{"id":32055,"date":"2022-03-11T14:55:01","date_gmt":"2022-03-11T20:55:01","guid":{"rendered":"http:\/\/update.legislature.ne.gov\/?p=32055"},"modified":"2022-03-11T14:55:01","modified_gmt":"2022-03-11T20:55:01","slug":"pharmacy-benefit-manager-regulations-passed","status":"publish","type":"post","link":"https:\/\/update.legislature.ne.gov\/?p=32055","title":{"rendered":"Pharmacy benefit manager regulations passed"},"content":{"rendered":"<p>Senators passed a bill March 11 regulating pharmacy benefit managers in Nebraska.<\/p>\n<figure id=\"attachment_20145\" aria-describedby=\"caption-attachment-20145\" style=\"width: 200px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"20145\" data-permalink=\"https:\/\/update.legislature.ne.gov\/?attachment_id=20145\" data-orig-file=\"https:\/\/update.legislature.ne.gov\/wp-content\/uploads\/2017\/01\/SenKolterman_inline.jpg\" data-orig-size=\"297,445\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"senkolterman_inline\" data-image-description=\"&lt;p&gt;Sen. Mark Kolterman&lt;\/p&gt;\n\" data-image-caption=\"&lt;p&gt;Sen. Mark Kolterman&lt;\/p&gt;\n\" data-large-file=\"https:\/\/update.legislature.ne.gov\/wp-content\/uploads\/2017\/01\/SenKolterman_inline.jpg\" class=\"size-medium wp-image-20145\" src=\"https:\/\/update.legislature.ne.gov\/wp-content\/uploads\/2017\/01\/SenKolterman_inline-200x300.jpg\" alt=\"Sen. Mark Kolterman\" width=\"200\" height=\"300\" srcset=\"https:\/\/update.legislature.ne.gov\/wp-content\/uploads\/2017\/01\/SenKolterman_inline-200x300.jpg 200w, https:\/\/update.legislature.ne.gov\/wp-content\/uploads\/2017\/01\/SenKolterman_inline.jpg 297w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><figcaption id=\"caption-attachment-20145\" class=\"wp-caption-text\">Sen. Mark Kolterman<\/figcaption><\/figure>\n<p>LB767, introduced by Sen. Mark Kolterman of Seward, establishes licensure and regulation standards for pharmacy benefit managers \u2014 companies that manage prescription drug benefits on behalf of health insurers \u2014 by the state Department of Insurance.<\/p>\n<p>Among other provisions, the bill:<br \/>\n\u2022 establishes an audit process for pharmacies;<br \/>\n\u2022 allows the DOI director to audit a PBM and assess penalties of up to $100,000 per violation;<br \/>\n\u2022 prohibits a PBM from charging any fee, chargeback or other adjustment to any pharmacy participating the federal 340B drug discount program;<br \/>\n\u2022 requires PBMs to update the maximum allowable cost price list at least every seven days;<br \/>\n\u2022 prohibits PBMs from excluding a pharmacy from participating in the PBM\u2019s network if the pharmacy holds a specialty pharmacy accreditation; and<br \/>\n\u2022 prohibits a PBM from restricting certain actions by a pharmacist, including disclosing to a client the risks of treatment, informing a client of alternative treatments that may be available, describing the process used to authorize or deny a service or benefit and disclosing the financial incentives used by a health carrier.<\/p>\n<p>LB767 passed on a vote of 48-0 and takes effect Jan. 1, 2023.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Senators passed a bill March 11 regulating pharmacy benefit managers in Nebraska. <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"colormag_page_container_layout":"default_layout","colormag_page_sidebar_layout":"default_layout","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[12],"tags":[143],"class_list":["post-32055","post","type-post","status-publish","format-standard","hentry","category-health-and-human-services","tag-sen-mark-kolterman"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=\/wp\/v2\/posts\/32055","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=32055"}],"version-history":[{"count":2,"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=\/wp\/v2\/posts\/32055\/revisions"}],"predecessor-version":[{"id":32057,"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=\/wp\/v2\/posts\/32055\/revisions\/32057"}],"wp:attachment":[{"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=32055"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=32055"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=32055"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}