SB2712: Protecting Patient Access to Physician-Administered Drugs Act; enact.

Legislative Summary

An Act To Enact The Protecting Patient Access To Physician-administered Drugs Act; To State Legislative Intent; To Define Certain Terms; To Prohibit A Health Insurance Issuer, Pharmacy Benefit Manager Or The Agent Of Either From Refusing To Authorize, Approve Or Pay A Participating Provider For Providing Covered Physician-administered Drugs And Related Services To Covered Persons; To Prohibit A Health Insurance Issuer, Pharmacy Benefit Manager Or The Agent Of Either From Requiring A Covered Person To Pay Any Penalty Or Additional Fee Not Otherwise Applicable To Cost-sharing Amounts Payable By The Covered Person To Obtain The Physician-administered Drug When Provided By A Participating Provider; To Provide That All Provider Agreements Shall Be Construed To Include A Provision That, When All Criteria For Medical Necessity Are Met, The Drug And Its Administration Shall Be Payable Irrespective Of Whether The Participating Provider Obtains Physician-administered Drugs From A Pharmacy That Is Not A Participating Provider In The Health Insurance Issuer's Network; To Provide Payment Rates To Participating Providers; To Provide That Contract Provisions In Conflict With This Act Shall Be Null, Void And Unenforceable; To Provide That A Violation Of This Act Shall Be Considered A Violation Of The Consumer Protection Act, And Shall Subject The Violator To Any And All Actions Provided For In The Consumer Protection Act; To Amend Section 75-24-5, Mississippi Code Of 1972, To Conform To The Provisions Of This Act; And For Related Purposes.