Nebraska
The Department of Health and Human Services posted the agenda for the September 9 meeting of the Drug Utilization Review (DUR) Board.
For more information, contact NACDS’ Sandra Guckian at 703-774-4801.
New York
The Office of Health Insurance Programs of the State Department of Health has approved the release of the June 2025 Medicaid Update. The current issue’s table of contents includes the following:
All Providers
- New York State Recipient Restriction Program and Health Home Care Management Program Services (Cover)
- New York State Department of Health Announces New Advisory Boards: Medicaid Advisory Committee and Beneficiary Advisory Council
- Notification of Pregnancy to Medicaid Managed Care Plans
- New York State Office of the Medicaid Inspector General to Perform Compliance Program Reviews Using a 12-Month Review Period
Policy and Billing
- Payment Error Rate Measurement Upcoming Request for New York State Medicaid Provider Documentation
- Update and Reminder: Medicaid Policy on Loss of Records Due to Unforeseen Events
Pharmacy
- Notice for Upcoming Over-the-Counter Coverage Changes
- Attention Providers: Disclosure of Ownership and Control Information
Also in New York, the July Department of Health (DOH) Pharmacy Association meeting shared the updated form for NYRx, the New York State Medicaid Pharmacy Program Coordination of Benefits: Non-Preferred Diabetic Supplies, as discussed in the July Department of Health (DOH), Office of Health Insurance Programs (OHIP) and Pharmacy Associations meeting. The update is also located on the DOH website in the Medical Supplies section under Preferred Diabetic Supply Program (PDSP).
For more information, please contact NACDS’ Mike Sargent at 207-272-6435.
North Carolina
With no full budget agreement in sight, state lawmakers reached a deal on a 31-page mini-budget, HB 125: Continuing Budget Operations, which now heads to Gov. Josh Stein (D). The bill allocates over $1 billion in funding, including step increases for public school teachers, support for K-12 growth and Medicaid rebase funding, critical dollars needed annually to cover changing Medicaid costs.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
Oregon
The Division of Financial Regulation recently announced the following permanent rulemaking that took effect on August 1:
ID 6-2025: Updates to Pharmacy Benefit Manager Rules and DPT Insurer Reporting Rule
Rules: 836-053-1630, 836-200-0401, 836-200-0406, 836-200-0411, 836-200-0416, 836-200-0418, 836-200-0421, 836-200-0436, 836-200-0440
This rulemaking replaces references to registration throughout the current rules, encoded at OAR 836- 200-0401 et seq with references to licensure. It also adds new data elements to the reporting rule and new market conduct requirements. It also adds language clarifying the bar on retaliation against pharmacies, noting that a pharmacy claims audit may be considered retaliation under certain circumstances. Finally, the rulemaking includes substantial revisions to the language related to pharmacy reimbursement in order to clarify expectations for PBMs when a pharmacy is reimbursed below acquisition cost under a maximum allowable cost schedule.
Also in Oregon, the Prescription Drug Affordability Board posted its draft agenda for the August 20 meeting. Register in advance.
For more information, contact NACDS’ Sandra Guckian at 703-774-4801.
Rhode Island
See the August 2025 provider update, which includes information on upcoming Pharmacy & Therapeutics (P&T) Committee and Drug Utilization Review (DUR) Board meetings scheduled for September 9 at the Executive Office of Health and Human Services (EOHHS) office in Cranston as well as upcoming payment and processing schedules. Additional provider updates can also be found on the EOHHS website.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
South Carolina
US Rep. Nancy Mace (R) announced her candidacy for governor this week at The Citadel, where she made history as the first female graduate. She enters a crowded Republican primary field that already includes US Rep. Ralph Norman, Lt. Gov. Pamela Evette, Attorney General Alan Wilson and state Sen. Josh Kimbrell.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
Tennessee
During the July Board of Pharmacy meeting, the Office of the General Counsel announced that the new pharmacy technician rules are expected to take effect around October 21. Additionally, a rulemaking hearing on compounding regulations is anticipated to be scheduled later this year or early next year. The Board’s October meeting has been rescheduled to October 20 and 21.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
Texas
The 30-day special legislative session entered its third week with high drama, as Democrat lawmakers fled the state to prevent Republicans from holding a vote in the House on a new congressional map that was approved by the House Select Committee on Congressional Redistricting. The Democrats face a $500 fine for every day they break quorum. The Texas House voted 85-6 on August 4 to track down and arrest more than 50 Democrat lawmakers. House Speaker Dustin Burrows (R) signed civil warrants, empowering the House sergeant-at-arms and state troopers to arrest and bring them to the Capitol.
Also in Texas, Diabetes News You Can Use is a free news bulletin from the Department of State Health Services (DSHS). It is compiled by the Diabetes Prevention and Control Program and highlights information and news related to diabetes.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
Utah
The Board of Pharmacy published its August 2025 newsletter including the following items of interest: New Online Toolkit Supports Utah Pharmacists in Managing CS [Controlled Substances] and 2025 Utah Pharmacy Law Update: Therapeutic Interchange and Expanded Pharmacist Authority.
For more information, contact NACDS’ Sandra Guckian at 703-774-4801.