Health Insurance - Pharmacy Benefits Managers - Explanation of Benefits Statements
Sponsor: Nicholaus R. Kipke (District 31)Committee: Health and Government OperationsSubject: Insurance - HealthStatus: Unfavorable Report by Health and Government Operations; Withdrawn (as of Dec 1, 2021)
What this bill does
Official synopsis
Requiring pharmacy benefits managers to provide to beneficiaries for whom the pharmacy benefits manager processed or paid a claim for prescription drugs during the immediately preceding 3-month period an explanation of benefits statement on a form approved by the Maryland Insurance Commissioner and on a quarterly basis; requiring that the explanation of benefits statements contain certain information regarding certain claims for prescription drugs; and applying the Act.
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Testimony (11)
MGA witness listFAV 5FavorableFWA 1Favorable with amendmentsUNF 5Unfavorable
| Position | Witness | Organization | Testimony |
|---|---|---|---|
| FAV | Herpel, Gerard | EPIC Pharmacies | Oral |
| FAV | Wienner, Stephen | EPIC Pharmacies | Oral |
| FAV | RASMUSSEN, DENNISlobbyist | The Rasmussen Group LLC | Written (PDF) |
| FAV | Delegate Kipke, Delegate Kipkelegislator | Individual | Oral |
| FAV | Horton, Aliyahlobbyist | Individual | Position only |
| UNF | Robinson, Kimberlylobbyist | Cigna | Oral |
| UNF | Celentano, Matthewlobbyist | Funk & Bolton, P.A. | Oral |
| UNF | Cascone, Heatherlobbyist | Pharmaceutical Care Management Association | Oral |
| UNF | Johansen, Michaellobbyist | RWL | Oral |
| UNF | Fesche, Camillelobbyist | RWL on behalf of SCI | Oral |
| FWA | locklair, caileylobbyist | Maryland Retailers Association | Written (PDF) |
Organizations on record
Registered lobbyists who testified
FAVRASMUSSEN, DENNISThe Rasmussen Group LLCRegistered for: Baltimore Children's Museum, Inc. dba Port Discovery Children's Museum; Chesapeake Renewable Energy, LLC; Chesapeake Ventures Development, LLC; Greater Ocean City Maryland Chamber of Commerce, Inc.; HarborRock Holdings, LLC; Maryland Mortgage Bankers & Brokers Association (MMBBA)…
UNFRobinson, KimberlyCignaRegistered for: CareFirst BlueCross BlueShield; Cigna Corporate Services, LLC
UNFCelentano, MatthewFunk & Bolton, P.A.Registered for: 38 Degrees North; Advanced Energy United; Alliance of Maryland Dental Plans; Allstate Insurance Company; America's Health Insurance Plans; American Council of Life Insurers…
UNFCascone, HeatherPharmaceutical Care Management AssociationRegistered for: Pharmaceutical Care Management Association (PCMA)
UNFJohansen, MichaelRWLRegistered for: 1/ST Racing MD LLC; ASC Engineered Solutions; Access Holdings Management Company, LLC; Alterwood Health, Inc.; Ashley, Inc.; Baltimore Streetcar Museum…
UNFFesche, CamilleRWL on behalf of SCIRegistered for: Ashley, Inc.; Baltimore Symphony Orchestra; Behavioral Framework; Berkshire Hathaway Energy GT&S, LLC; Brewers Association of Maryland; Brown Advisory…
FWAlocklair, caileyMaryland Retailers AssociationRegistered for: HPSO Investments LLC, T/A Riverboat on the Potomac; Maryland Retailers Alliance; Maryland Retailers Association