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Bill

A 7119

Requires managed care providers to annually provide each participant in their programs with a written list of mail-order pharmacies

2025 Regular Session Introduced by Rodneyse Bichotte Hermelyn and 1 co-sponsor

Requires managed care plans to annually give every participant a written list of mail-order pharmacies, boosting access and transparency for members.

REFERRED TO HEALTH
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WeVote Research Nonpartisan
Bill Summary · A 7119

Summary of Bill A 7119

Overview

Bill A 7119 would require managed care providers to annually provide every participant in their programs with a written list of mail-order pharmacies. The bill aims to ensure participants have current information about where they can obtain medications via mail-order services.

  • Bill Number: A 7119
  • Title: Requires managed care providers to annually provide each participant in their programs with a written list of mail-order pharmacies
  • Status: Referred to Health
  • Introduced: March 20, 2025
  • Classification: Bill
  • Sponsors:
    • Primary: Rodneyse Bichotte Hermelyn
    • Cosponsor: Eddie Gibbs
  • Related Bills (prior sessions): A 7834, A 2336, A 6409, A 3891

Purpose and Scope

  • The bill seeks to enhance transparency and access to mail-order pharmacy options for individuals enrolled in managed care programs by mandating an annual written listing of available mail-order pharmacies.

Key Provisions (as stated)

  • Managed care providers must annually deliver a written list of mail-order pharmacies to every participant in their programs.
  • The obligation applies to all participants within the scope of the providers’ managed care programs.

Note: The summary reflects the core requirement stated in the bill title. Additional specifics (e.g., content requirements for the list, delivery method, timing within each year, and enforcement mechanisms) would be defined in the bill's text and any implementing regulations.

Who Would Be Affected

  • Primary actors: Managed care providers (plans, entities administering care within managed care programs).
  • Direct beneficiaries: Participants enrolle in these managed care programs who would receive the annual written list.
  • Secondary impacts: Mail-order pharmacies referenced in the list; potential administrative workload and related costs for providers.

Timeline and Procedural Status

  • Introduced and referred to the Health Committee on March 20, 2025.
  • The record shows the same referral listed twice, indicating the bill’s initial placement in committee for consideration.
  • No further actions (as of the provided information) such as committee reports, amendments, or floor votes are documented.

Related Legislation

  • A 7834, A 2336, A 6409, A 3891 (prior-session bills) are noted as related, suggesting ongoing legislative interest in pharmacy access, mail-order options, or related transparency requirements.

Potential Impact and Considerations

  • Benefits: Improves participant awareness of mail-order options, which could support convenient access to medications and potential cost considerations.
  • Administrative considerations: Requires managed care providers to establish or maintain an annual process to compile and distribute the list, with associated staff time and potential costs.
  • Implementation details: The bill’s effectiveness would rely on specifics such as:
    • What exactly must be included in the written list (names, contact information, enrollment procedures, eligibility).
    • Delivery method (paper, electronic, or both) and timing (what month/yearly deadline).
    • Compliance enforcement and penalties for noncompliance.
  • Policy context: Related bills suggest a broader interest in pharmacy access and transparency within managed care settings.

If you’d like, I can tailor this summary to emphasize potential compliance costs or assess alignment with similar existing statutes in the jurisdiction.

Compiled from official sources — confirm details with the bill’s official record.

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