HB 374

Health Insurance – Pharmacy Benefits Managers – Audits of Pharmacies and Pharmacists

Sponsor: Nicholaus R. Kipke (District 31)Committee: Health and Government OperationsSubject: Health - InsuranceStatus: Approved by the Governor - Chapter 355 (as of Nov 9, 2023)

What this bill does

Official synopsis

Requiring the Secretary of Health to adopt regulations for pharmacy benefits managers that contract with managed care organizations that establish requirements for conducting audits of pharmacies or pharmacists; establishing requirements and prohibitions regarding audits by certain pharmacy benefits managers, including provisions related to audit limits, acceptance of certain documents as proof, recoupment of funds or charging of fees for prescriptions of unbreakable package sizes, and access to financial documentation; etc.

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Testimony (34)

MGA witness list

FAV 23FavorableUNF 11Unfavorable

Position	Witness	Organization	Testimony
FAV	Majolagbe, Howard	Allentown Discount Pharmacy	Written (PDF)
FAV	Majolagbe, Howard	Allentown Discount Pharmacy	Written (PDF)
FAV	Joseph, Sherine	Baltimore Highlands Pharmacy	Position only
FAV	Hose, Brian	EPIC Pharmacies	Oral
FAV	Hose, Brian	EPIC Pharmacies	Oral
FAV	Wienner, Stephen	EPIC Pharmacies	Oral
FAV	Wienner, Stephen	EPIC Pharmacies	Oral + Written (PDF)
FAV	Diamond, Joanna	Health Care for the Homeless	Written (PDF)
FAV	Horton, Aliyahlobbyist	Maryland Pharmacists Association	Oral
FAV	Horton, Aliyahlobbyist	Maryland Pharmacists Association	Oral
FAV	Price, Sarahlobbyist	Maryland Retailers Association	Oral + Written (PDF)
FAV	Kurzman, Joel	National Community Pharmacists Association	Position only
FAV	Kurzman, Joel	National Community Pharmacists Association	Written (PDF)
FAV	Gilleland, Emily	Office of Delegate Nic Kipke	Written (PDF)
FAV	Wieland, Tom	Ritchie Pharmacy , Brooklyn Park, Md.	Written (PDF)
FAV	Wieland, Tom	Ritchie Pharmacy , Brooklyn Park, Md.	Position only
FAV	RASMUSSEN, DENNISlobbyist	The Rasmussen Group LLC	Oral + Written (PDF)
FAV	RASMUSSEN, DENNISlobbyist	The Rasmussen Group LLC	Written (PDF)
FAV	Delegate Kipke, Delegate Kipkelegislator	Individual	Oral
FAV	Delegate Kipke, Delegate Kipkelegislator	Individual	Oral
FAV	Doyle, James	Individual	Position only
FAV	Doyle, James	Individual	Position only
FAV	Lee, Christine	Individual	Oral
UNF	Loughran, Kathleenlobbyist	Amerigroup	Oral
UNF	Celentano, Matthewlobbyist	Funk & Bolton, P.A.	Oral
UNF	Celentano, Matthewlobbyist	Funk & Bolton, P.A.	Oral
UNF	Wilgus, Whitney	NAIFA-MD	Written (PDF)
UNF	Cascone, Heatherlobbyist	Pharmaceutical Care Management Association	Oral + Written (PDF)
UNF	Johansen, Michaellobbyist	RWL	Oral
UNF	Johansen, Michaellobbyist	RWL	Oral + Written (PDF)
UNF	Fesche, Camillelobbyist	RWL on behalf of SCI	Oral + Written (PDF)
UNF	Fesche, Camillelobbyist	RWL on behalf of SCI	Oral
UNF	Robinson, Kimberlylobbyist	Individual	Oral
UNF	Robinson, Kimberlylobbyist	Individual	Oral

Organizations on record

Allentown Discount PharmacyFAV 2

AmerigroupUNF 1

Baltimore Highlands PharmacyFAV 1

EPIC PharmaciesFAV 4

Funk & Bolton, P.A.UNF 2

Health Care for the HomelessFAV 1

Maryland Pharmacists AssociationFAV 2

Maryland Retailers AssociationFAV 1

NAIFA-MDUNF 1

National Community Pharmacists AssociationFAV 2

Office of Delegate Nic KipkeFAV 1

Pharmaceutical Care Management AssociationUNF 1

Ritchie Pharmacy , Brooklyn Park, Md.FAV 2

RWLUNF 2

RWL on behalf of SCIUNF 2

The Rasmussen Group LLCFAV 2

Registered lobbyists who testified

FAVHorton, AliyahMaryland Pharmacists AssociationRegistered for: Maryland Pharmacists Association

FAVPrice, SarahMaryland Retailers AssociationRegistered for: Maryland Retailers Alliance; Maryland Retailers Association

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)…

UNFLoughran, KathleenAmerigroupRegistered for: Elevance Health, and its Affiliates

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…

UNFRobinson, KimberlyRegistered for: CareFirst BlueCross BlueShield; Cigna Corporate Services, LLC