About Michael Silber

This author has not yet filled in any details.
So far Michael Silber has created 2157 blog entries.

Oregon

NACDS prepared and delivered verbal and written testimony before the House of Representatives Behavioral Health and Health Care Committee in full support of HB 3212. Additionally, the testimony included how this crucial bill aims to reform PBMs and address their dangerous tactics that threaten the vitality of neighborhood pharmacies and patient access. Specifically, HB 3212 would prohibit spread pricing and patient steering, restrict PBMs from mandating pharmacies to provide a health care service at a loss, prohibit PBMs from requiring further accreditation standards beyond those currently required by the Oregon Board of Pharmacy, help to ensure network adequacy, and most importantly, help to ensure reasonable and relevant reimbursement to community pharmacies that covers the true costs for pharmacies to purchase and dispense prescription drugs. NACDS urged lawmakers to advance HB 3212 to help ensure reasonable pharmacy reimbursement and protect patients’ access to trusted pharmaceutical care across the state.

Also in Oregon, the Prescription Drug Affordability Board held a meeting on February 19. Generally, the agenda and materials for this meeting was focused on policies, processes, and administrative matters, plus a legislative update. Register here in advance.

Also in Oregon, the Oregon Health Authority (OHA) published proposed rules establishing guidelines for enhanced payment to qualified providers under the Culturally and Linguistic Specific Services program. A 22 percent and 27 percent increase in fee-for-service payments for traditional health worker providers, programs, and organizations in urban and rural areas, respectively, will enable OHA to continue investments to improve access to care, incentivize culturally and linguistically specific services, invest in workforce diversity and support staff recruitment.

Also in Oregon, the Board of Pharmacy posted the agenda for the February 24 Executive Director Recruitment Subcommittee Meeting.

Also in Oregon, the Immunization Policy Advisory Team will meet on March 6. Draft agenda items include welcome, introductions of new members; public comment; respiratory season wrap-up—COVID-19, influenza, pertussis, RSV; data dashboards; legislation update; Project Horizon—program resize; ALERT IIS Replacement Project update; school requirements—new administrative rules; wrap-up. The final agenda will be available at the meeting or via email request three days before the meeting date.

Finally in Oregon, on February 6, the Board of Pharmacy adopted a statement on semaglutide.

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

2025-02-20T13:34:37-05:00February 20, 2025|Oregon|

Tennessee

CDC and Tennessee Department of Health has released a call for cases investigating reports of serious adverse events, including deaths, following receipt of injectable ceftriaxone. To date, events have not been associated with a sole product manufacturer or lot, and a definitive causal link to ceftriaxone has not been established. A public health investigation is underway to identify and characterize serious adverse events associated with ceftriaxone exposure. Please make reports to the HAI/AR Program at HAI.Health@tn.gov.

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

2025-02-20T13:33:39-05:00February 20, 2025|Tennessee|

Texas

NACDS issued a press release acknowledging the favorable opinion (KP-0408) released by Texas Attorney General Ken Paxton (R) on February 5, 2024. This opinion addresses the enforceability of two laws passed in 2021 against health benefit insurers and PBMs. Paxton’s opinion clarifies how HB 1763 and HB 1919 regulate certain contracts between ERISA issuers, their PBMs, and pharmacies. It also addresses steering practices concerning affiliated pharmacies, clarifying that ERISA does not preempt HB 1763 and HB 1919, as these laws do not dictate plan choices or add requirements to a beneficiary’s status. At the request of pharmacy groups, State Senator Charles Schwertner (R), a physician and pharmacist who chairs the Senate Business and Commerce Committee, sent a letter to the Attorney General requesting this opinion.

Also in Texas, Speaker Dustin Burrows (R) finally posted the new chairs and the House Committee membership lists on February 13, 2025.

Also in Texas, Sen. Bryan Hughes, and Rep. Cody Harris (R), two champions of PBM reforms, filed identical bills, SB 1354 and HB 2978 will establish a rate floor for the commercial market.

Also in Texas, Sen. Bryan Hughes also filed SB 1236, PBM reform legislation that addresses clawbacks, establishes audit guardrails, and would prohibit a health plan or PBM from denying or reducing a claim payment to a pharmacy or pharmacist after adjudication under certain circumstances. The bill also protects patient choice to pharmacies by ensuring that pharmacies have a voice in their network and contract discussions.

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

2025-02-20T13:33:10-05:00February 20, 2025|Texas|

Utah

The Board of Pharmacy published its February 2025 newsletter, including a reminder of the importance of required self-audits during inspections by the Division of Professional Licensing (DOPL) and an update on compounding operating standards

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

2025-02-20T13:32:34-05:00February 20, 2025|Utah|

Virginia

Legislation that would require Medicaid to hire a single PBM to manage the pharmacy benefit has advanced. Both HB 2610 and SB 875 passed their respective chambers and advanced significantly in the opposite chamber. They are now poised to go to the Conference Committee to work out the remaining details, including the implementation date. NACDS cautions that the Department of Medical Assistance Services (DMAS) has been resistant to the legislation, though Gov. Glenn Youngkin (R) has not officially taken a stance. We will continue to work with in-state partners and members over the next month to advocate for the bill or bills to become law.

Also in Virginia, Gov. Glenn Youngkin (R) issued Executive Order 45  on February 16, declaring a state of emergency due to winter weather and flooding. In response, the Board of Pharmacy has implemented emergency waivers. They will remain in effect for the duration of Executive Order 45, which is effective for 30 days from February 10, unless sooner amended or rescinded. Existing emergency regulations plus those implemented because of the declaration waivers are as follows:

  • Pursuant to 18VAC110-20-320, an authorized refill may be dispensed early provided the pharmacist documents a valid reason for the necessity of the early refill.
  • Emergency Waiver: a prescription for a drug controlled by Schedule III-V with no remaining refills may be refilled one time without authorization from the prescriber, if after reasonable effort has been made to contact him, the pharmacist ascertains that he is not available and the patient’s health would be in imminent danger without the benefits of the drug. Authorization to refill under this subdivision also exists when the pharmacist only has access to the label on a prescription container. The pharmacist shall inform the patient of the prescriber’s unavailability and that the refill is being made without his authorization.
  • A prescription for a drug controlled by Schedule II may be dispensed pursuant to the emergency allowance in 18VAC110-20-290.
  • Emergency Waiver: A one-time early dispensing of a Schedule II prescription for a chronic condition that is due for dispensing within the next 7 days is authorized. Dispensers must document the reason for the early refill.

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

2025-02-20T13:32:08-05:00February 20, 2025|Virginia|

Washington

Key legislative deadlines for legislation to advance this session: On or before February 21st, all bills filed in the house of origin must be passed by the Policy committee. Next Friday, February 28th is the deadline for all bills filed in the house of origin with a fiscal note to be approved by the fiscal committee.

Also in Washington, HB 1502 and its companion SB 5513, legislation expanding pharmacists’ scope of practice to improve access to health care and the management of chronic diseases, was not heard by the Policy committee because lawmakers wanted to the Sunrise Review process to proceed. A public hearing will be held on May 14, 2025.

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

2025-02-20T13:31:25-05:00February 20, 2025|Washington|

Arizona

On February 5, the Senate Regulatory Affairs and Government Efficiency Committee approved SB 1214 – Test and Treat by a 5-2 vote. NACDS submitted a letter of support in advance of the committee hearing.

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

2025-02-06T16:26:30-05:00February 6, 2025|Arizona|

California

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

2025-03-06T19:03:00-05:00February 6, 2025|California|

Florida

The Florida Pharmacy Association is hosting an upcoming ACPEapproved conference on February 22-23 via Zoom, focused exclusively on Women’s Health and care for these patients. Register here

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

2025-02-06T16:25:22-05:00February 6, 2025|Florida|
Go to Top