NACDS submitted comments to the Senate Health Care and Wellness Committee in support of SB 503, which includes to ensure network adequacy, requirements that PBMs reimburse pharmacies at a minimum of the acquisition cost of a drug and an adequate professional dispensing fee (PDF) equal to the Medicaid fee-for-service (FFS) PDF. Also, the bill prohibits steering patients, defines specialty drugs, prohibits certain fees, and provides additional oversight and enforcement in the Office of the Attorney General.
Also in Indiana, SB 140, a more limited PBM reform bill modeled after the Kentucky law, passed the Senate Health Care and Wellness Committee and was referred to the Senate Appropriations Committee for further action. This bill requires the Insurance Commissioner to determine minimum reimbursement for a professional dispensing fee based on a cost of dispensing study done every two years. It also requires PBMS to file an annual report on adequate networks and establishes a process for filing complaints.
Also in Indiana, HB 1606, a bill prohibiting spread pricing, was referred to the House Insurance Committee.
Also in Indiana, SB 96, immunization clean-up legislation addressing age restrictions and the list of immunizations allowed to be administered by a pharmacist was referred to the Senate Public Policy Committee.
Finally in Indiana, HB 1571, a scope of practice expansion and clean-up bill, address multiple issues including immunizations, Test and Treat, pharmacy technician duties, MAT and payment for services. The bill was referred to the House Public Health Committee.
For more information, contact NACDS’ Mary Staples at 817-442-1155.