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So far Michael Silber has created 2157 blog entries.

Massachusetts

In April 2025, MassHealth will migrate its Medicaid Management Information System (MMIS) base application and Provider Online Service Center (POSC) to an Amazon Web Services (AWS) data center. MassHealth has published All Provider Bulletin 401- MMIS POSC Migration to Amazon Web Services, which outlines key cutover information. All published bulletins can be found on Mass.gov   

The MassHealth Business Support Service (BSS) Provider Relations team will be hosting an information session on March 10 at 10:00 am. Please register online. The following information will be addressed:  

  • Reasons for Migration: Understanding the benefits of transitioning to AWS. 
  • Timeline of Activities: Key steps along with dates and times you need to be aware of. 
  • Provider Impact: How this change may affect your workflow which might include technical impact of the changes, adjusted claims processing timelines, checking member eligibility; along with steps you can take to minimize any disruptions. 

If you have questions, please contact MassHealth at (800) 841-2900 or provider@masshealthquestions.com. 

For more information, please contact NACDS’ Ben Pearlman at 617-515-2603.

2025-03-06T18:31:17-05:00March 6, 2025|Massachusetts|

Nevada

AB 186 by Rep. David Orentlicher (D), a pharmacist, filed legislation expanding pharmacists’ scope of practice by allowing test and treat for minor ailments and allowing pharmacists to be recognized as lab directors and order tests. Also, it cleans up existing conflicting laws regarding administering and ordering CLIA-waived tests. NACDS and the Your Care Coalition submitted support letters. The bill was heard in the Assembly Commerce and Labor Committee on March 3. Testimony in support of the bill was presented by Ken Kunkle with the Nevada Pharmacy Alliance (NPAA), Liz MacMenamin with the Retail Association of Nevada (RAN) and Albertsons pharmacist Liz Moyr. Doctors opposed. 

For more information, contact NACDS’ Mary Staples at 817-442-1155.

2025-03-06T18:30:39-05:00March 6, 2025|Nevada|

New Mexico

HB 174, legislation that requires a rate floor for “local pharmacies, unanimously passed the House on March 3 and was referred to the Senate Tax, Business and Transportation Committee. Chain pharmacies oppose the bill because it applies to local pharmacies only.

For more information, contact NACDS’ Mary Staples at 817-442-1155.

2025-03-06T18:30:12-05:00March 6, 2025|New Mexico|

Oklahoma

Three PBM reform bills community pharmacies supported were unanimously approved by the Senate Business and Insurance Committee and will now advance to the full Senate.   

  • SB 789 addresses below-cost reimbursements by establishing a reimbursement rate floor of no less than 106% of the NADAC plus a professional dispensing fee of $15.00; NACDS sent a support letter 
  • SB 993 sets requirements and limits for audits; and 
  • SB 773 enhances the Attorney General’s enforcement authority ensuring proper reimbursement. 

 Also in Oklahoma, NACDS and the Your Care Coalition rallied support for SB 741, the test and treat bill, before the Senate Health and Human Services Committee on March 3. The bill title was amended and passed out of the committee. The next action will be on the Senate floor. 

Also in Oklahoma, SB 806, Food is Medicine legislation that would improve access to important nutrition services for SoonerCare beneficiaries by incentivizing improvements in their health and controlling healthcare costs by seeking a 1115 waiver, passed out of the Senate Health and Human Services Committee and was referred to the full Senate. NACDS sent the Senators a support letter. 

Finally in Oklahoma, legislation all pharmacies support, SB 906 by Sen. Paul Rosino (R), increasing the retail pharmacy technician to pharmacist ratio from 2:1 to 4:1, which is what is currently the ratio in other practice settings, cleared the Senate Health and Human Service Committee and referred to the Senate floor. 

For more information, contact NACDS’ Mary Staples at 817-442-1155.

2025-03-06T18:29:07-05:00March 6, 2025|Oklahoma|

South Dakota

SB 154, legislation prohibiting pharmaceutical manufacturers from interfering in contracts between 340B entities and pharmacies, passed the Senate and passed the House Health and Human Services Committee with 8-5 vote.

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.

2025-03-06T18:28:31-05:00March 6, 2025|South Dakota|

Tennessee

The Department of Commerce and Insurance (TDCI) recently posted a consent order with Express Scripts citing multiple violations of PBM laws and rules in the state, including improper payments regarding 277 claims, which adversely affected 40 pharmacies in the state. Express Scripts must pay a civil penalty of $250,000. 

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

2025-03-06T18:27:59-05:00March 6, 2025|Tennessee|

Texas

The Department of State Health Services (DSHS) briefed health partners on the measles outbreak throughout Texas. DSHS is posting updates on Tuesdays and Fridays when there are new cases to report. 

Also in Texas, the Health and Human Services Commission (HHSC) issued an updated Pharmacy Provider Procedure Manual 

Also in Texas, Gov. Greg Abbott (R) appointed Heisha Freeman as a public member to the Board of Pharmacy, replacing Garrett Marquis who resigned. Freeman’s term will expire on August 31, 2029.  

Finally in Texas, March 14 marks the 60th day of the 89th Regular Legislature Session, and the deadline for House and Senate members to file a bill.  

For more information, contact NACDS’ Mary Staples at 817-442-1155.

2025-03-06T18:27:32-05:00March 6, 2025|Texas|

Utah

HB 519, legislation addressing the 340B drug discount program, passed the House and was introduced in the Senate.  This bill would prohibit a pharmaceutical manufacturer from restricting, prohibiting or otherwise interfering with a 340B entity’s ability to acquire a 340B drug or participate in the 340B drug discount program. 

Also in Utah, HB 257, legislation related to health insurance pharmacy benefits, passed the House and was introduced in the Senate.  This bill would require a health benefit plan to ensure pharmaceutical rebates are used for certain purposes to benefit enrollees and require a PBM offers certain options to self-funded health benefit plans that (1) comply with provisions of Subsections 31A-22-643(4) and (5), collectively and individually; and (2) do not include spread pricing. 

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.

2025-03-06T18:27:03-05:00March 6, 2025|Utah|
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