PBM and Insurer Reporting (SB 192) RAC

Currently, insurers offering health benefit plans in the small group and individual markets report information about drug pricing to the Department of Consumer and Business Services (DCBS) as part of the annual rate review process. SB 192 decouples this report from rate review, and instead requires all insurers to report the same information to DCBS annually. This change effectively expands the requirement to large group fully insured plans. SB 192 also requires PBMs required to register with DCBS to report specific information about rebates and other payments they receive from pharmaceutical manufacturers to the department annually. DCBS will be promulgating new rules to implement SB 192.

Committee contacts

Numi Griffith
Senior (Health) Policy Advisor
numi.l.griffith@dcbs.oregon.gov
Phone: 503-947-7206

Karen Winkel
Rules Coordinator
karen.j.winkel@dcbs.oregon.gov
Phone: 503-947-7694