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Nebraska committee hears bill to tier Medicaid dispensing fee after 2024 increase for independents
Summary
Lawmakers and pharmacy groups debated LB 138, which would expand and tier the $10.38 Medicaid dispensing fee adopted in 2024 for independent pharmacies so that higher‑volume and larger pharmacies receive graduated reimbursements; sponsors said the change aims to preserve rural access and equitable reimbursement.
Senator Merv Riepe introduced LB 138 as a follow-up to last year's legislation (LB 204) that established an enhanced Medicaid dispensing fee for some independent pharmacies. "LB 138 is an effort to fine tune this policy and address equity in the reimbursement to avoid unintended disparities," Riepe said in his opening statement.
The bill would extend the $10.38 dispensing fee beyond the independent‑pharmacy definition (six or fewer locations) and create a tiered schedule based on annual prescription volume: pharmacies under 30,000 prescriptions, a $10.38 fee; 30,000–69,999…
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