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Medicaid pharmacy reform fails in Utah Senate after fiscal and process concerns
Summary
Senate rejects House Bill 409, which would have shifted Medicaid pharmacy benefits delivery, after extended debate on fiscal risk, administrative burden and provider impacts; final vote 12–17.
SALT LAKE CITY — The Utah Senate on March 7 rejected House Bill 409, a proposal to change how Medicaid pharmacy benefits are delivered and paid. The bill failed on a roll-call vote, 12–17.
Sponsor Senator Kevin Brammer argued the change would save the state money. "If you look at the fiscal note, it saves us about $7,000,000 to our general fund every year and about $40,000,000 overall starting in 2027," Brammer said on the floor while describing the move away from the ACO/managed-care pharmacy delivery model toward a fee-for-service approach.
Opponents raised concerns about cost containment, administrative…
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