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House approves Medicaid pharmacy changes, sponsor cites Milliman cost study
Summary
House Bill 409 passed the Utah House on March 3, 2025. Sponsor Representative Bollinger said the bill implements a Milliman study recommendation to move Medicaid pharmacy benefit administration to a fee-for-service structure to capture cost savings.
The Utah House on March 3, 2025, approved House Bill 409, which adjusts how the Medicaid pharmacy benefit is delivered. Representative Bollinger, who presented the bill, said the measure follows recommendations of a commissioned Milliman study.
Why it matters: Medicaid pharmacy payments affect the state budget and the delivery of prescription services to Medicaid enrollees. Representative Bollinger said the current system with…
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