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Pennsylvania

The Department of Insurance (PID) announced the launch of a new online portal specifically for pharmacies to submit complaints related to the enforcement of Act 77, the 2024 PBM commercial market reform law. The new portal is intended to create a single, streamlined submission form that collects all required information and allows pharmacies to file complaints related to clawbacks, steering, rebates, reimbursement and specialty drug designations. NACDS encourages members to test the portal and share your feedback with Jill McCormack.

For more information, contact NACDS’ Jill McCormack at 717-592-8977.

2026-05-15T12:12:42-04:00May 15, 2026|Pennsylvania|

South Carolina

Federal law requires all providers who order, refer or prescribe (ORP) services or items for Medicaid members to be enrolled in respective state Medicaid programs. Currently, pharmacists are notified at point of sale if prescriptions were written by a non-enrolled Department of Health and Human Services (SCDHHS) provider with the statement “prescriber enrollment is required in SC’s Medicaid program.” Pharmacists that dispense vaccines and naloxone through South Carolina protocols without a prescription are required to be enrolled in South Carolina’s Healthy Connections Medicaid program. Please refer to information provided by the South Carolina Pharmacy Association.

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

2026-05-15T12:12:04-04:00May 15, 2026|South Carolina|

Colorado

HB26-1336, legislation that expands access to pharmacy healthcare services and authorizes payment for these services for both Medicaid and commercial patients, passed the Senate Health and Human Services Committee and awaits a final vote by the Senate. The bill enables children 12 years of age and under to receive test-and-treat services directly from pharmacies. It also allows pharmacy technicians, under pharmacist supervision, to perform final product verification and other technical, non-discretionary tasks.  

Also in Colorado, the Board of Pharmacy released Volume 18, Winter 2026 and Volume 19, Spring 2026 of its newsletter providing updates on regulatory developments and Board activities. 

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

2026-05-08T12:27:40-04:00May 8, 2026|Colorado|

Connecticut

HB 5375 was passed by the Legislature this week and is expected to be signed into law by Gov. Ned Lamont (D). The legislation, which has been an NACDS priority for the 2026 session, prohibits an insurance carrier from denying pharmacy reimbursement based solely on a provider’s license type for any “covered clinical service” that falls within a pharmacist’s scope and is otherwise eligible for reimbursement when performed by a physician, physician assistant or advanced practice registered nurse. 

For more information, please contact NACDS’ Mike Sargent at 207-272-6435.

2026-05-08T12:27:10-04:00May 8, 2026|Connecticut|

Kansas:

HB 2068, an omnibus bill incorporating key pharmacy-supported provisions from HB 2676, HB 2740, SB 322 and SB 431, passed both legislative chambers and was signed into law by Governor Laura Kelly (D). The bill expands pharmacists’ prescribing authority under standard of care regulations and permits remote pharmacy services by pharmacy technicians. 

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

2026-05-08T12:26:14-04:00May 8, 2026|Kansas|

Minnesota

Last week, CMS approved the state’s application to direct a state-funded supplemental dispensing fee of $4.50 to pharmacies not owned by a PBM and located in HRSA (Health Resources and Services Administration) medically underserved areas. The $4.50 per prescription payments apply to Medicaid Managed Care prescriptions filled on or after July 1, 2025. The program is a result of a 2025 state budget provision NACDS helped develop as a safety net for pharmacies until cost-based reimbursement is implemented under the Single PBM model. NACDS will continue collaborating with the Department of Health and Human Services while they develop the state’s application and disbursement procedures, with an eye on maximizing member participation. In addition, NACDS is supporting current legislation that would amend the law to continue the payments until the Single PBM delayed implementation date in 2028.

For more information, contact NACDS’ Jill McCormack at 717-592-8977.

2026-05-08T12:25:00-04:00May 8, 2026|Minnesota|
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