Federal HB10549 aims to prevent group health plans and health insurance issuers from steering patients to affiliated specialty pharmacies.
Federal HB10549, known as the Patients Choice in Specialty Pharmacy Act, amends the Public Health Service Act to prohibit certain group health plans and health insurance issuers from limiting patient choice in specialty pharmacies. The bill prevents plans and issuers from requiring, steering, or inducing enrollees to obtain prescription drugs from affiliated specialty pharmacies, including by imposing penalties or administrative burdens on those who choose non-affiliated pharmacies.
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- Core Provisions
- Implementation
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- Legal Framework
- Critical Issues
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