An Act amending the act of November 21, 2016 (P.L.1318, No.169), known as the Pharmacy Audit Integrity and Transparency Act, in enforcements, further providing for scope of enforcement authority.
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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 amends the Pharmacy Audit Integrity and Transparency Act to clarify the scope of enforcement authority. Specifically, it ensures that pharmacy benefit managers (PBMs) must accept prescriptions from any licensed pharmacy and cannot restrict a Medicaid patient's pharmacy choices based solely on the PBM's contracting preferences. The bill also aims to improve transparency and accountability within the pharmacy auditing process.
Key provisions
- PBMs must accept prescriptions from all licensed pharmacies.
- PBMs cannot restrict pharmacy choices for Medicaid patients based on private contracting.
- The bill expands the enforcement authority of the Pharmacy Audit Integrity and Transparency Act.
Who is affected
- Pharmacy Benefit Managers (PBMs)
- Medicaid patients
- Pharmacies
- Pharmacists
- The Department of Human Services
Notable changes
- Clarifies PBMs’ obligations regarding accepting prescriptions from all licensed pharmacies.
- Adds a restriction on PBMs limiting pharmacy choices for Medicaid patients.
Bill text
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Document of record
- Version
- Pn 3236 Html
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Sponsors
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9 on record
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