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Prescription drug cost transparency

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Background

In 2019, the Washington State Legislature passed Engrossed Second Substitute House Bill into law. This law states requires issuers of health insurance, pharmacy benefit managers (PBMs), manufacturers, and pharmacy service administrative organizations (PSAOs) to submit data to the Health Care Authority (HCA). The purpose is to create an annual report on how prescription drugs affect health care costs. The law also requires pharmaceutical manufacturers to submit data to HCA relating the new drug applications (NDA).

Implementation

HCA is currently in the planning phase of this effort. It is estimated that it will take up to 12 months to complete the rule making process. We will have information specific to each information supplier at a future date.

Drug manufacturers, health carriers, pharmacy benefit managers (PBMs), and pharmacy services administrative organizations (PSAOs) are not expected to submit data in 2019. There will not be imposed fines for not submitting in 2019. HCA anticipates being ready to collect data by October 2020.

Stakeholder meetings

At each meeting, HCA will give a short overview of Chapter 43.71C RCW then use the majority of time to take questions and hear concerns from stakeholders. We will focus on a different supplier in each meeting. The public is invited to participate in any of the meetings.

Meeting schedule

Date and time Meeting type Materials
February 26, 2020
2:30-4 p.m.
Manufacturer reporting

Slide deck (02/26/20)

Recorded webinar (02/26/20)

April 1, 2020
1-2:30 p.m.

Issuer / carrier reporting

Webinar only, no in person meeting due to COVID-19

 Updated slide deck (04/01/20)

DRAFT data definitions for issuers/ carriers

Recorded webinar (04/01/2020)

April 29, 2020
2:30-4 p.m.

Pharmacy benefit manager / pharmacy service administrative organization reporting

Webinar only, no in person meeting due to COVID-19

Slide deck (04/29/2020)

Recorded webinar (04/29/2020)

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