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Sponsor introduces proposal for a state public–private PBM partnership; committee holds bill for more work

2139750 · January 22, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Senator Zay presented a proposal to create a state-run or state-partnered PBM to give the state a direct role in negotiating drug prices and rebates for state health plans; stakeholders raised technical objections and committee opted to hold the bill for further study.

Senator Zay presented a proposal to authorize the state to enter a public-private partnership or contract to operate a pharmacy benefit manager (PBM) for state health programs. The sponsor framed the concept as a way to increase price transparency, negotiate rebates directly and reduce spread pricing.

Senator Zay said the model, used in some other states, would allow the state to control PBM contracting for Medicaid and state employee plans and capture more of the rebate and price benefits for public programs. "The only way…

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