![](data:image/svg+xml;base64,<?xml version="1.0" encoding="UTF-8"?>
<svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" width="1487.5pt" height="1925pt" viewBox="0 0 1487.5 1925" version="1.2">
<defs>
<clipPath id="clip1">
  <path d="M 137 133 L 942 133 L 942 139.515625 L 137 139.515625 Z "/>
</clipPath>
<clipPath id="clip2">
  <path d="M 136 133 L 942 133 L 942 139.515625 L 136 139.515625 Z "/>
</clipPath>
<clipPath id="clip3">
  <path d="M 941 133 L 1405 133 L 1405 139.515625 L 941 139.515625 Z "/>
</clipPath>
<clipPath id="clip4">
  <path d="M 940 133 L 1405 133 L 1405 139.515625 L 940 139.515625 Z "/>
</clipPath>
</defs>
<g id="surface1">
<path style="fill-rule:evenodd;fill:rgb(0%,0%,0%);fill-opacity:1;stroke-width:0.1;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 56.399464 740.600357 L 387.199286 740.600357 L 387.199286 739.600714 L 56.399464 739.600714 Z " transform="matrix(2.430556,0,0,-2.430556,0,1925)"/>
<g clip-path="url(#clip1)" clip-rule="nonzero">
<path style=" stroke:none;fill-rule:evenodd;fill:rgb(0%,0%,0%);fill-opacity:1;" d="M 137.082031 133.4375 L 941.109375 133.4375 L 941.109375 139.515625 L 137.082031 139.515625 Z "/>
</g>
<g clip-path="url(#clip2)" clip-rule="nonzero">
<path style="fill:none;stroke-width:0.1;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 56.399464 737.1 L 387.199286 737.1 L 387.199286 734.599286 L 56.399464 734.599286 Z " transform="matrix(2.430556,0,0,-2.430556,0,1925)"/>
</g>
<path style="fill-rule:evenodd;fill:rgb(0%,0%,0%);fill-opacity:1;stroke-width:0.1;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 387.199286 740.600357 L 577.700357 740.600357 L 577.700357 739.600714 L 387.199286 739.600714 Z " transform="matrix(2.430556,0,0,-2.430556,0,1925)"/>
<g clip-path="url(#clip3)" clip-rule="nonzero">
<path style=" stroke:none;fill-rule:evenodd;fill:rgb(0%,0%,0%);fill-opacity:1;" d="M 941.109375 133.4375 L 1404.132813 133.4375 L 1404.132813 139.515625 L 941.109375 139.515625 Z "/>
</g>
<g clip-path="url(#clip4)" clip-rule="nonzero">
<path style="fill:none;stroke-width:0.1;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 387.199286 737.1 L 577.700357 737.1 L 577.700357 734.599286 L 387.199286 734.599286 Z " transform="matrix(2.430556,0,0,-2.430556,0,1925)"/>
</g>
<path style="fill:none;stroke-width:0.8;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 0.000000000000014211 -1.300536 L 417.6 -1.300536 " transform="matrix(2.430556,0,0,-2.430556,179.375,1277.256944)"/>
<path style="fill:none;stroke-width:0.8;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 0.000000000000056843 -1.300536 L 7.2 -1.300536 " transform="matrix(2.430556,0,0,-2.430556,1194.375,1277.256944)"/>
<path style="fill:none;stroke-width:0.8;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M -0.000178571 -1.299286 L 64.799821 -1.299286 " transform="matrix(2.430556,0,0,-2.430556,373.090278,1333.888889)"/>
<path style="fill:none;stroke-width:0.8;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 0.000535714 -1.3 L 396.000536 -1.3 " transform="matrix(2.430556,0,0,-2.430556,232.604167,1390.277778)"/>
<path style="fill:none;stroke-width:0.8;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 0.000535714 -1.3 L 7.200536 -1.3 " transform="matrix(2.430556,0,0,-2.430556,1195.104167,1390.277778)"/>
<path style="fill:none;stroke-width:0.8;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 0.000000000000014211 -1.300357 L 460.8 -1.300357 " transform="matrix(2.430556,0,0,-2.430556,179.375,1446.909722)"/>
<path style="fill:none;stroke-width:0.8;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 0 -1.300357 L 7.2 -1.300357 " transform="matrix(2.430556,0,0,-2.430556,1299.375,1446.909722)"/>
<path style="fill:none;stroke-width:0.8;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 0.000000000000014211 -1.299464 L 424.8 -1.299464 " transform="matrix(2.430556,0,0,-2.430556,179.375,1503.298611)"/>
<path style="fill:none;stroke-width:0.8;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 0.000000000000056843 -1.299464 L 7.2 -1.299464 " transform="matrix(2.430556,0,0,-2.430556,1211.875,1503.298611)"/>
<path style="fill:none;stroke-width:0.8;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 0.000000000000014211 -1.299821 L 410.4 -1.299821 " transform="matrix(2.430556,0,0,-2.430556,179.375,1559.930556)"/>
<path style="fill:none;stroke-width:0.8;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 0.000000000000056843 -1.299821 L 7.2 -1.299821 " transform="matrix(2.430556,0,0,-2.430556,1176.875,1559.930556)"/>
<path style="fill:none;stroke-width:0.8;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 0.000000000000014211 -1.300536 L 432 -1.300536 " transform="matrix(2.430556,0,0,-2.430556,179.375,1616.319444)"/>
<path style="fill:none;stroke-width:0.8;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 0.000000000000056843 -1.300536 L 7.2 -1.300536 " transform="matrix(2.430556,0,0,-2.430556,1229.375,1616.319444)"/>
<path style="fill:none;stroke-width:0.8;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 0.000000000000014211 -1.299286 L 439.2 -1.299286 " transform="matrix(2.430556,0,0,-2.430556,179.375,1672.951389)"/>
<path style="fill:none;stroke-width:0.8;stroke-linecap:butt;stroke-linejoin:miter;stroke:rgb(0%,0%,0%);stroke-opacity:1;stroke-miterlimit:10;" d="M 0.000000000000113687 -1.299286 L 7.2 -1.299286 " transform="matrix(2.430556,0,0,-2.430556,1246.875,1672.951389)"/>
<path style=" stroke:none;fill-rule:evenodd;fill:rgb(0%,0%,0%);fill-opacity:1;" d="M 524.027344 237.707031 L 921.667969 237.707031 L 921.667969 231.875 L 524.027344 231.875 Z "/>
<path style=" stroke:none;fill-rule:evenodd;fill:rgb(0%,0%,0%);fill-opacity:1;" d="M 137.082031 476.144531 L 1404.617188 476.144531 L 1404.617188 470.3125 L 137.082031 470.3125 Z "/>
<path style=" stroke:none;fill-rule:evenodd;fill:rgb(0%,0%,0%);fill-opacity:1;" d="M 137.082031 543.714844 L 1404.617188 543.714844 L 1404.617188 537.882813 L 137.082031 537.882813 Z "/>
<path style=" stroke:none;fill-rule:evenodd;fill:rgb(0%,0%,0%);fill-opacity:1;" d="M 137.082031 611.527344 L 1404.617188 611.527344 L 1404.617188 605.695313 L 137.082031 605.695313 Z "/>
</g>
</svg>
)
PRINTER'S NO. 989
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No.
969
Session of
2023
INTRODUCED BY GAYDOS, CIRESI AND ZIMMERMAN, APRIL 24, 2023
REFERRED TO COMMITTEE ON INSURANCE, APRIL 24, 2023
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
covered individual, the health care practitioner or the third
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21