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Committee hears urgent testimony on single-PBM/PBA pharmacy reform; bill laid over amid fiscal and 340B questions
Summary
Representative Nadeausponsored House File 2242 would create a state-selected single pharmacy-benefit administrator (PBA) for the Medical Assistance pharmacy benefit. Sponsors and pharmacists said the change would stop below-cost reimbursements and prevent pharmacy closures; witnesses, members and DHS discussed 340B covered-entity protections,
Representative Nadeau introduced House File 2242, a major pharmacy-reform proposal to create a single state-selected pharmacy benefit administrator (PBA) or single PBM model for Medical Assistance drug benefit management and to change how Medicaid reimbursements are calculated and adjudicated.
Why it matters: Supporters — including independent pharmacists and pharmacy trade groups — said current managed‑care PBMs and contracting practices force pharmacies to accept below‑cost reimbursement (including “maximum allowable cost” lists) that make many…
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