Health & Saf. Code, § 1385.0023 · Article 6.1. Pharmacy Benefit Managers

Health & Saf. Code, § 1385.0023

Verbatim from the official edition

Text — As published in the Legislative Counsel's database, tables dated October 18, 2026 (pubinfo_2025.zip)

(a) The department may conduct periodic routine and nonroutine surveys of a pharmacy benefit manager. These surveys shall be conducted in accordance with Section 1380, as applicable.

(b) The department may conduct periodic routine and nonroutine examinations of the fiscal and administrative affairs of a pharmacy benefit manager. These examinations shall be conducted in accordance with Section 1382, as applicable.

(c) A complaint made by an enrollee that includes potential violations by a pharmacy benefit manager of the terms of this article shall be considered by the department to be a complaint against the health care service plan. A complaint made by an insured that includes potential violations by a pharmacy benefit manager of the terms of this article may be considered by the Department of Insurance to be a complaint against the insurer.

Notes and commentary — not statutory text

History

Amended by Stats. 2025, Ch. 605, Sec. 7. (SB 41) Effective January 1, 2026.

Source of truth

Edition: As published in the Legislative Counsel's database, tables dated October 18, 2026 (pubinfo_2025.zip)
Official file: https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=HSC&sectionNum=1385.0023.
Text hash: sha256 edd516890d7b438b5843d35cc4a2029d9b976e8bfd0cf7bf3f210709cfd83009
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Health and Safety Code

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