In Surprise Move, Pennsylvania Wants 340B Modifiers on Medicaid Managed Care Drugs

Pennsylvania
Pennsylvania 340B covered entities say they were blindsided by the state's disclosure last week that it wants drug claims billed to Medicaid managed care organizations to include a modifier showing if the prescription was filled with a 340B-purchased drug.

Pennsylvania health centers are upset about what they say was the state Medicaid office’s disclosure without warning last week that, starting July 1, it wants drug claims billed to Medicaid managed care organizations to include a modifier showing if the

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Iowa Set to Enact Nation’s 25th 340B Nondiscrimination Law

Iowa state capitol
The Iowa Senate last week passed a 340B nondiscrimination bill 49-1, sending it to Gov. Kim Reynolds. The House passed it earlier 98-0.

The Iowa Senate last week passed a House-approved bill banning pharmacy benefit manager and payor discrimination against 340B covered entities and their contract pharmacies, including reimbursing the entities at a lower rate than non-340B providers.

The Senate voted 49-1 on

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Closed Pennsylvania 340B Hospital Sues CVS Health Over 340B TPA Policy

Brandywine Hospital
A closed Pennsylvania hospital has filed a federal antitrust class action against CVS over its 340B contract pharmacy policies.

A Philadelphia-area hospital that closed last year after its sale fell through has filed a federal antitrust class action against healthcare conglomerate CVS over its 340B contract pharmacy policies.

The same shuttered hospital has been challenging in state court its

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Dual 340B Anti-Discrimination Bills, One Protecting Discounts in Contract Pharmacy Setting, Move Forward in Missouri

Missouri state capitol
Missouri lawmakers are making progress on two different 340B anti-discrimination bills.

With just weeks to go in its legislative session, Missouri lawmakers are making progress on two different 340B anti-discrimination bills.  Last week, a key Senate committee approved SB 26, comprehensive legislation with two key priorities:  prohibiting drug manufacturers from placing

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California Senate Committee Approves Bill to Protect 340B Providers from Alleged PBM Discrimination

California
The California Hospital Association argued in a June 20 letter to the state’s congressional delegation that “core provisions” of the 340B Affording Care for Communities and Ensuring a Strong Safety-Net (340B ACCESS) Act “will reduce access to care for vulnerable populations.”

A California Senate health committee yesterday unanimously approved a bill to prohibit pharmacy benefit managers from employing practices that 340B covered entities view as discriminatory. On Wednesday, California’s SB-786 was approved by the Senate Health Committee and now goes

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Louisiana Lawmakers to Address Drug Makers’ and PBMs’ 340B Policies in Thursday Hearing

Louisiana state capitol
A Louisiana House committee is considering a bill to stop drug manufacturers from impeding 340B covered entities’ use of contract pharmacies.

A hearing is set for Thursday in the Louisiana House on a bill to stop drug manufacturers from impeding 340B covered entities’ use of contract pharmacies.

State Rep. Chris Turner (R) introduced House Bill 548, the Defending Affordable Prescription

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Calif. Senate Committee to Hold Hearing on 340B Anti-Discrimination Bill Tomorrow

California state capitol
A bill in the California Senate would bar PBMs from employing practices that 340B covered entities view as discriminatory.

A California Senate health committee has scheduled a hearing for tomorrow on a bill to prohibit pharmacy benefit managers from employing practices that 340B covered entities view as discriminatory.

SB-786 would prohibit PBMs from imposing conditions and exclusions that

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New York State Allots $9 Million in Relief for RWCs Hurt by Medicaid Drug Benefit Transfer but No Funding So Far For Other 340B Entities

Mike Lee gesturing in a meeting
Mike Lee (center) of Evergreen Health says the unexplained inclusion of $9 million in supplemental aid for Ryan White clinics in New York state interim budget legislation "just shows the chaos" of New York's transfer of Medicaid managed care drug benefits to Medicaid fee for service.

The New York legislature on Monday passed a short-term state funding bill with $9 million in supplemental aid for Ryan White clinics that are losing 340B revenue due to the April 1 transfer of the state’s Medicaid managed care drug

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New Mexico Governor Signs Bill Protecting 340B Providers from PBM and Payer Discrimination

New Mexico state flag
New Mexico Gov. Michelle Lujan Grisham (D) has signed a law to prevent PBMs and insurers from discriminating against 340B providers.

New Mexico Gov. Michelle Lujan Grisham (D) signed a law April 7 to prevent pharmacy benefit managers and insurers from discriminating against 340B providers.  The bill includes language that prohibits payers from reimbursing 340B covered entities at a lower rate

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Calif. Contract Pharmacy Overbilled Medicaid for 340B Drugs, State Appeals Court Holds

PharmBlue specialty pharmacy wordmark
A California state appeals court affirmed a lower ruling that 340B contract pharmacy PharmBlue overbilled the state for 340B drugs it obtained from manufacturers on its clients' behalf.

A California state appeals court has affirmed a lower state court’s judgement that a 340B contract pharmacy overcharged the state Medicaid agency, Medi-Cal, nearly $2.5 million more than the pharmacy was entitled to receive for 340B drugs between May 2015

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