HB2209: State pharmacy benefits manager; DMAS to select & contract with a third-party administrator to serve
Legislative Summary
Department of Medical Assistance Services; state pharmacy benefits manager. Requires the Department of Medical Assistance Services by December 31, 2025, to select and contract with a third-party administrator to serve as the state pharmacy benefits manager to administer all pharmacy benefits for Medicaid recipients, including recipients enrolled in a managed care organization. The bill enumerates requirements for the Department's contract with the state pharmacy benefits manager and prevents the state pharmacy benefits manager from having a business conflict of interest with any Medicaid provider or vendor. This bill was incorporated into HB 2610.
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