Plain English Breakdown
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HB690: New Rules for Pharmacy Benefits Managers
This bill requires pharmacy benefits managers in Georgia to follow a duty of care toward insureds, health plans, and providers.
What This Bill Does
- Creates a legal duty of care that pharmacy benefits managers must owe to insureds, health plans, and providers.
- Provides definitions for terms used within the new regulations.
- Establishes rules and regulations governing how these managers operate.
- Sets a priority order for duties when conflicts arise between different groups.
- Allows individuals or entities harmed by violations to file private lawsuits.
Who It Names or Affects
- Pharmacy benefits managers operating in Georgia
- Insureds covered under health plans
- Health plan administrators and insurers
- Medical providers who dispense prescriptions
Limits and Unknowns
- The official text does not specify the exact date when these new rules will take effect.
- The bill mentions repealing conflicting laws but does not list which specific old laws are removed.