Patient Choice Of Pharmacy

HB18-1097

Last Action: Senate Committee on Business, Labor, & Technology Postpone Indefinitely 03/19/2018

Concerning the ability of a person eligible for prescription drug benefits to choose the pharmacy at which to fill a prescription drug order.

SESSION: 2018 Regular Session

SUBJECT: Health Care & Health Insurance

BILL SUMMARY

The bill prohibits a carrier that offers or issues a health benefit plan that covers pharmaceutical services, including prescription drug coverage, or a pharmacy benefit management firm managing those benefits for a carrier, from:

  • Limiting or restricting a covered person's ability to select a pharmacy or pharmacist of the covered person's choice if certain conditions are met;

  • Imposing a copayment, fee, or other cost-sharing requirement for selecting a pharmacy of the covered person's choosing;

  • Imposing other conditions on a covered person, pharmacist, or pharmacy that limit or restrict a covered person's ability to use a pharmacy of the covered person's choosing; or

  • Denying a pharmacy or pharmacist the right to participate in any of its pharmacy network contracts in this state or as a contracting provider in this state if the pharmacy or pharmacist has a valid license in Colorado and the pharmacy or pharmacist agrees to specified conditions.
    (Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

Bill Text—>

Fiscal Note—>