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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A 5588 (see companion bill S 3962) – New Jersey
Introduced: 2023 Status: In Process
Requires prescription drug services covered under Medicaid program to be provided via fee-for-service delivery system.
A 5911 (see companion bill S 5136) – New York
Introduced: 2023 Status: In Process
Relates to pharmacy services provided by managed care providers; requires pharmacy benefit managers and managed care providers to reimburse retail pharmacies for each outpatient drug, at the National Average Drug Acquisition Cost (NADAC); repeals related …
A 7789 – New York
Introduced: 2023 Status: In Process
Relates to establishing the “340B prescription drug anti-discrimination act”; prohibits pharmaceutical manufacturers and pharmacy benefit managers from discriminating against covered entities and New York state pharmacies based on participation in the drug discount program authorized …
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 …
AB 2100 – California
Introduced: 2020 Status: Inactive / Dead
Medi-Cal: pharmacy benefits. (1) Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services and under which health care services are provided to qualified low-income persons pursuant to a schedule …
AB 550 (see companion bill SB 542) – Wisconsin
Introduced: 2021 Status: Inactive / Dead
This bill prohibits any person from reimbursing certain entities that participate in the federal drug pricing program, known as the 340B program, for a drug subject to an agreement under the program at a rate …
AB 748 (see companion bill SB 719) – Wisconsin
Introduced: 2023 Status: In Process
Cost-sharing cap on insulin This bill prohibits every health insurance policy and governmental self-insured health plan that cover insulin and impose cost sharing on prescription drugs from imposing cost sharing on insulin in an amount …
Cal. Welf. & Inst. Code §§ 14100 through 14124.14: Medi-Cal Act – California
Status: Enacted Year Enacted: 1965
Each eligible facility, as described in subdivision (b), may, in addition to the rate of payment that the facility would otherwise receive for adult day health services, receive supplemental Medi-Cal reimbursement to the extent provided …
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H 959 (see companion bill S 704) – Massachusetts
Introduced: 2023 Status: In Process
An Act prohibiting discrimination against 340b drug discount program participants
HB 1122 – Colorado
Introduced: 2022 Status: Enacted
Concerning prohibiting certain practices by entities obligated to pay for prescription drug benefits, and, in connection therewith, making an appropriation.
HB 1162 – Virginia
Introduced: 2022 Status: Enacted
Health insurance; discrimination prohibited against covered entities and contract pharmacies. Prohibits carriers and pharmacy benefits managers from discriminating in the requirements, exclusions, terms, or other conditions imposed on a covered entity or contract pharmacy on …
HB 1274 – Maryland
Introduced: 2022 Status: Enacted
Establishing requirements and prohibitions on pharmacy benefits managers related to the federal 340B Program, including requirements related to coverage and reimbursement for drugs purchased under the Program.
HB 1348 (see companion bill SB 1205) – Tennessee
Introduced: 2021 Status: Inactive / Dead
As introduced, prohibits certain health insurance issuers, managed health insurance issuers, pharmacy benefits managers, or other third-party payers from taking certain actions against entities participating in the federal 340B drug discount program. – Amends TCA …
HB 1393 – Indiana
Introduced: 2021 Status: Inactive / Dead
Pharmacy benefit managers. Prohibits the inclusion of certain provisions in a contract between a pharmacy benefit manager and an entity authorized to participate in the federal 340B Drug Pricing Program. Provides that a pharmacy benefit …
HB 1405 – Indiana
Introduced: 2021 Status: Enacted
Requires the legislative services agency to conduct a study of market concentration in Indiana in the health insurance industry, the hospital industry, and five other industries and to present the findings of the study to …