2023 Regular SessionOregon Legislature

HB2725: Relating to pharmacy benefit managers; and declaring an emergency.

Legislative Summary

Prohibits pharmacy benefit manager from retroactively denying or reducing payment on claim after adjudication unless pharmacy and pharmacy benefit manager agree that payment was incorrect due to clerical error. Prohibits pharmacy benefit manager from retroactively denying or reducing payment on claim after adjudication unless pharmacy and pharmacy benefit manager agree that payment was incorrect due to clerical error. Prohibits pharmacy benefit manager from imposing fees on rural] pharmacies after point of sale. Requires pharmacy benefit manager, if denying or reducing reimbursement on claim, to provide notice to pharmacy of specific claim that is denied or reduced and explanation for denial or reduction. Declares emergency, effective on passage.

Bill History

1/9/2023
First reading. Referred to Speaker's desk.
House of Representatives
1/13/2023
Referred to Behavioral Health and Health Care.
House of Representatives
1/24/2023
Public Hearing held.
House of Representatives
1/25/2023
Public Hearing held.
House of Representatives
3/27/2023
Work Session held.
House of Representatives
4/4/2023
Without recommendation as to passage and be referred to Rules.
House of Representatives
4/4/2023
Referred to Rules by order of Speaker.
House of Representatives
5/4/2023
Public Hearing held.
House of Representatives
5/23/2023
Work Session held.
House of Representatives
5/25/2023
Recommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Ways and Means.
House of Representatives
5/25/2023
Referred to Ways and Means by order of Speaker.
House of Representatives
5/31/2023
Assigned to Subcommittee On Human Services.
House of Representatives
6/7/2023
Work Session held.
House of Representatives
6/7/2023
Returned to Full Committee.
House of Representatives
6/12/2023
Work Session held.
House of Representatives
6/13/2023
Recommendation: Do pass.
House of Representatives
6/14/2023
Second reading.
House of Representatives
6/14/2023
Rules suspended. Third reading. Carried by Goodwin. Passed. Ayes, 56; Excused, 2--Bynum, Tran; Excused for Business of the House, 2--Breese-Iverson, Speaker Rayfield.
House of Representatives
6/14/2023
Vote explanation(s) filed by Pham H.
House of Representatives
6/15/2023
First reading. Referred to President's desk.
Senate
6/15/2023
Referred to Ways and Means.
Senate
6/20/2023
Recommendation: Do pass the A-Eng. bill.
Senate
6/20/2023
Second reading.
Senate
6/21/2023
Carried over to 06-22 by unanimous consent.
Senate
6/22/2023
Third reading. Carried by Patterson. Passed. Ayes, 22; Nays, 2--Findley, Girod; Absent, 6--Boquist, Hansell, Hayden, Linthicum, Robinson, Thatcher.
Senate
6/22/2023
Vote explanation(s) filed by Smith DB.
Senate
6/25/2023
Speaker signed.
House of Representatives
6/27/2023
President signed.
Senate
7/31/2023
Governor signed.
House of Representatives
8/15/2023
Chapter 509, (2023 Laws): Effective date July 31, 2023.
House of Representatives

Amendments

House Committee On Rules Amendment #-2

House Committee On Rules (2023-05-23)

5/23/2023Not Adopted

House Committee On Rules Amendment #-2

House Committee On Rules (2023-05-04)

5/4/2023Not Adopted

House Committee On Behavioral Health and Health Care Amendment #-2

House Committee On Behavioral Health and Health Care (2023-03-27)

3/27/2023Not Adopted

Roll Call Votes

Senate Third Reading
6/22/2023
22
Yea
2
Nay
0
Not Voting
6
Absent
Result: PASSED
House Third Reading
6/14/2023
56
Yea
0
Nay
0
Not Voting
4
Absent
Result: PASSED
House Committee Do Pass the A-Eng bill
6/12/2023
17
Yea
0
Nay
0
Not Voting
6
Absent
Result: PASSED
House Committee Do pass with amendments and be referred to Ways and Means. (Printed A-Eng.)
5/23/2023
7
Yea
0
Nay
0
Not Voting
0
Absent
Result: PASSED
House Committee Without recommendation as to passage and be referred to Rules
3/27/2023
7
Yea
0
Nay
0
Not Voting
4
Absent
Result: PASSED

Status Information

Current Status
Passed(8/15/2023)
Chamber
House of Representatives
Sine DiePrior Session

Documents

Introduced
Bill Text1/1/197031.4 KB
Introduced
Bill Text1/1/197029.3 KB
Engrossed
Bill Text1/1/197031.6 KB
Enrolled
Bill Text1/1/197030.0 KB
Fiscal Note/Analysis
Fiscal Note/Analysis1/1/1970612.0 KB
Analysis
Analysis1/1/1970316.2 KB
Fiscal Note/Analysis
Fiscal Note/Analysis1/1/1970642.7 KB
Analysis
Analysis1/1/1970118.4 KB
Fiscal Note/Analysis
Fiscal Note/Analysis1/1/1970631.8 KB
Fiscal Note/Analysis
Fiscal Note/Analysis1/1/1970599.6 KB
Analysis
Analysis1/1/1970118.7 KB
Analysis
Analysis1/1/1970317.2 KB
Analysis
Analysis1/1/1970119.6 KB
Analysis
Analysis1/1/1970119.6 KB
Analysis
Analysis6/12/2023149.9 KB
Analysis
Analysis6/12/202395.9 KB
Analysis
Analysis6/7/2023116.1 KB
Analysis
Analysis5/23/2023150.5 KB
Analysis
Analysis5/23/2023175.2 KB
Analysis
Analysis5/4/202347.3 KB
Analysis
Analysis5/4/2023145.8 KB
Analysis
Analysis1/25/202346.8 KB
Analysis
Analysis1/25/202322.4 KB
Analysis
Analysis1/24/2023147.4 KB
Analysis
Analysis1/24/202346.9 KB
Analysis
Analysis1/24/202346.8 KB