State Resources | Utilization Management
Key Legislation:
- To view key legislation Patients + Providers United is monitoring in Arizona, click here.
Additional Resources:
Key Legislation:
- HB 1907, to prevent white bagging policies by authorize that patients and providers determine the billing pathway in the patient’s best interest and prohibit payers from requiring a patient to self-administer an injectable drug against a provider’s recommendation, was passed and signed into law in 2021.
Key Legislation:
- To view key legislation Patients + Providers United is monitoring in California, click here.
Additional Resources:
Key Legislation:
- To view key legislation Patients + Providers United is monitoring in Florida, click here.
Key Legislation:
- To view key legislation Patients + Providers United is monitoring in Illinois, click here.
Key Legislation:
- To view key legislation Patients + Providers United is monitoring in Kentucky, click here.
Key Legislation:
- SB 191 (Act 50) to prohibit insurers from implementing white bagging policies was passed and signed into law in 2021
Additional Resources:
Key Legislation:
- To view key legislation Patients + Providers United is monitoring in Minnesota, click here.
Additional Resources:
Key Legislation:
- To view key legislation Patients + Providers United is monitoring in Missouri, click here.
Key Legislation:
- To view key legislation Patients + Providers United is monitoring in New York, click here.
Key Legislation:
- To view key legislation Patients + Providers United is monitoring in Ohio, click here.
Additional Resources:
Key Legislation:
- To view key legislation Patients + Providers United is monitoring in Oklahoma, click here.
Key Legislation:
- SB 2458, that blocks use of white bagging by prohibiting payers from interfering with a patient’s right to choose a contracted pharmacy or provider of choice and prevents plans from requiring patients to pay additional fees when obtaining specialty drugs from a contracted pharmacy, was passed and signed into law in 2022.
Key Legislation:
- To view key legislation Patients + Providers United is monitoring in Texas, click here.
Key Legislation:
- H 353, that outlaws white bagging by clarifying that payers may not require use mail-order pharmacies to obtain covered drugs or that a pharmacy designated by a plan dispense a medication directly to a provider’s office, was passed and signed into law in 2022.
Key Legislation:
- HB 2219, that bans white bagging by allowing non-contracted pharmacies to dispense covered drugs and be reimbursed at in-network rates and limiting unequal cost sharing on patients who select out-of-network pharmacy providers, was passed and signed into law in 2021.
Key Legislation:
- To view key legislation Patients + Providers United is monitoring in Washington, click here.
Key Legislation:
- HB 4112, that prohibits white bagging by clarifying that payers may not “unreasonably” designate covered drugs as specialty drugs to limit access within the pharmacy network, was passed and signed into law in 2022.
Key Legislation:
- To view key legislation Patients + Providers United is monitoring in Wisconsin, click here.
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