40 Pa. Stat. § 4521

Current through Pa Acts 2024-53, 2024-56 through 2024-92
Section 4521 - [Effective 11/14/2024] PBM and auditing entity registration
(a)General rule.--To conduct business in this commonwealth, a PBM or auditing entity must register with the department. The department shall make an application form available on its publicly accessible internet website that shall require:
(1) The identity, address and telephone number of the applicant.
(2) The name, business address and telephone number of the contact person for the applicant.
(3) When applicable, the federal employer identification number for the applicant.
(a.1) PSAO registration.--To conduct business in this Commonwealth, a PSAO shall register with the department on an application form provided by the department. The form shall reflect the reporting requirements under section 704.1. Nothing under this subsection shall be construed as requiring a health insurer, health benefit plan or PBM to enter into a contract with a PSAO.
(b) Term and fee.--
(1) The term of registration shall be two years from the date of issuance.
(2) The department shall set an initial application fee and a renewal application fee, which shall be submitted with an application for registration. An initial application fee shall be nonrefundable. A renewal application fee shall be returned if the renewal of the registration is not granted.
(3) The amount of the initial application fee and renewal application fee shall be sufficient to fund the department's duties in relation to its responsibilities under this chapter but may not exceed :
(i) $10,000 for a PBM or auditing entity.
(ii) $500 for a PSAO.
(c)Registration.--
(1) The department shall issue a registration, as appropriate, to an applicant when the department determines that the applicant has submitted a completed application and paid the required registration fee.
(2) The registration may be in paper or electronic form, shall be nontransferable and shall prominently list the expiration date of the registration.
(d)Duplicate registration.--
(1) A licensed insurer or a manged care plan with a certificate of authority shall comply with the standards and procedures of this act but shall not be required to separately register as either a pbm or auditing entity.
(2) A PBM that is registered under this chapter shall comply with the standards and procedures of this act but shall not be required to register separately as an auditing entity.

40 P.S. § 4521

Amended by P.L. (number not assigned at time of publication) 2024 No. 77,§ 5, eff. 11/14/2024.
Added by P.L. TBD 2016 No. 169, § 501, eff. 2/19/2017.
This section is set out more than once due to postponed, multiple, or conflicting amendments.