Concurrent Resolution Directing PEHP Regarding Pharmaceutical Rebates
HCR 2 directs Utah's Public Employees' Benefit and Insurance Program (PEHP) to provide state health plan members with the estimated value of pharmaceutical rebates at the point of drug purchase. This primarily affects state employees and their families enrolled in PEHP who use rebate-paying prescription drugs, particularly those with high out-of-pocket costs for medications. The bill requires PEHP to distribute rebate values directly to members based on their cost-sharing responsibility, reducing their immediate payment for covered drugs. To maintain cost neutrality for the state, PEHP will adjust member premiums or health savings account contributions across all plan members. This change aims to address the current system where rebate savings flow to the state risk pool rather than directly offsetting members' drug costs.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2025
Committee Review
Feb 2025
House Passage
Feb 2025
Senate Passage
Feb 2025
Signed into Law
Feb 2025
Introduced Jan 21, 2025
Signed Feb 28, 2025
Maddy AI version diff · 3 comparisons
What changed between versions
Amended Excerpts 1/24/2025 10:01:262
→
Amended 1/24/2025 10:01:262
·
3 edits
MINOR
The bill was amended to clarify that rebates flow from the PBM and PEHP to the state risk pool, and to specify that the financial burden of rebates should end for members with high-cost health needs. The amendment also adds language stating that the change will provide relief to state employees and their family members who are the sickest among us. These changes aim to improve transparency and ensure that rebate savings benefit the most vulnerable members of the state health plan.
Scope change
The scope remains focused on directing PEHP to provide estimated pharmaceutical rebate values to state plan members at the point of sale, with no change in applicability.
REQUIREMENT
Added clarification that 100% of rebates flow from the PBM and PEHP to the state risk pool in the case of the state health insurance plan.
Added language specifying that the change will provide relief to state employees and their family members who are the sickest among us.
TECHNICAL
Updated formatting and line numbers to reflect House Committee amendments.
Floor votes
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
33
Key actions
8
Committee
4
Amendments
2
Feb 28, 2025
Signed into law
Governor Signed
executive
Feb 13, 2025
Legislature · Passed
House/ signed by Speaker/ sent for enrolling
legislature
Feb 12, 2025
Lower · Passed
Senate/ signed by President/ returned to House
lower
Feb 12, 2025
Upper · Passed
Senate/ passed 3rd reading
upper
Feb 6, 2025
Upper · Passed
Senate Comm - Favorable Recommendation
upper
Feb 4, 2025
Committee
Senate/ to standing committee
upper
Feb 3, 2025
Introduced
Senate/ 1st reading (Introduced)
upper
Jan 31, 2025
Upper · Passed
House/ passed 3rd reading
upper
Jan 24, 2025
Lower · Passed
House/ comm rpt/ amended
lower
Jan 23, 2025
Lower · Passed
House Comm - Favorable Recommendation
lower
Jan 23, 2025
Introduced
House Comm - Amendment Recommendation
lower
Jan 22, 2025
Committee
House/ to standing committee
lower
Jan 21, 2025
Introduced
House/ 1st reading (Introduced)
lower
1 primary · 1 co-sponsor
Sponsors
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