Bill > A4238

Introduced Session

This bill requires the Department of the Treasury to regularly review the contract and performance of the pharmacy benefits manager for the State Health Benefits Program (SHBP) and the School Employees' Health Benefits Program (SEHBP). Under the bill, beginning in the calendar year of the bill's effective date and every five calendar years thereafter, the Division of Pensions and Benefits is required to conduct a formal review of the contract and the performance of the pharmacy benefits manager for the SHBP and the SEHBP. During the review, the division is required to consider: whether the contract for the pharmacy benefits manager is cost-effective and beneficial to the State and participating units and education units of local government; whether the pharmacy benefits manager is meeting operational objectives; whether the pharmacy benefits manager is meeting financial objectives; and the amount of annual net savings realized as a result of the contract and the performance of the pharmacy benefits manager. Following the review, the division is required to publish a report summarizing the results of the formal review on the Internet website of the division and made available to the public 30 days following the conclusion of the formal review process.

AI Summary

Committee Categories

Heather Simmons (D)*, 

Introduced, Referred to Assembly State and Local Government Committee (on 02/19/2026)

Official Document