№ files_lp_4_process_2_84614
Legislative bill of the West Virginia Senate proposing amendments to §33-51-9 regulating pharmacy benefit managers, reimbursement levels for prescription drugs, protections for 340B entities, and rules governing insured cost sharing at the point of sale.
Year: 2025
Region / State: West Virginia, United States
Legislative Session: 2025 Regular Session
Document Type: Legislative bill
Legal Citation Affected: §33-51-9 of the Code of West Virginia (1931, as amended)
Legislative Body: West Virginia Legislature
Chamber: West Virginia Senate
Bill Number: Senate Bill 852
Sponsor: Senator Takubo
Date Introduced: March 20, 2025
Committees Referred: Senate Committee on Health and Human Resources; Senate Committee on Finance
Policy Area: Health insurance regulation
Subject: Regulation of pharmacy benefit managers and reimbursement rules for prescription drugs and pharmacy services
Related Law: Pharmacy Audit Integrity Act
Relevant Federal References: 42 U.S.C. §256b; 42 U.S.C. §1396b(m); 42 U.S.C. §1396r-8; 42 U.S.C. §1395w-3a(c)(6)(B)
Affected Programs: 340B Drug Pricing Program; West Virginia Public Employees Insurance Agency; Medicaid managed care organizations
Key Provisions: reimbursement limits based on national average drug acquisition cost; protections for 340B entities; restrictions on discriminatory reimbursement practices; rules on cost sharing and point-of-sale payments
Effective Provision Reference: exemption conditions beginning January 1, 2026
Price: 8 / 10 USD
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