PRINTER'S NO. 871
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No.
882
Session of
2021
INTRODUCED BY GAYDOS, POLINCHOCK, HILL-EVANS, JAMES, SAYLOR,
MOUL, ZIMMERMAN, HERSHEY, CIRESI, MILLARD AND THOMAS,
MARCH 12, 2021
REFERRED TO COMMITTEE ON INSURANCE, MARCH 12, 2021
AN ACT
Amending the act of November 21, 2016 (P.L.1318, No.169),
entitled "An act providing for pharmacy audit procedures, for
registration of pharmacy benefits managers and auditing
entities, for maximum allowable cost transparency and for
prescription drugs reimbursed under the PACE and PACENET
program; and making related repeals," in pharmacy benefit
manager cost transparency requirements, providing for sharing
of cost, benefit and coverage data required.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. The act of November 21, 2016 (P.L.1318, No.169),
known as the Pharmacy Audit Integrity and Transparency Act, is
amended by adding a section to read:
Section 703.1. Sharing of cost, benefit and coverage data
required.
(a) General rule.--A health insurer or PBM shall, upon
request of a covered individual, the covered individual's health
care practitioner or a third party on behalf of the covered
individual or health care practitioner, furnish the cost,
benefit and coverage data specified in subsection (d) to the
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