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Conference report for Senate Bill 1-40 seeks fair pharmacy reimbursement and protects patient choice, sponsor says
Summary
The Rules Committee considered a conference committee report for Senate Bill 1-40 aimed at fair pharmacy reimbursement for independent pharmacies, adding anti-steering protections and making mail-order specialty drugs exempt; concerns remain about potential fiscal effects on Medicaid and state employee plans.
Representative McGuire presented the conference committee report for Senate Bill 1-40, a pharmacy benefit manager (PBM) reform bill intended to ensure fair reimbursement for pharmacies, preserve patient choice, and protect independent community pharmacies from unfavorable contracting practices.
McGuire said the conference report would change reimbursement for independent pharmacies with liquor licenses to net acquisition cost (NADAC) plus dispensing fee, allowing contracted dispensing fees to be set in private contracts; the report also adds anti-steering protections so PBMs cannot require patients to receive specialty drugs…
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