Pennsylvania HB2270 establishes a State pharmacy benefits manager to oversee pharmacy benefits for Medicaid recipients.

Pennsylvania HB2270 amends existing law to create a State pharmacy benefits manager for Medicaid recipients. The Department of Human Services must select a third-party administrator through a competitive procurement process to manage all pharmacy benefits for Medicaid recipients, including those enrolled in managed care organizations. The bill outlines specific duties and prohibited activities for the State pharmacy benefits manager, such as preventing the requirement for enrollees to obtain services exclusively from affiliated pharmacies and ensuring that pharmacy services are paid at rates.

Pennsylvania HB2270 establishes a State pharmacy benefits manager to oversee pharmacy benefits for Medicaid recipients.

Pennsylvania HB2270 amends existing law to create a State pharmacy benefits manager for Medicaid recipients. The Department of Human Services must select a third-party administrator through a competitive procurement process to manage all pharmacy benefits for Medicaid recipients, including those enrolled in managed care organizations. The bill outlines specific duties and prohibited activities for the State pharmacy benefits manager, such as preventing the requirement for enrollees to obtain services exclusively from affiliated pharmacies and ensuring that pharmacy services are paid at rates.