HOUSE BILL 596
RS31085 / H0596
Pharmacy Benefit Managers (PBM) are third party administrators under contract by health/prescription plans, employers and government entities to manage prescription drug programs for health plan recipients. PBMs administer the prescription drug benefit for nearly every public and private health plan in the United States. PBMs decide which pharmacies are included in a prescription drug plan's network and how much the pharmacy will be paid for dispensing services.
The purpose of this legislation is to establish parameters and standards for how Pharmacy Benefit Managers operate in Idaho, requiring fairness, transparency and free market operations; things all other businesses in Idaho must operate under, but on which Idaho’s law remains silent for PBMs.
This legislation adds new definitions; lays out requirements that make contracts with pharmacies transparent and fair; requires PBMs to provide transparent pricing on drugs; and requires PBMs to report to the Department of Insurance in a transparent way. PBMs already operate under these provisions in other states; these additions will help protect Idahoans’ health care dollars as well.
The legislation has a fiscal impact of $132,400 for the Department of Insurance to hire one FTP with specialization in this area to have oversight on compliance and investigate complaints.
| Date | Description |
|---|---|
| 02/19 | Introduced, read first time, referred to JRA for Printing |
| 02/20 | Reported Printed and Referred to Health & Welfare |
| 02/27 | Reported out of Committee with Do Pass Recommendation, Filed for Second Reading |
| 02/28 | Read second time; Filed for Third Reading |
| 02/29 | U.C. to hold place on third reading calendar until Monday, March 4, 2024 |
| 03/04 | U.C. to place at bottom of House bills of third reading calendar one legislative day |
| 03/05 | U.C. to hold place on third reading calendar one legislative day |
| 03/06 | Read Third Time in Full – PASSED - 41-29-0 AYES – Achilles, Allgood, Andrus, Berch, Boyle, Cannon, Cheatum, Chew(Schmick), Clow, Crane(12), Crane(13), Dixon(1), Durrant, Ehardt, Erickson, Furniss, Handy, Healey, Hill, Holtzclaw, Horman, Kingsley, Manwaring, Mathias(Church), Miller, Mitchell, Monks, Necochea, Palmer(Johnson), Pickett, Raymond, Redman, Roberts, Rubel, Sauter, Shepherd, Vander Woude, Weber, Wroten, Young, Mr. Speaker NAYS – Alfieri, Barbieri, Blanksma, Bundy, Burns, Cornilles, Dixon(24), Ehlers, Galaviz, Gallagher, Gannon, Garner, Green, Hawkins, Lambert, Lanting, McCann, Mendive, Mickelsen, Nelsen, Petzke, Price, Raybould, Scott, Skaug, Tanner, Wheeler, Wisniewski, Yamamoto Absent – None Floor Sponsor - Redman Title apvd - to Senate |
| 03/07 | Received from the House passed; filed for first reading |
| 03/07 | Introduced, read first time; referred to: Health & Welfare |
| 03/14 | Reported out of committee; to 14th Order for amendment |
| 03/19 | Placed in the Committee of the Whole |
| 03/19 | Amendments ordered printed |
| 03/19 | Reported out as amended; filed for first reading |
| 03/19 | Amendments reported printed |
| 03/19 | Read first time as amended in the Senate; Filed for Second Reading |
| 03/19 | Rules Suspended (2/3 Vote - Read in full as required) – PASSED - 27-8-0 AYES – Adams, Anthon, Bernt, Bjerke, Burtenshaw, Cook, Den Hartog, Foreman, Grow, Guthrie, Harris, Hartgen, Just, Lakey, Lee, Lent, Rabe, Ricks, Ruchti, Schroeder, Semmelroth, Taylor, Trakel, VanOrden, Ward-Engelking, Winder, Wintrow NAYS – Carlson, Hart, Herndon, Lenney, Nichols, Okuniewicz, Toews, Zuiderveld Absent and excused – None Floor Sponsor - Cook Title apvd - to House |
| 03/20 | Returned from the Senate Amended |
| 03/20 | Referred to Health & Welfare for concurrence recommendation |
| 03/21 | Reported out of Committee and Recommend Concurrence |
| 03/21 | House Concurred in Senate Amendments |
| 03/21 | Bills as Amended Referred to JRA for Engrossing |
| 03/21 | Reported Engrossed; Filed for First Reading of Engrossed Bills |
| 03/21 | Read first time as amended in Senate; Filed for Second Reading |
| 03/22 | Read second time as amended in Senate; Filed for Third Reading |
| 03/25 | Read third time in full as amended in Senate – PASSED - 53-15-2 AYES – Achilles, Allgood, Andrus, Blanksma, Boyle, Bundy, Cannon, Cheatum, Chew(Harada), Clow, Cornilles, Crane(12), Crane(13), Dixon(1), Dixon(24), Durrant, Ehardt, Erickson, Furniss, Galaviz, Gannon, Garner, Handy, Healey, Hill, Holtzclaw(Johnson), Kingsley, Lanting, Manwaring, McCann, Mickelsen, Miller, Mitchell, Monks, Necochea, Nelsen, Palmer, Petzke, Pickett, Raybould, Raymond, Redman, Roberts, Rubel, Sauter, Shepherd, Vander Woude, Weber(Weber), Wheeler, Wroten, Yamamoto, Young, Mr. Speaker NAYS – Alfieri, Barbieri, Berch, Ehlers, Gallagher, Green, Hawkins, Lambert, Mathias, Mendive, Price, Scott, Skaug, Tanner, Wisniewski Absent – Burns, Horman Floor Sponsor - Redman Title apvd - to enrol |
| 03/26 | Reported Enrolled; Signed by Speaker; Transmitted to Senate |
| 03/26 | Received from the House enrolled/signed by Speaker |
| 03/26 | Signed by President; returned to House |
| 03/26 | Returned Signed by the President; Ordered Transmitted to Governor |
| 03/27 | Delivered to Governor at 4:15 p.m. on March 26, 2024 |
| 04/02 | Reported Signed by Governor on April 1, 2024 Session Law Chapter Effective: |