Patient Choice Of Pharmacy
HB19-1154
Last Action: House Committee on Health & Insurance Postpone Indefinitely 02/19/2019
Concerning the ability of a person eligible for prescription drug benefits to choose the pharmacy at which to fill a prescription drug order.
SESSION: 2019 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 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 this bill as introduced.)