Georgia Code
Chapter 64 - Regulation and Licensure of Pharmacy Benefits Managers
§ 33-64-10. Administration of Claims by Pharmacy Benefits Manager

History. Code 1981, § 33-64-10 , enacted by Ga. L. 2017, p. 494, § 2/HB 276; Ga. L. 2017, p. 497, § 2/SB 103; Ga. L. 2019, p. 940, § 2/HB 323; Ga. L. 2020, p. 493, § 33/SB 429; Ga. L. 2020, p. 654, § 4/HB 918; Ga. L. 2020, p. 768, § 6/HB 946; Ga. L. 2020, p. 780, § 6/SB 313.
The 2020 amendments. —
The first 2020 amendment, effective July 29, 2020, part of an Act to revise, modernize, and correct the Code, revised punctuation in subsection (b). The second 2020 amendment, effective July 1, 2020, near the end of paragraph (c)(4), inserted “which are” and substituted “Code Section 26-4-110” for “Code Section 26-4-110.1” The third 2020 amendment, effective July 1, 2021, in subsection (b), inserted “offer a health plan the ability to receive 100 percent of all rebates it receives from pharmaceutical manufacturers. In addition, a pharmacy benefits manager shall”, substituted “health plan and the department” for “client, including but not limited to insurers and payors”, inserted “and other payments”, and substituted “health plan” for “client and the aggregate amount of such rebates the pharmacy benefits manager received from pharmaceutical manufacturers that it did not pass through to the client” at the end; added subsections (c), (d), (e) and (g); redesignated former subsection (c) as present subsection (f); and, in present subsection (f), substituted “any” for “: (1) A care management organization, as defined in Chapter 21A of this title; (2) The Department of Community Health, as defined in Chapter 2 of Title 31; (3) The State Health Benefit Plan under Article 1 of Chapter 18 of Title 45; or (4) Any” and substituted “Code Section 26-4-110” for “Code Section 26-4-110.1”. The fourth 2020 amendment, effective July 1, 2021, made identical changes as the third 2020 amendment. See the Editor’s notes for applicability.
Editor’s notes.
Ga. L. 2020, p. 768, § 9(a)/HB 946 and Ga. L. 2020, p. 780, § 9(a)/SB 313, not codified by the General Assembly, provide that the amendment to this Code section is applicable to all contracts issued, delivered, or issued for delivery in this state on and after July 1, 2021.

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