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2019-2020 Legislative Priorities

 

Main Priority

 

Pharmacy Benefit Managers (PBM) Regulation and Transparency.

PPA is looking at opportunities to provide for greater transparency of pharmacy benefit managers (PBMs). 

Click here to learn more about PBM related issues.

 

 

Auditor General, Eugene DePasquale Demands Increased Oversight of Pharmacy Benefit Managers that Impact Drug Prices

 

 

 

 

Auditor General DePasquale Holds Forum on Drug Pricing Transparency

View Press Release

 

Auditor General DePasquale Initiates Review to Bring Transparency, Accountability to Prescription Drug Pricing. 

View Press Release

 

 

LEGISLATION

 

Spread Pricing:

Click here to read Rep. Tony DeLuca's co-sponsorship memo.

Bill number 569 - Introduced by Rep. Tony DeLuca (D-32)

 

Status

  • Referred to the House Insurance Committee on 3-9-19

 

 

Prohibition of Gag Clauses:  

 

Click here to read Rep. Tony DeLuca’s co-sponsorship memo.  

Bill Number: House Bill 570

 

Status

  • Referred to House Health Committee 3-7-19

 

Background

When pharmacy benefit managers (PBM’s) contract with pharmacies, the contracts usually contain a gag clause, which prohibits pharmacists from disclosing information to their patients that could substantially reduce the patient’s out-of-pocket costs for their prescription medications.  For example, for many less expensive, generic medicines, co-pays can often be more expensive than if the patient simply paid out of pocket and bypassed their insurance.  PPA has worked hard to have legislation introduced that will allow pharmacists to disclose prescription drug information to a patient that would allow the patient to get the best price for all of their medications.  This sounds like a reasonable expectation – to pay the lowest price for your prescription medications, doesn’t it? 

 

 

Medication Synchronization:

Bill Number: House Bill 195 - Introduced by Rep. Eric Nelson (R-57)

 

Status

  • HB 195 passed the House unanimously on 2/4/19. 
  • It is currently in the Senate Banking and Insurance Committee. 

Background

Medication synchronization is when a pharmacist works with a patient to synchronize medication refills so that all of their medications can be picked up on the same day each month, instead of having to make multiple visits to the pharmacy. PPA is advocating for legislation that would permit this in Pennsylvania. 

 

 

Expanding Pharmacist-Provided Immunization Opportunities:

Bill Number: House Bill 91 - Introduced by Rep. Seth Grove (R-196)

Bill Number: Senate Bill 274 - Introduced by Sen. Judy Ward (R-30)

 

Status

  • House Bill 91 was referred to House Health Committee
  • Senate Bill 274 was referred to the Senator Consumer Protection and Professional Licensure Committee. 

Background

PPA is advocating for a change in Pennsylvania law to permit pharmacists to provide all immunizations to patients nine years of age and older. Click here for more information.

 

 

Pharmacy Technician Registration:

Click here to read Rep. Tony DeLuca's Co-Sponsorship Memo.

Bill Number:  House Bill 770 - Introduced by Rep. Tony DeLuca (D-32)

 

Status

  • Referred to the House Professional Licensure Committee 3-11-19

Background

Pennsylvania is one of only five states that does not register or in some way regulate pharmacy technicians. PPA is supporting legislation that would provide for a basic registration along with a criminal history background check and a few other requirements. Click here for more information.

 

  

 

Other Priorities

  • Public Health Emergency: PPA is advocating to allow pharmacists to assist (i.e. allow pharmacists to immunize if there is a shortage before school begins, a virus outbreak, etc.) when the Pennsylvania Secretary of Health declares a public health emergency.

 

  • CVS-AETNA MERGER:  PPA asks Judge Richard J. Leon to rule against the merger when he extends the deadline for comments. 
  1. PPA letter to Senior Judge Richard J. Leon
  2. Dr. Daniel A. Hussar letter to Senior Judge Richard J. Leon
  3. PARD letter to Senior Judge Richard J. Leon
  4. Pharmacists United for Truth and Transparency (PUTT) letter to Senior Judge Richard J. Leon

 

Other Bills PPA is Tracking

PPA is monitoring numerous other pieces of legislation. Click here for a full report of all the bills PPA is currently monitoring.

 

 

 

Pennsylvania Community Pharmacy Caucus

The Pennsylvania Community Pharmacy Caucus is a bipartisan, alliance of legislators from both the House and Senate, who advocate for and support community pharmacy throughout the Commonwealth. Working together, caucus members reinforce the important role pharmacists play as healthcare providers and as part of an interdisciplinary team of care. Click here to learn more.

 

 

Recap of the 2017-2018 Legislative Session

  • HB 270 - Medication Synchronization in PACE and PACENET.  Passed the House and Senate and Signed into law by Governor Wolf.  Known as Act 87 of 2018
  • HB 2212 - Unfair Pharmacy Reimbursement - Passed the House unanimously.
  • HB 2211 - Prohibition of Gag Clauses - Passed the House unanimously.
  • HB 1800 - Medication Synchronization - Passed the House unanimously

Recap of the 2015-2016 Legislative Session

 

BIG LEGISLATIVE WINS! In the 2015-2016 legislative session, PPA helped pass legislation that:

  • Requires PBMs to register in PA
  • Increases MAC and generic pricing transparency
  • Establishes uniform audit standards
  • Increases the PACE professional dispensing fee to $13
  • Expands drug take-back locations
  • Improves the PDMP for pharmacists
  • Allows for substitution of interchangeable biological products

Click here for a summary and list of resources for Act 169 of 2016.

 

Click here for a full summary of PPA's 2015-2016 legislative successes.

 

 

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