HB 5482
Protecting patient access to clinician-administered medications.
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Sign in to take action- Introduced
- Passed House of Delegates
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill, House Bill 5482, aims to ensure patients in West Virginia can access clinician-administered medications. It prohibits health insurance companies and pharmacy benefit managers from unfairly restricting access to these drugs based on where they are dispensed. The bill also clarifies definitions related to these medications and establishes penalties for violations, while allowing for options like home infusion pharmacies and external infusion sites.
Key provisions
- Defines ‘covered individual’ and ‘clinician-administered drug’ to clarify the scope of the bill.
- Prohibits health insurers from denying coverage or reducing payments to providers based on the pharmacy dispensing the medication.
- Prevents insurers from requiring patients to pay additional costs for clinician-administered drugs outside of their network.
- Protects patients’ right to choose their provider and pharmacy for these medications.
- Allows for the use of home infusion pharmacies and external infusion sites.
- Establishes penalties for violating the bill’s provisions.
- States that contracts conflicting with the bill’s provisions are unenforceable.
Who is affected
- Patients receiving clinician-administered medications
- Healthcare providers administering medications
- Health insurance issuers
- Pharmacy benefit managers
- Pharmacies
Notable changes
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