In Review: The Health Coverage, Insurance, and Financial Services (HCIFS) held a work session on a NADAC plus Medicaid reimbursement bill. PCMA previously testified on increased costs associated with the bill, citing West Virginia data. The sponsor, also the House chair of HCIFS, introduced a verbal amendment at the start of the work session. No one was able to review the amendment, but it states that a PBM may not reimburse a non-affiliate pharmacy less than a PBM-affiliated pharmacy.

Up Next: PCMA will participate in a work session on a delinking and a ban on spread pricing bill on Thursday, May 8. PCMA sent a redline to the sponsor and the Bureau of Insurance. PCMA will continue working with HCIFS committee members on the costs of delinking.

If you have any questions, please contact Sam Hallemeier at shallemeier@pcmanet.org.