S 3538 New Jersey Senate · 2024-2025 Regular Session

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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Sep 12, 2024
Introduced
Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee
upper
2 primary · 2 co-sponsors

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