HB 1273

Enacted

Health Insurance – Audits of Pharmacies or Pharmacists – Authorization to Withdraw and Resubmit Claims

Sponsor: Delegate JohnsonCommittee: Health and Government OperationsSubject: Insurance - HealthStatus: Enacted under Article II, Section 17(c) of the Maryland Constitution - Chapter 452 (as of Nov 6, 2020)

What this bill does

Official synopsis

Requiring a pharmacy benefits manager to allow a pharmacy or pharmacist to withdraw and resubmit certain claims within a certain number of days after a preliminary audit report is delivered or, if a pharmacy or pharmacist requests an internal audit, within a certain number of days after the conclusion of the internal appeals process.

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Analysis reads the bill text, the fiscal note, and the witness list. It is generated by Claude and reviewed by nobody, so check the source documents before you rely on it.

Testimony (11)

MGA witness list

FAV 8FavorableUNF 3Unfavorable

Position	Witness	Organization	Testimony
FAV	Johnson, Julie	Johnson Family Pharmacy	Oral + Written (PDF)
FAV	Horton, Aliyahlobbyist	Maryland Pharmacists Association	Oral
FAV	Magner, Matthew	National Community Pharmacists Association	Oral
FAV	hose, brian	epic	Oral
FAV	locklair, caileylobbyist	md retailers assoc	Oral
FAV	wienner, steve	mtvernon pharmacy	Oral
FAV	Delegate Johnson, Delegate Johnsonlegislator	Individual	Position only
FAV	Delegate Johnson, Delegate Johnsonlegislator	Individual	Oral + Written (PDF)
UNF	Cascone, Heatherlobbyist	PCMA	Oral
UNF	Fesche, Camillelobbyist	RWL on behalf of PCMA	Oral
UNF	Johansen, Mike	RWL on behalf of PCMA	Oral

Organizations on record

epicFAV 1

Johnson Family PharmacyFAV 1

Maryland Pharmacists AssociationFAV 1

md retailers assocFAV 1

mtvernon pharmacyFAV 1

National Community Pharmacists AssociationFAV 1

PCMAUNF 1

RWL on behalf of PCMAUNF 2

Registered lobbyists who testified

FAVHorton, AliyahMaryland Pharmacists AssociationRegistered for: Maryland Pharmacists Association

FAVlocklair, caileymd retailers assocRegistered for: HPSO Investments LLC, T/A Riverboat on the Potomac; Maryland Retailers Alliance; Maryland Retailers Association

UNFCascone, HeatherPCMARegistered for: Pharmaceutical Care Management Association (PCMA)

UNFFesche, CamilleRWL on behalf of PCMARegistered for: Ashley, Inc.; Baltimore Symphony Orchestra; Behavioral Framework; Berkshire Hathaway Energy GT&S, LLC; Brewers Association of Maryland; Brown Advisory…