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So far Michael Silber has created 2657 blog entries.

Connecticut

On July 8, 2025, Gov. Ned Lamont (D) signed HB 7192, An Act Implementing the Recommendations of the Bipartisan Drug Task Force. The law enhances the accountability and transparency of PBMs and health carriers and implements recommendations from the Bipartisan Drug Task Force which includes some of NACDS PBM policy priorities, including any willing provider. NACDS participated in the task force and submitted testimony when both bills had hearings. 

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

2025-07-11T09:12:05-04:00July 11, 2025|Connecticut|

Delaware

On July 1, the Board of Pharmacy held an emergency meeting and adopted emergency regulations regarding pharmacy closures in the state; see Department of State Division of Professional Regulation Emergency Order for details. Additionally, the Department of Insurance issued Domestic and Foreign Bulletin No. 153 RE: Department Expectations in Response to Emergency Order by the Board of Pharmacy and Pharmacy Closures; see the bulletin for details regarding emergency prescription coverage; prior authorizations and prescription transfer; pharmacy reimbursement and network adequacy; consumer protection and transparency; and compliance & enforcement. For questions, comments or requests for clarification, please email compliance@delaware.gov.

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

2025-07-11T09:11:34-04:00July 11, 2025|Delaware|

Hawaii

Gov. Josh Green (D) signed SB 1245 recognizing pharmacists as healthcare providers and ensuring health plan reimbursement for services they provide withing their scope of practice. Beginning July 1, 2026, private and public health plans in the state must reimburse licensed pharmacists for covered health services of contracted pharmacies when those services are delivered within the pharmacists’ scope of practice.

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

2025-07-11T09:11:02-04:00July 11, 2025|Hawaii|

Idaho

The Department of Insurance (DOI) published its June 2025 newsletter. As a reminder pharmacy providers may submit inquiries and complaints on the DOI website. Complete a separate form for each PBM if there are multiple complaints. To date, the DOI has received 43 complaints from pharmacies regarding PBMs. Of these, 36 remain open or pending, while seven have been closed. Complaints may include multiple issues, with the most common being related to Maximum Allowable Cost (MAC) appeals and dispensing fees. The DOI Consumer Affairs team is also assisting the PBM Examiner with investigating reported concerns. For questions and information, please contact PBM@doi.idaho.gov.

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

2025-07-11T09:10:31-04:00July 11, 2025|Idaho|

Illinois

Electric bills are expected to surge. What you need to know is that Midcontinent Independent System Operator (MISO) and PJM capacity auctions cleared at significantly higher prices for the 2025-2026 Planning Year: June 1, 2025, through May 31, 2026. MISO and PJM are the Regional Transmission Organizations (RTOs) that coordinate the movement of wholesale electricity in Ameren Illinois and ComEd electric territories, respectively. Ameren Illinois and ComEd electric customers will soon see the effects of these higher prices for the first time on invoices received in June/July. Ameren Illinois, ComEd, nor the suppliers have any control over these charges, nor do they have any power to change them. Due to a multitude of variables, Retail Energy Suppliers (RES) are handling this additional cost in many ways, according to supply contract terms and conditions as well as internal policy decisions. 

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

2025-07-11T09:09:59-04:00July 11, 2025|Illinois|

Indiana

The Health Coverage Programs (IHCP) expanded provider enrollment to include licensed pharmacists. This new provider specialty allows eligible pharmacists to enroll as rendering providers linked to a group provider. Group providers may be reimbursed for evaluation and management (E/M) services related to hormonal contraceptives provided by IHCP-enrolled pharmacists, as outlined in Indiana Code (IC 25-26-25). Pharmacists may enroll as IHCP rendering providers using the IHCP Provider Healthcare Portal or via paper application. An active pharmacist license and successful completion of training as specified in IC 25-26-25 are required for IHCP pharmacist enrollment.   

Also in Indiana, the Health Coverage Programs (IHCP) Drug Utilization Board (DUR) approved updates to the prior authorization (PA) criteria, Statewide Uniform Preferred Drug List (SUPDL) and Preferred Brand Drug List. 

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

2025-07-11T09:09:33-04:00July 11, 2025|Indiana|

Kentucky

The Department of Insurance (DOI) issued Bulletin 2025-03 to provide details regarding its enforcement of SB 188 of 2024, the comprehensive PBM commercial market reform law. As a reminder, the rate floor for chain pharmacies will not be effective until the DOI cost of dispensing study is completed. 

Also in Kentucky, MedImpact issued a third reminder to pharmacies regarding recent changes to its covered diabetic supplies list. 

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

2025-07-11T09:08:31-04:00July 11, 2025|Kentucky|

Louisiana

The Board of Pharmacy reminded pharmacies that effective April 1, the Surgeon General Dr. Ralph Abraham issued statewide standing orders implementing Act 657 from the 2024 legislative session authorizing the dispensing of three emergency medications: albuterol, epinephrine and naloxone. These medications are intended to support time-sensitive emergency medical situations, including acute allergic reactions (anaphylaxis), known or suspected opioid overdoses and acute respiratory distress caused by asthma or allergic reactions. The Department of Health (LDH) launched an informational webpage with key resources, including standing orders, medical protocols and dispensing request forms for each medication.  

Also in Louisiana, Walmart pharmacist Jack Hall from Columbia has been named the 2025 Chain Pharmacist of the Year by his colleagues. He received this honor from the National Association of Chain Drug Stores (NACDS) during an awards ceremony held at the Louisiana Pharmacy Association's annual convention in Natchez on July 12. 

Also in Louisiana, Gov. Jeff Landry (R) signed SB 19, a law allowing pharmacists to dispense ivermectin to individuals 18 years of age and older under a standing order from the Department of Health (LDH). The law also permits pharmacies to charge an administrative fee for additional services and grants civil immunity to pharmacists dispensing ivermectin per LDH rules.   

Also in Louisiana, Gov. Jeff Landry (R) signed SB 182, a law that requires the Department of Health (LDH) Medicaid Managed Care Organizations (MCOs) to suspend prior authorization restrictions during a state of emergency declared by the governor. Additionally, the law mandates that Medicaid reimburse providers for medically necessary drugs, services, equipment, supplies and therapies provided to Medicaid recipients. This includes reimbursement for out-of-state providers who offer essential care to patients who have evacuated the state. 

Finally in Louisiana, the Department of Health (LDH) published an Emergency Rule on Medicaid Reimbursement methodology. Effective July 1, LDH's Bureau of Health Services Financing adopted a new methodology with higher reimbursement rates for Medicaid Managed Care Organization's reimbursement and fee-for-service reimbursement rates. The Emergency Rule was adopted to better align Medicaid rates to Medicare rates. 

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

2025-07-11T09:07:59-04:00July 11, 2025|Louisiana|
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