Oklahoma 2024 2024 Regular Session

Oklahoma House Bill HB1713 Introduced / Bill

Filed 01/18/2023

                     
 
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STATE OF OKLAHOMA 
 
1st Session of the 59th Legislature (2023) 
 
HOUSE BILL 1713 	By: Marti 
 
 
 
 
 
AS INTRODUCED 
 
An Act relating to pharmacies; defining terms; 
creating certain requir ements; creating a penalty; 
providing for codification; and providin g an 
effective date. 
 
 
 
 
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: 
SECTION 1.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 6969 of Title 36, unless there 
is created a duplication in numbering, reads as follows: 
A.  As used in this section: 
1.  "Pharmacy benefit managers" means individuals or companies 
that manage prescription d rug benefits on behalf of health insurers, 
Medicare Part D drug plans, large employer plans, and other payers; 
and 
2.  "White-bagged drugs" means the distribution of 
patient‐specific medication from a pharmacy, typically a specialty 
pharmacy, to the physician 's office, hospital, or clinic for 
administration.   
 
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B.  Pharmaceutical drug plans and pharmacy benefit managers in 
this state shall not refuse to authorize, approve , or pay a 
participating provider for providing covered physician -administered 
drugs to covered persons. 
C.  All white-bagged drugs shall meet supply chain security 
controls set forth by the Federal Drug Supply Chain Security Act. 
D.  Plan providers shall not require a patient to self-
administer an injectable drug against a provider 's recommendation. 
E.  Plans shall not require patients to pay additional fees 
beyond cost-sharing obligations as outlined in the individual's 
plan. 
F.  Patients and providers s hall determine a billing pathway 
based on patient's best interest. 
G.  Any payer in violation of this section shall be fined a 
minimum of Five Thousand Dollars ($5,000.00) per violation, but not 
more than Ten Thousand Dollars ($10,000.00) per violation.  Fines 
related to this section shall not be used when calculating payers, 
plans, or member's loss ratios, and losses shall not be passed on to 
the consumer in future rate increases. 
SECTION 2.  This act shall become effective November 1, 2023. 
 
59-1-6690 TJ 01/06/23