Pharmacy benefit managers.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Health
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Overview
This bill requires the Department of Health Care Services to create a public website displaying information about licensed pharmacy benefit managers (PBMs), including their legal name, license number, and expiration date. It also makes a technical change to the Medi-Cal program to ensure qualifying inmates remain eligible for targeted Medi-Cal services for 90 days or as approved by CalAIM, and requires an independent evaluation of the program’s outcomes.
Key provisions
- Requires the Department of Health Care Services to establish a public website with PBM information.
- Specifies the information to be displayed on the PBM website (name, license number, expiration date).
- Makes a technical amendment to Medi-Cal eligibility for inmate targeted services.
- Mandates an independent third-party evaluation of the impact of targeted Medi-Cal services on qualifying inmates.
- Requires the evaluation report to be posted on the Department’s website.
Who is affected
- Pharmacy Benefit Managers (PBMs)
- Medi-Cal recipients
- Inmates of public institutions
- Department of Health Care Services
- The public
Notable changes
- Establishes a requirement for PBMs to obtain a license from the Department of Managed Health Care.
- Creates a public database of licensed PBMs.
Bill text
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Sponsors
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1 on record
Primary sponsor
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