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Bill > HB4276

MI HB4276

MI HB4276
Human services: medical services; Medicaid managed care contract with pharmacy benefit manager; regulate, and require reporting. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding secs. 105i & 105j.

summary

Introduced
03/14/2023
In Committee
11/09/2023
Crossed Over
10/25/2023
Passed
11/09/2023
Dead
Signed/Enacted/Adopted
12/31/2023

Introduced Session

102nd Legislature

Bill Summary

AN ACT to amend 1939 PA 280, entitled ?An act to protect the welfare of the people of this state; to provide general assistance, hospitalization, infirmary and medical care to poor or unfortunate persons; to provide for compliance by this state with the social security act; to provide protection, welfare and services to aged persons, dependent children, the blind, and the permanently and totally disabled; to administer programs and services for the prevention and treatment of delinquency, dependency and neglect of children; to create a state department of social services; to prescribe the powers and duties of the department; to provide for the interstate and intercounty transfer of dependents; to create county and district departments of social services; to create within certain county departments, bureaus of social aid and certain divisions and offices thereunder; to prescribe the powers and duties of the departments, bureaus and officers; to provide for appeals in certain cases; to prescribe the powers and duties of the state department with respect to county and district departments; to prescribe certain duties of certain other state departments, officers, and agencies; to make an appropriation; to prescribe penalties for the violation of the provisions of this act; and to repeal certain parts of this act on specific dates,? (MCL 400.1 to 400.119b) by adding sections 105i and 105j.

AI Summary

This bill amends the Michigan Social Welfare Act to regulate Medicaid managed care contracts with pharmacy benefit managers (PBMs). It requires these PBMs to use a specific pharmacy reimbursement methodology for small pharmacies, prevent contract terminations for these pharmacies, and move to a transparent pass-through pricing model. The bill also requires PBMs to report detailed information on prescription drugs, rebates, and fees to the state Department of Health and Human Services annually. This data will then be shared with the state legislature to provide oversight over PBM practices in the Medicaid program.

Committee Categories

Health and Social Services

Sponsors (38)

Alabas Farhat (D)*,  Abraham Aiyash (D),  Julie Brixie (D),  Erin Byrnes (D),  Brenda Carter (D),  Tyrone Carter (D),  Jaime Churches (D),  Kevin Coleman (D),  Jennifer Conlin (D),  Emily Dievendorf (D),  Kimberly Edwards (D),  Kristian Grant (D),  Jim Haadsma (D),  Rachel Hood (D),  Kara Hope (D),  Jason Hoskins (D),  Matt Koleszar (D),  Tullio Liberati (D),  Sharon MacDonell (D),  Jaz Martus (D),  Mike McFall (D),  Donavan McKinney (D),  Denise Mentzer (D),  Reggie Miller (D),  Jason Morgan (D),  Christine Morse (D),  Cynthia Neeley (D),  Amos O'Neal (D),  Veronica Paiz (D),  Laurie Pohutsky (D),  Ranjeev Puri (D),  Helena Scott (D),  Lori Stone (D),  Penelope Tsernoglou (D),  Curt VanderWall (R),  Karen Whitsett (D),  Jimmie Wilson (D),  Stephanie Young (D), 

Last Action

Assigned Pa 279'23 (on 12/31/2023)

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