HB 0139 by *Sexton C


(SB 0799) by *Dickerson


Show Caption Text

Pharmacy, Pharmacists - As introduced, prohibits health insurance policies from using prorated dispensing fees or denying coverage for dispensing of medication in accordance with the synchronization of medication; requires health insurance policies to apply prorated cost-sharing to dispensing of medication in accordance with synchronization of medication. - Amends TCA Title 56 and Title 63.
  • Bill History
  • Amendments
  • Video
  • Summary
  • Fiscal Note
  • Votes
  • Actions For HB0139Date
    Taken off notice for cal. in Insurance and Banking Committee04/11/2017
    Placed on cal. Insurance and Banking Committee for 4/11/201704/05/2017
    Action def. in Insurance and Banking Committee to 4/11/201704/04/2017
    Placed on cal. Insurance and Banking Committee for 4/4/201703/29/2017
    Rec for pass if am by s/c ref. to Insurance and Banking Committee03/29/2017
    Placed on s/c cal Insurance and Banking Subcommittee for 3/29/201703/22/2017
    Action Def. in s/c Insurance and Banking Subcommittee to 3/29/201703/22/2017
    Placed on s/c cal Insurance and Banking Subcommittee for 3/22/201703/15/2017
    Assigned to s/c Insurance and Banking Subcommittee02/08/2017
    P2C, ref. to Insurance and Banking Committee02/02/2017
    Intro., P1C.02/01/2017
    Filed for intro.01/30/2017
    Actions For SB0799Date
    Failed in Senate Commerce and Labor Committee04/04/2017
    Placed on Senate Commerce and Labor Committee calendar for 4/4/201704/03/2017
    Action deferred in Senate Commerce and Labor Committee to 4/4/201704/03/2017
    Placed on Senate Commerce and Labor Committee calendar for 4/3/201703/28/2017
    Action deferred in Senate Commerce and Labor Committee to 4/4/201703/28/2017
    Placed on Senate Commerce and Labor Committee calendar for 3/28/201703/22/2017
    Passed on Second Consideration, refer to Senate Commerce and Labor Committee02/13/2017
    Introduced, Passed on First Consideration02/09/2017
    Filed for introduction02/08/2017
  • No amendments for HB0139.
    AmendmentsFiscal Memos
    SA0304Amendment 1-1 to SB0799Fiscal Memo for SA0304 (6295)  Fiscal Memo for SA0304 (6295)  

    NOTE: Each fiscal memorandum applies only to the amendment(s) identified in the memorandum. The fiscal memorandum must be matched to any amendments that have been adopted.

  • Videos containing keyword: HB0139

  • Fiscal Summary

    (CORRECTED) Increase State Expenditures - $17,546,800/FY17-18 $15,101,200/FY18-19 and Subsequent Years Increase Federal Expenditures - $33,136,300/FY17-18 $28,471,600/FY18-19 and Subsequent Years Increase Local Expenditures - Exceeds $24,000/FY17-18 and Subsequent Years*


    Bill Summary

    This bill requires health insurance policies to apply prorated cost-sharing to certain prescriptions, and prohibits health insurance policies from using prorated dispensing fees or denying coverage for dispensing certain medication.

    An "individual or group health insurance policy or contract" includes a health insurance policy or contract providing coverage on an expense-incurred basis, every policy or contract issued by a hospital or medical service corporation, an individual or group service contract issued by a health maintenance organization, and a self-insured group arrangement to the extent not preempted by federal law that is delivered, issued for delivery, or renewed in this state.

    Under this bill, an individual or group health insurance policy or contract providing prescription drug coverage in this state:

    (1) Must permit and apply a prorated daily cost-sharing rate to prescriptions that are dispensed by a network pharmacy for partial supply if:

    (A) The prescriber or pharmacist determines the fill or refill to be in the best interest of the patient; and
    (B) The patient requests or agrees to a partial supply for the purpose of synchronizing the patient's medications;

    (2) Must not deny coverage for the dispensing of a medication that is dispensed by a network pharmacy on the basis that the dispensing is for a partial supply if:

    (A) The prescriber or pharmacist determines the fill or refill to be in the best interest of the patient; and
    (B) The patient requests or agrees to a partial supply for the purpose of
    synchronizing the patient's medication; and

    (3) Must not use payment structures incorporating prorated dispensing fees, and must pay in full the dispensing fees for partially filled or refilled prescriptions.

    This bill will apply to policies and contracts entered into or renewed on or after July 1, 2017.

  • FiscalNote for HB0139/SB0799 filed under HB0139
  • House Floor and Committee Votes

              HB0139 by Sexton C - HOUSE INSURANCE AND BANKING SUBCOMMITTEE:
    Rec for pass if am by s/c ref. to Insurance and Banking Committee 3/29/2017
              Voice Vote - Ayes Prevail

    Senate Floor and Committee Votes

    SB0799 by Dickerson - SENATE COMMERCE AND LABOR COMMITTEE:
    Failed in Senate Commerce and Labor Committee 4/4/2017
    Failed
              Ayes................................................0
              Noes................................................6

              Senators voting no were: Gresham, Johnson, Roberts, Tracy, Watson, Yager -- 6.