Establishes "Equitable Drug Pricing and Patient Access Act."
The "Equitable Drug Pricing and Patient Access Act" (S 3538) sets a minimum reimbursement rate for pharmacies dispensing drugs to Medicaid patients, requiring payments to cover the national average drug cost plus a $10.92 dispensing fee. It mandates Medicaid managed care plans to allow patients to choose any participating pharmacy and to reimburse out-of-network pharmacies at the same rate as in-network ones. The bill also requires the State Auditor to audit pharmacy pricing practices within Medicaid to identify potential state savings from these changes. These provisions directly affect pharmacies, Medicaid managed care organizations, and New Jersey's Medicaid program.
Bill status
in committee
1 of 4 stages cleared
Introduction
Sep 2024
Committee Review
Floor Vote
Governor
Introduced Sep 12, 2024
Last action Sep 12, 2024
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1
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Sep 12, 2024
Introduced
Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee
upper
2 primary · 2 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Linda Greenstein
DDemocratic
P
Vin Gopal
DDemocratic
Co
Gordon Johnson
DDemocratic
Co
Raj Mukherji
DDemocratic
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