305 Ill. Comp. Stat. § 5/5-4.1. Co-payments: Medical Assistance – Illinois
Status: Enacted Year Enacted: 1981
Co-payments are permissible for most health care services, but not for chronic illness treatment. There is a $2 co-pay for generic drugs.
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305 Ill. Comp. Stat. § 5/5-5.12. Pharmacy payments: Medical Assistance – Illinois
Status: Enacted Year Enacted: 1984
Pharmacies providing prescription drugs under this Article shall be reimbursed at a rate which shall include a professional dispensing fee as determined by the Illinois Department, plus the current acquisition cost of the prescription drug …
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305 Ill. Comp. Stat. § 5/5-5.12a. Title XIX waiver; pharmacy assistance program: Medical Assistance – Illinois
Status: Enacted Year Enacted: 2001
The Illinois Department may seek a waiver of otherwise applicable requirements of Title XIX of the federal Social Security Act1 in order to claim federal financial participation for a pharmacy assistance program for persons aged …
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A 02007 (see companion bill S 01507) – New York
Introduced: 2019 Status: Enacted Year Enacted: 2019
Enacts into law major components of legislation necessary to implement the state health and mental hygiene budget for the 2019-2020 state fiscal year; extends and enhances the Medicaid drug cap and reduces unnecessary pharmacy benefit …
A 02783 – New York
Introduced: 2019 Status: Inactive / Dead
Provides for increasing the applicability of brand name and generic prescription drugs and other medical services, except diagnostic services, co-payments for medicaid recipients.
A 02795 (see companion bill S 05923) – New York
Introduced: 2019 Status: Inactive / Dead
Extends the preferred drug program to medicaid managed care providers and offers the program to other health plans.
A 02799 (see companion bill S 01794) – New York
Introduced: 2019 Status: Inactive / Dead
Provides for coverage for certain medically necessary prescription drugs in Medicaid managed care programs.
A 02843 – New York
Introduced: 2019 Status: Inactive / Dead
Requires Medicaid managed care, and Child Health Plus plans to adopt the procedural protections of the Preferred Drug Program, including “prescriber prevails,” for all drugs.
A 2332 (see companion bill S 1076) – New Jersey
Introduced: 2022 Status: In Process
Requires all Medicaid managed care organizations to permit all pharmacies in State to dispense prescriptions for all covered medications.
A 3007 (see companion bill S 2007) – New York
Introduced: 2017 Status: Enacted
HEALTH AND MENTAL HEALTH BUDGET: Establishes a Medicaid drug cap. Providers for Medicaid DUR Board to follow a recommendation for a target supplemental Medicaid rebate to be paid by the manufacturer of the drug to …
A 3159 (see companion bill S 2829) – New Jersey
Introduced: 2022 Status: In Process
Requires hiring of vendor to manage Medicaid Multi-State Pooling Supplemental Rebate Arrangement program and associated uniform Preferred Drug List.
A 4073 – New Jersey
Introduced: 2022 Status: In Process
Establishes three-year Medicaid demonstration project to pay for certain drugs according to value-based system.
A 4790 (replaced by S 887) – New Jersey
Introduced: 2020 Status: Inactive / Dead
Requires DHS to contract with third party entity to apply risk reduction model to Medicaid prescription drug services.*
A 5733 (see companion bill S 2544) – New York
Introduced: 2017 Status: Inactive / Dead
PRICE GOUGING: PRESCRIPTION DRUGS. If a drug manufacturer of a brand or generic drug, made available in New York, increases the wholesale acquisition cost (WAC) of a drug by a percent equal to or greater …
A 700 (see companion bill S 2919) – New York
Introduced: 2017 Status: Inactive / Dead
Relates to prescription drugs in Medicaid managed care programs. The managed care provider shall develop its preferred drug list based initially on an evaluation of the clinical effectiveness, safety, and patient outcomes, followed by consideration …
AB 1050 – California
Introduced: 2021 Status: Inactive / Dead
Medi-Cal: application for enrollment: prescription drugs. (1) Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The …