Bill Text For HB4457 - Introduced

 1|                          STATE OF OKLAHOMA                            |
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 2|             2nd Session of the 60th Legislature (2026)                |
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 3|HOUSE BILL 4457                      By: Newton                        |
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 6|                            AS INTRODUCED                              |
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 7|       An Act relating to pharmacy benefits managers;                  |
  |       defining terms; regulating pharmacy benefits managers           |
 8|       interest in a certain license; providing enforcement;           |
  |       providing a limited exception; providing for                    |
 9|       promulgation of rules by the State Board of Pharmacy;           |
  |       allowing for extension of time depending on certain             |
10|       criteria; directing written notice to pharmacy                  |
  |       license holders in violation; specifying written                |
11|       notice requirements; requiring written notice to                |
  |       patients from pharmacy; providing for codification;             |
12|       and providing an effective date.                                |
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15|BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:                  |
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16|    SECTION 1.     NEW LAW     A new section of law to be codified     |
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17|in the Oklahoma Statutes as Section 356.10 of Title 59, unless there   |
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18|is created a duplication in numbering, reads as follows:               |
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19|    A.  As used in this section:                                       |
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20|    1.  "License" means a license issued pursuant to Section 353.18    |
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21|of Title 59 and shall include a pharmacy license for a mail-order      |
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22|pharmacy; and                                                          |
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   Req. No. 14549                                                  Page 1
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 1|    2.  "Pharmacy benefits manager" means the same as defined in       |
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 2|Section 6960 of Title 36 of the Oklahoma Statutes and shall include    |
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 3|an entity that:                                                        |
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 4|         a.    is managed by a pharmacy benefits manager or is a       |
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 5|              subsidiary of a pharmacy benefits manager, or            |
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 6|         b.    has a direct or indirect ownership interest in a        |
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 7|              pharmacy benefits manager.                               |
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 8|    B.  A pharmacy benefits manager shall not acquire direct or        |
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 9|indirect interest in, or otherwise hold, directly or indirectly, a     |
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10|license pursuant to Section 353.18 of Title 59 for retail sale of      |
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11|drugs or medicines in this state.                                      |
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12|    C.  On and after the effective date of this act, the State Board   |
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13|of Pharmacy shall either revoke or not renew a license of an entity    |
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14|that violates this section.                                            |
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15|    D.  Until September 1, 2028, the Board may issue a limited use     |
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16|license for certain rare, orphan, or limited distribution drugs that   |
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17|are otherwise unavailable in the market to a patient or a pharmacy     |
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18|that would otherwise be prohibited pursuant to this section.           |
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19|    1.  The Board may assess the need for rare, orphan, or limited     |
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20|distribution drugs pursuant to this subsection before revocation or    |
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21|renewal of an existing license for a pharmacy;                         |
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22|    2.  If the assessment made by the Board in paragraph 1 of this     |
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23|subsection determines that a rare, orphan, or limited distribution     |
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24|drug is otherwise unavailable in the market to a patient or pharmacy   |
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   Req. No. 14549                                                  Page 2
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 1|that would otherwise be prohibited in this section, the Board shall    |
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 2|convert the license for the prohibited pharmacy to a limited use       |
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 3|license for that pharmacy for a period of no less than ninety (90)     |
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 4|days; and                                                              |
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 5|    3.  The Board shall promulgate rules to implement the provisions   |
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 6|of this subsection.  The rules shall establish:                        |
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 7|         a.    the process in which a patient, pharmacy, or health     |
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 8|              care provider may notify the Board of a rare, orphan,    |
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 9|              or limited distribution drug unavailable in the          |
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10|              market,                                                  |
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11|         b.    the process in which a pharmacy may request a limited   |
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12|              use license,                                             |
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13|         c.    the timeline in which the Board shall make decisions,   |
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14|              and                                                      |
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15|         d.    the process for emergency determinations due to         |
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16|              patient need.                                            |
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17|    E.  The Board may extend the use of a license or issue a renewal   |
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18|of a license for a pharmacy that offers same-day patient access for    |
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19|pharmacist services, a prescription for a controlled substance,        |
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20|mental health services, or other critical patient health care          |
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21|services for a period of time as determines by the Board if there is   |
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22|a pending sale of the pharmacy to an eligible buyer.                   |
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23|    F.  This section shall not apply to a pharmacy employer and a      |
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24|pharmacy that:                                                         |
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   Req. No. 14549                                                  Page 3
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 1|    1.  Has direct or indirect interest in a pharmacy benefits         |
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 2|manager;                                                               |
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 3|    2.  The pharmacy employer is the sole Oklahoma client of the       |
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 4|pharmacy benefits manager that the pharmacy employer has a direct or   |
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 5|indirect interest in; and                                              |
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 6|    3.  Exclusively services the employees and dependents of the       |
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 7|pharmacy employer while utilizing the affiliated pharmacy benefits     |
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 8|manager in this state.                                                 |
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 9|    SECTION 2.     NEW LAW     A new section of law to be codified     |
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10|in the Oklahoma Statutes as Section 356.11 of Title 59, unless there   |
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11|is created a duplication in numbering, reads as follows:               |
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12|    A.  The State Board of Pharmacy shall conduct an initial           |
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13|assessment of each active pharmacy license that was issued pursuant    |
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14|to Section 353.18 of Title 59 as of July 1, 2026, and shall send       |
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15|written notice to each pharmacy license holder that the Board          |
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16|reasonably believes will violate Section 2 of this act at least        |
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17|ninety (90) days before January 1, 2027.  As used in this              |
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18|subsection, "written notice" means actual notice to the pharmacy       |
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19|license holder via mail or email.                                      |
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20|    B.  The written notice required pursuant to subsection A of this   |
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21|section shall include:                                                 |
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22|    1.  A list of each pharmacy benefits manager that holds a direct   |
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23|or indirect interest in, or otherwise holds, directly or indirectly,   |
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24|a license pursuant to Section 353.18 of Title 59 for the retail sale   |
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   Req. No. 14549                                                  Page 4
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 1|of drugs or medicines in this state held by the pharmacy license       |
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 2|holder;                                                                |
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 3|    2.  A phone number and email address that is monitored by the      |
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 4|Board during regular business hours; and                               |
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 5|    3.  A list of Oklahoma pharmacies that hold an active license      |
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 6|that are not reasonably expected to violate Section 2 of this act as   |
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 7|of January 1, 2027.  The list shall include:                           |
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 8|         a.    the name of the pharmacy,                               |
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 9|         b.    the phone number of the pharmacy,                       |
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10|         c.    the physical address of the pharmacy,                   |
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11|         d.    the website of the pharmacy, if known, and              |
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12|         e.    an email address for the pharmacy, if known.            |
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13|    If the Board has a searchable website that includes the            |
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14|information requires in this paragraph, the Board may provide the      |
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15|website information in lieu of the list.                               |
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16|    C.  A pharmacy license holder with written notice from the Board   |
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17|pursuant to subsection A of this section shall provide written         |
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18|notice at least sixty (6) days before January 1, 2027, to each         |
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19|patient and each patient's prescribing health care provider that has   |
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20|used the pharmacy within the previous twelve (12) months that the      |
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21|pharmacy can no longer dispense retail drugs to the patient on or      |
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22|after January 1, 2027.  As used in this subsection, "written notice"   |
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23|means actual notice to the patient via mail, email, or through the     |
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24|pharmacy's patient portal.  Written notice shall include the           |
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   Req. No. 14549                                                  Page 5
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 1|information under paragraphs 2 and 3 of subsection B of this section   |
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 2|provided by the Board to the pharmacy license holder.                  |
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 3|    SECTION 3.  This act shall become effective November 1, 2026.      |
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 5|    60-2-14549     TJ     12/10/25                                     |
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   Req. No. 14549                                                  Page 6
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