An Act relative to MassHealth managed care pharmacy benefit reimbursement rates
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Overview
This bill addresses pharmacy benefit reimbursement rates for MassHealth managed care plans. It seeks to ensure that these plans adequately reimburse pharmacies for the medications prescribed to their members. The bill aims to improve access to medications and potentially reduce financial burdens on both patients and pharmacies. It focuses on adjusting the rates paid by managed care organizations to pharmacies.
Key provisions
- Requires MassHealth managed care plans to reimburse pharmacies at rates that cover the cost of medications.
- Establishes a process for reviewing and adjusting reimbursement rates.
- Directs the Department of Public Health to monitor pharmacy reimbursement rates.
- Promotes transparency in pharmacy reimbursement practices.
- Addresses potential disparities in reimbursement rates across different pharmacies.
Who is affected
- MassHealth recipients
- Pharmacies
- MassHealth managed care plans
- Patients in Massachusetts
- The Department of Public Health
Notable changes
- The bill intends to standardize pharmacy reimbursement rates across MassHealth managed care plans.
- It may lead to increased reimbursement rates for pharmacies.
- It establishes a framework for ongoing monitoring and adjustment of these rates.
Bill text
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Sponsors
Official sponsors from legislative records.
3 on record
Primary sponsor
Cosponsors
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