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OCA outlines pharmaceutical workstream: PBM licensing proposal, CalRx expansions and HPD non‑claims collection
Summary
OCA staff summarized pharmaceutical cost drivers and state budget proposals including a May Revision plan to require pharmacy benefit managers (PBMs) to be licensed by the Department of Managed Health Care and to report data to HCAI's Healthcare Payments Database (HPD). Staff described CalRx procurement work, SB 17 reporting and planned HPD
OCA staff gave the Board a detailed briefing on pharmaceuticals as a driver of healthcare spending and on several state policy proposals and data initiatives intended to improve transparency and affordability.
State budget and policy proposals: Director Landsberg told the Board the Governor’s May Revision proposes licensing PBMs under the Department of Managed Health Care and requiring PBMs to report data to HCAI’s Healthcare Payments Database. Landsberg said the aim of those proposals is “to really gain a better understanding of their costs with the ultimate goal of trying to improve affordability of prescription drugs in California.” The May Revision also…
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