Fabio
100 lines
6.9 KiB
Markdown
100 lines
6.9 KiB
Markdown
---
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type: "Bill"
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title: "Medical assistance services; managed care organization contracts with pharmacy benefits managers."
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description: "Medical assistance services; managed care organization contracts with pharmacy benefits managers; spread pricing. Requires the Department of Medical Assistance Services to require a managed care organization with which the Department enters into an agreement for the delivery of medical assistance services to include in any agreement between the managed care organization and a pharmacy benefits manager provisions prohibiting the pharmacy benefits manager or a representative of the pharmacy benefits manager from conducting spread pricing with regard to the managed care organization's managed care plans. The bill defines \"spread pricing\" as the model of prescription drug pricing in which the pharmacy benefits manager charges a managed care plan a contracted price for prescription drugs, and the contracted price for the prescription drugs differs from the amount the pharmacy benefits manager directly or indirectly pays the pharmacist or pharmacy for pharmacist services. The bill applies to agreements entered into, amended, extended, or renewed on or after July 1, 2020. This bill is identical to SB 568."
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jurisdiction: "us/states/va"
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legislature: "Virginia General Assembly"
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session: "2020"
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identifier: "HB 1291"
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citation: "Virginia HB 1291 (2020)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["M. Keith Hodges"]
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version_count: 4
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action_count: 32
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vote_count: 8
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first_action: "2020-01-08"
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last_action: "2020-04-10"
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source: "openstates"
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source_identifier: "ocd-bill/b8b3f406-c54f-4176-9e97-436712597993"
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source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?201+sum+HB1291"
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source_hash: "c53e0fda821270f8515a012f908fc2ef26e69b850fef52c2b2a15c1704ed3b61"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-va"]
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---
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# Virginia HB 1291 (2020) — Medical assistance services; managed care organization contracts with pharmacy benefits managers.
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Medical assistance services; managed care organization contracts with pharmacy benefits managers; spread pricing. Requires the Department of Medical Assistance Services to require a managed care organization with which the Department enters into an agreement for the delivery of medical assistance services to include in any agreement between the managed care organization and a pharmacy benefits manager provisions prohibiting the pharmacy benefits manager or a representative of the pharmacy benefits manager from conducting spread pricing with regard to the managed care organization's managed care plans. The bill defines "spread pricing" as the model of prescription drug pricing in which the pharmacy benefits manager charges a managed care plan a contracted price for prescription drugs, and the contracted price for the prescription drugs differs from the amount the pharmacy benefits manager directly or indirectly pays the pharmacist or pharmacy for pharmacist services. The bill applies to agreements entered into, amended, extended, or renewed on or after July 1, 2020. This bill is identical to SB 568.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Acts of Assembly Chapter text (CHAP1082)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+CHAP1082)
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2. **Bill text as passed House and Senate (HB1291ER)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB1291ER)
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3. **Engrossed by House as amended HB1291E** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB1291E)
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4. **Impact statement from DPB (HB1291)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB1291)
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## Votes
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- Subcommittee recommends reporting (5-Y 0-N) — **5–0** (pass) · lower
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- Passed Senate (40-Y 0-N) — **40–0** (pass) · upper
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- Constitutional reading dispensed (40-Y 0-N) — **40–0** (pass) · upper
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- Subcommittee recommends reporting with amendment (8-Y 0-N) — **8–0** (pass) · lower
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- Reported from Commerce and Labor (15-Y 0-N) — **15–0** (pass) · upper
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- Reported from Appropriations with amendments (21-Y 0-N) — **21–0** (pass) · lower
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- VOTE: Block Vote Passage (99-Y 0-N) — **98–0** (pass) · lower
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- Reported from Health, Welfare and Institutions (22-Y 0-N) — **22–0** (pass) · lower
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## Sponsors
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- M. Keith Hodges — primary (person)
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- Les R. Adams — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2020-01-08** Prefiled and ordered printed; offered 01/08/20 20103645D `introduction`
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- **2020-01-08** Referred to Committee on Health, Welfare and Institutions `referral-committee`
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- **2020-01-17** Assigned HWI sub: Health `referral-committee`
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- **2020-02-03** Subcommittee recommends reporting (5-Y 0-N)
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- **2020-02-04** Assigned App. sub: Health & Human Resources `referral-committee`
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- **2020-02-04** Reported from Health, Welfare and Institutions (22-Y 0-N) `committee-passage`
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- **2020-02-04** Referred to Committee on Appropriations `referral-committee`
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- **2020-02-05** Impact statement from DPB (HB1291)
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- **2020-02-05** House subcommittee amendments and substitutes offered
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- **2020-02-05** Subcommittee recommends reporting with amendment (8-Y 0-N)
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- **2020-02-05** Reported from Appropriations with amendments (21-Y 0-N) `committee-passage`
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- **2020-02-06** Read first time `reading-1`
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- **2020-02-07** Read second time `reading-2`
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- **2020-02-07** Committee amendments agreed to
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- **2020-02-07** Engrossed by House as amended HB1291E
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- **2020-02-07** Printed as engrossed 20103645D-E
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- **2020-02-10** Read third time and passed House BLOCK VOTE (99-Y 0-N) `passage, reading-3`
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- **2020-02-10** Impact statement from DPB (HB1291E)
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- **2020-02-10** VOTE: Block Vote Passage (99-Y 0-N)
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- **2020-02-11** Constitutional reading dispensed
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- **2020-02-11** Referred to Committee on Commerce and Labor `referral-committee`
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- **2020-03-02** Reported from Commerce and Labor (15-Y 0-N) `committee-passage`
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- **2020-03-04** Constitutional reading dispensed (40-Y 0-N)
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- **2020-03-05** Read third time `reading-3`
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- **2020-03-05** Passed Senate (40-Y 0-N) `passage`
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- **2020-03-12** Enrolled
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- **2020-03-12** Impact statement from DPB (HB1291ER)
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- **2020-03-12** Signed by Speaker
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- **2020-03-12** Signed by President
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- **2020-03-17** Enrolled Bill communicated to Governor on March 17, 2020
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- **2020-03-17** Governor's Action Deadline 11:59 p.m., April 11, 2020
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- **2020-04-10** Approved by Governor-Chapter 1082 (effective 7/1/20) `executive-signature`
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b8b3f406-c54f-4176-9e97-436712597993`. Confidence: reported (aggregated from official Virginia legislature records).
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