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Committee advances bill directing state to consider single PBM for Medicaid; stakeholders divided

2150007 · January 23, 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

Senate bill debated a proposal directing the Department of Medical Assistance Services (DMAS) to contract with a single pharmacy benefit manager (PBM) for Medicaid pharmacy benefits. The subcommittee recommended reporting, but the measure drew concerns from insurers and PBMs and will go to Finance for fiscal review.

The Senate Health Professions Subcommittee and the full Committee on Education and Health reported a bill that would direct the Department of Medical Assistance Services (DMAS) to contract with a single State Pharmacy Benefits Manager (PBM) for Medicaid. The measure was the subject of extended discussion among committee members and stakeholders.

Senator Favola described the bill as directing DMAS "to contract with 1 pharmacy benefit manager for all of our Medicaid insurance…

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