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SB 1628: Medicaid Pharmacy Services

GENERAL BILL by Wright

Medicaid Pharmacy Services; Deleting the requirement that Medicaid managed care plans cover prescription drug services; beginning on a specified date, requiring the Agency for Health Care Administration to reimburse Medicaid providers for pharmacy services directly through a fee-for-service delivery system, regardless of whether the Medicaid recipient was previously enrolled in a managed care plan; requiring the agency to establish reimbursement rates, dispensing fees, and any supplemental rebates for pharmacy services, etc.

Effective Date: 7/1/2025
 Last Action: 5/3/2025 Senate - Indefinitely postponed and withdrawn from consideration
Bill Text: Web Page | PDF
Senate Committee References:
  1. Health Policy (HP)
  2. Appropriations Committee on Health and Human Services (AHS)
  3. Fiscal Policy (FP)

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  • Bill History

    Date Chamber Action
    2/28/2025 Senate • Filed
    3/7/2025 Senate • Referred to Health Policy; Appropriations Committee on Health and Human Services; Fiscal Policy
    3/10/2025 Senate • Introduced
    5/3/2025 Senate • Indefinitely postponed and withdrawn from consideration

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  • SB 1628, Original Filed Version (Current Bill Version) Posted 2/28/2025 at 8:05 AM

    Bill Text:   Web Page | PDF
    Analyses:   None

    Citations - Statutes (3)

    Citation Catchline Location in Bill Location In Bill Help
    409.908 Reimbursement of Medicaid providers. Page 2 (pdf)
    409.912 Cost-effective purchasing of health care. Page 27 (pdf)
    409.973 Benefits. Page 1 (pdf)

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