Texas 2019 - 86th Regular

Texas Senate Bill SB846

Caption

Relating to the contractual relationship between a pharmacist or pharmacy and a health benefit plan issuer or pharmacy benefit manager.

Impact

One significant impact of SB846 is its emphasis on protecting pharmacists from potentially unfair practices by health benefit plan issuers and pharmacy benefit managers. By prohibiting certain restrictions, such as the imposition of performance metrics fees unless they adhere to defined standards, the bill looks to improve the working conditions for pharmacists. This change is likely to empower pharmacists by ensuring that they receive fair compensation for their services without undue financial burdens from contracting parties.

Summary

SB846 seeks to amend the contractual relationship between pharmacists, pharmacies, and health benefit plan issuers or pharmacy benefit managers. The bill's provisions are aimed at regulating the interactions and obligations between these entities, thereby enhancing transparency and fairness in the contracting process. By providing clearer definitions and stipulating certain rights and requirements for pharmacists within the context of these contracts, the legislation is expected to foster a more equitable working environment for pharmacies operating within health benefit frameworks.

Contention

Notably, discussions surrounding SB846 have highlighted various points of contention, particularly regarding the balance of power in contractual relationships. Proponents of SB846 argue that the bill protects small pharmacies from being exploited by larger health benefit managers, while critics may raise concerns over the potential for increased costs for these managers, which could subsequently lead to higher premiums for consumers. Additionally, there is an ongoing debate about whether the protections offered sufficiently cover the diverse circumstances faced by pharmacies in different markets.

Considerations

Ultimately, the passage of SB846 could lead to significant changes in how pharmacies engage with health benefit plans and pharmacy benefit managers. The state may see a shift toward more favorable conditions for pharmacies, potentially encouraging competition and quality in pharmaceutical services. However, stakeholders will need to carefully monitor the implementation of this bill to ensure that it achieves its intended outcomes without introducing unintended consequences in the healthcare marketplace.

Companion Bills

TX HB2817

Same As Relating to the contractual relationship between a pharmacist or pharmacy and a health benefit plan issuer or pharmacy benefit manager.

Previously Filed As

TX HB2817

Relating to the contractual relationship between a pharmacist or pharmacy and a health benefit plan issuer or pharmacy benefit manager.

TX HB1763

Relating to the contractual relationship between a pharmacist or pharmacy and a health benefit plan issuer or pharmacy benefit manager.

TX SB528

Relating to the contractual relationship between a pharmacist or pharmacy and a health benefit plan issuer or pharmacy benefit manager.

TX HB1670

Relating to the contractual relationship between a pharmacist or pharmacy and a health benefit plan issuer or pharmacy benefit manager.

Similar Bills

TX HB1763

Relating to the contractual relationship between a pharmacist or pharmacy and a health benefit plan issuer or pharmacy benefit manager.

TX HB1670

Relating to the contractual relationship between a pharmacist or pharmacy and a health benefit plan issuer or pharmacy benefit manager.

TX SB528

Relating to the contractual relationship between a pharmacist or pharmacy and a health benefit plan issuer or pharmacy benefit manager.

TX HB2817

Relating to the contractual relationship between a pharmacist or pharmacy and a health benefit plan issuer or pharmacy benefit manager.

WI AB173

Regulation of pharmacy benefit managers, fiduciary and disclosure requirements on pharmacy benefit managers, and application of prescription drug payments to health insurance cost-sharing requirements. (FE)

WI SB203

Regulation of pharmacy benefit managers, fiduciary and disclosure requirements on pharmacy benefit managers, and application of prescription drug payments to health insurance cost-sharing requirements. (FE)

TX SB2261

Relating to the practices and operation of pharmacy benefit managers; providing administrative penalties.

TX HB2231

Relating to the practices and operation of pharmacy benefit managers; providing administrative penalties.