SB 143 IN

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Passed One Chamber

Allows a public employer and a self-funded health plan to use a reverse auction to procure the services of a pharmacy benefit manager. Requires an audit of prescription drug cost sharing for the state Medicaid program once every three state fiscal years. Requires a pharmacy benefit manager to: (1) perform its contractual duties in good faith and in observance of reasonable commercial standards of fair dealing; and (2) notify a health plan in writing if any activity, policy, or practice of the pharmacy benefit manager presents a conflict of interest. Adds requirements of pharmacy benefit managers when denying an appeal of the maximum allowable cost pricing of a prescription drug. Requires the department of insurance (department) to develop a process for complaints regarding pharmacy benefit managers. Requires a pharmacy benefit manager to provide the department with certain information within 20 business days after the date of a complaint. Prohibits a pharmacy benefit manager from requiring a pharmacy to obtain a signature from an individual for a prescription or immunization during a public health emergency. Requires the legislative services agency to conduct a study of market concentration in Indiana of: (1) the health insurance industry; (2) the hospital industry; (3) the professions of licensed health care practitioners; (4) the retail pharmaceutical industry; (5) the pharmacy benefit manager industry; and (6) the pharmacy services administrative organization industry, including its relationship to pharmaceutical wholesalers. Requires the legislative services agency to present the findings of the study not later than September 1, 2022.

• Andy Zay · author
• Ronald Grooms · author
• Ed Charbonneau Republican · author
• Matt Lehman Republican · sponsor

1. Jan 4, 2021 Authored by Senator Bray · upper
2. Jan 4, 2021 First reading: referred to Committee on Rules and Legislative Procedure · upper
3. Jan 28, 2021 Committee report: amend do pass adopted; reassigned to Committee on Insurance and Financial Institutions · upper
4. Jan 28, 2021 Senator Bray removed as author · upper
5. Jan 28, 2021 Senator Grooms added as author · upper
6. Feb 1, 2021 Senator Grooms removed as author · upper
7. Feb 1, 2021 Senator Zay added as author · upper
8. Feb 1, 2021 Senator Grooms added as second author · upper
9. Feb 1, 2021 Senator Charbonneau added as third author · upper
10. Feb 9, 2021 Senator Doriot added as coauthor · upper
11. Feb 11, 2021 Senator Freeman added as coauthor · upper
12. Feb 15, 2021 Committee report: amend do pass adopted; reassigned to Committee on Appropriations · upper
13. Feb 18, 2021 Committee report: amend do pass, adopted · upper
14. Feb 22, 2021 Senator Qaddoura added as coauthor · upper
15. Feb 22, 2021 Second reading: ordered engrossed · upper
16. Feb 23, 2021 House sponsor: Representative Lehman · upper
17. Feb 23, 2021 Cosponsors: Representatives Carbaugh, Clere, Shackleford · upper
18. Feb 23, 2021 Third reading: passed; Roll Call 173: yeas 45, nays 3 · upper
19. Feb 24, 2021 Referred to the House · upper
20. Mar 4, 2021 First reading: referred to Committee on Financial Institutions and Insurance · lower
21. Mar 30, 2021 Committee report: amend do pass, adopted · lower
22. Mar 30, 2021 Referred to the Ways and Means pursuant to House Rule 127 · lower
23. Apr 1, 2021 Committee report: amend do pass, adopted · lower

The published texts of this bill as it moves through the legislature. Each links to the official document on the state legislature site. Data from OpenStates.

• Senate Bill (H) · Apr 1, 2021 · PDF
• Introduced Senate Bill (S) · Dec 28, 2020 · PDF
• Senate Bill (S) · Jan 28, 2021 · PDF
• Senate Bill (S) · Feb 15, 2021 · PDF
• Senate Bill (S) · Feb 18, 2021 · PDF
• Senate Bill (H) · Mar 30, 2021 · PDF