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PEBB staff monitors several bills that could affect costs, rebates and provider payments
Summary
PEBB staff briefed the board on several pending bills — including proposals affecting hospital payment caps and the distribution of pharmacy rebates — and said the agency is analyzing potential fiscal impacts.
PEBB staff reported to the board on March 25 that it is monitoring multiple 2025 legislative bills that could affect plan costs, rebate distribution or provider payments.
Celestina Glover highlighted a bill that would revise how hospitals and ambulatory surgical facilities are reimbursed (listed in materials as AB 349) and two Senate bills (SB 209 and SB 316) that would alter the application of pharmacy rebates. Glover said the hospital bill as currently written assumes direct contracting or a rate cap approach that PEBB does not use and that…
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