The proposed bill, known as the Community Pharmacy Protection Act, aims to amend section 3902.50 and enact new sections 3902.75, 3902.76, and 3959.151 of the Revised Code. Key provisions include limiting the accreditation requirements that health plan issuers can impose on pharmacies, ensuring that these requirements align with those set by the state board of pharmacy. Additionally, the bill establishes a formal complaint process for pharmacies and covered persons who believe their rights have been violated under these new regulations. The superintendent of insurance is tasked with evaluating complaints and can impose administrative penalties for violations.
Furthermore, the bill mandates that pharmacy benefit managers (PBMs) report drug cost information quarterly in a machine-readable format to the superintendent of insurance and relevant insurers. This report must include detailed information about drug claims processed, including maximum allowable costs and acquisition costs. The legislation also prohibits PBMs from retaliating against pharmacies that report violations or exercise their rights under this act. Overall, the bill seeks to enhance transparency and protect community pharmacies within Ohio's healthcare system.
Statutes affected: As Introduced: 3902.50