HB 20-1078

  • Colorado House Bill
  • 2020 Regular Session
  • Introduced in House Feb 10, 2020
  • Passed House Feb 06, 2020
  • Passed Senate Mar 12, 2020
  • Signed by Governor Apr 01, 2020

Pharmacy Benefit Management Firm Claims Payments

Abstract

Beginning January 1, 2021, the act: Prohibits a pharmacy benefit management firm (PBM) from reimbursing a pharmacy in an amount less than the amount that the PBM reimburses any affiliate for the same pharmacy services; Prohibits PBMs from retroactively reducing payment on a clean claim submitted by a pharmacy unless as the result of an audit conducted in accordance with state law; and Requires health insurers that contract with PBMs to ensure that the PBMs are complying with this prohibition. The division of insurance is authorized to promulgate rules to establish the manner in which carriers and pharmacy benefit management firms are required to show compliance with the act. (Note: This summary applies to this bill as enacted.)

Bill Sponsors (3)

Votes


Actions


Apr 01, 2020

Office of the Governor

Governor Signed

Mar 23, 2020

Office of the Governor

Sent to the Governor

Mar 17, 2020

House

Signed by the Speaker of the House

Senate

Signed by the President of the Senate

Mar 13, 2020

House

House Considered Senate Amendments - Result was to Concur - Repass

Mar 12, 2020

Senate

Senate Third Reading Passed with Amendments - Floor

Mar 10, 2020

Senate

Senate Third Reading Laid Over Daily - No Amendments

Mar 09, 2020

Senate

Senate Second Reading Passed with Amendments - Floor

Mar 04, 2020

Senate

Senate Committee on Health & Human Services Refer Unamended to Senate Committee of the Whole

  • Referral-Committee
  • Committee-Passage
Senate Committee of the Whole Health & Human Services

Feb 10, 2020

Senate

Introduced In Senate - Assigned to Health & Human Services

  • Introduction
Health & Human Services

Feb 06, 2020

House

House Third Reading Passed - No Amendments

Feb 05, 2020

House

House Second Reading Passed with Amendments - Committee, Floor

Feb 03, 2020

House

House Second Reading Laid Over Daily - No Amendments

Jan 29, 2020

House

House Committee on Health & Insurance Refer Amended to House Committee of the Whole

  • Referral-Committee
  • Committee-Passage
House Committee of the Whole

Jan 08, 2020

House

Introduced In House - Assigned to Health & Insurance

  • Introduction
Health & Insurance

Bill Text

Bill Text Versions Format
Signed Act (04/01/2020) PDF
Final Act (03/17/2020) PDF
Rerevised (03/12/2020) PDF
Revised (03/09/2020) PDF
Reengrossed (02/06/2020) PDF
Engrossed (02/05/2020) PDF
Introduced (01/08/2020) PDF
PA1 (01/30/2020) PDF
Committee Amendment PDF

Related Documents

Document Format
Fiscal Note FN1 (01/27/2020) PDF

Sources

Data on Open States is updated nightly from the official website of the Colorado General Assembly.

If you notice any inconsistencies with these official sources, feel free to file an issue.