HB5109

Update the regulation of pharmacy benefit managers

Introduced·2/3/26
Intr Text

Updates the regulation of pharmacy benefit managers in West Virginia.

This bill amends the Code of West Virginia to redefine and update the duties and definition of pharmacy benefits management. It specifies the activities that constitute pharmacy benefits management, including procurement, claims processing, and managing networks of specialty pharmacies. The bill also defines key terms such as "pharmacy benefits manager," "pharmacy audit," and "rebate." It aims to clarify the roles and responsibilities of entities involved in managing prescription drug benefits for health benefit plans.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
Health & Human Resources Committee
Next
Committee decision

Sponsors

0
2
RR
Democratic CaucusRepublican Caucus

History

Feb 3

House

Filed for introduction

Feb 3

House

To Health and Human Resources

Feb 3

House

Introduced in House