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MD SB1021
MD SB1021Pharmacy Benefits Administration - Maryland Medical Assistance Program and Pharmacy Benefits Managers
summary
Introduced
02/02/2024
02/02/2024
In Committee
02/02/2024
02/02/2024
Crossed Over
Passed
Dead
04/08/2024
04/08/2024
Introduced Session
2024 Regular Session
Bill Summary
Altering the reimbursement levels for drug products that the Maryland Medical Assistance Program is required to establish and that pharmacy benefits managers that contract with a pharmacy on behalf of a managed care organization are required to reimburse the pharmacy; and altering the definition of "purchaser" for purposes of certain provisions of law regulating pharmacy benefits managers to include certain insurers, nonprofit health service plans, and health maintenance organizations.
AI Summary
This bill alters the reimbursement levels for drug products that the Maryland Medical Assistance Program is required to establish and that pharmacy benefits managers (PBMs) that contract with a pharmacy on behalf of a managed care organization are required to reimburse the pharmacy. The bill also expands the definition of "purchaser" for purposes of certain provisions of law regulating PBMs to include certain insurers, nonprofit health service plans, and health maintenance organizations. The bill exempts certain pharmacies owned by or affiliated with PBMs, as well as mail order pharmacies, from the minimum reimbursement requirements. The bill is an emergency measure necessary for the immediate preservation of public health or safety.
Committee Categories
Budget and Finance
Sponsors (1)
Last Action
Senate Finance Hearing (13:00:00 3/13/2024 ) (on 03/13/2024)
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://mgaleg.maryland.gov/mgawebsite/Legislation/Details/SB1021?ys=2024RS |
| BillText | https://mgaleg.maryland.gov/2024RS/bills/sb/sb1021f.pdf |
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