels for employees who choose this route. This aims to enhance access to specialized medications that may necessitate distinct handling and customer service.
Overall, the sentiment surrounding SB 698 appears supportive among stakeholders who advocate for improved health care access and diverse options for medication procurement. Supporters argue that the bill aligns with best practices in contemporary health care by recognizing the importance of specialty pharmacies. However, there may be concerns regarding the potential administrative burdens this may place on employers, especially smaller businesses that might struggle with the operational adjustments required to comply with the new regulations.
Notable points of contention include the balance between employer control and employee rights concerning pharmacy choices. While proponents of the bill emphasize its benefits for employees needing specialty medications, critics may voice concerns about the implications for employer health plan structures and potential cost increases associated with specialty medications. Additionally, as specialty pharmacies often handle high-cost treatments, there may be debates around the financial impact on both employers and the health insurance market, presenting a complex dialogue around health care funding and accessibility.