Category: State

Michigan Governor Signs Three Bills Addressing PBM and Insurer Discrimination Against 340B Entities and Contract Pharmacies

In Legislative, StateFebruary 23, 2022845 Views

Michigan Gov. Gretchen Whitmer (D) signed three bills today that prohibit PBMs and insurance carriers from discriminating against 340B covered entities and contract pharmacies.

Michigan Gov. Gretchen Whitmer (D) signed three bills today that prohibit pharmacy benefit managers (PBMs) and insurance carriers from discriminating against 340B covered entities and their contract pharmacies.

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California Asks Judge to Dismiss 340B Health Centers’ Suit Challenging Medicaid Drug Payment Change

In Federal, Judicial, StateFebruary 17, 2022189 Views

Tom Mirga

California says its consolidation of Medicaid prescription drug services under Medicaid fee for service (Medi-Cal Rx) does not deprive 340B health centers of revenue to which they are entitled.

California’s consolidation on Jan. 1 of all its Medicaid (Medi-Cal) prescription drug services under Medi-Cal fee for service does not violate federal law and does not deprive the state’s 340B health centers “of any reimbursement or revenue to which they

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340B “Anti-Pickpocketing” Bills Filed in Five States

In Legislative, StateJanuary 13, 2022661 Views

Tom Mirga

The Florida Senate and four other state legislative chambers are considering bills 340B "anti-pickpocketing" legislation.

Bills have been filed in at least five state legislatures to protect 340B covered entities and their contract pharmacies from discrimination by pharmacy benefit managers (PBMs).

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Judge Denies Calif. 340B Health Centers’ Motion to Halt State Medicaid Drug Payment Change

In Federal, Judicial, Regulatory, StateJanuary 11, 2022248 Views

Ron Shinkman

California health centers say they will continue to fight against the transfer of state Medicaid managed care drug coverage to Medicaid fee for service, despite being denied a temporary restraining order against the change.

A federal judge in Sacramento, Calif., late yesterday declined to stop California Medicaid’s transfer of managed care drug coverage to Medicaid fee for service that took effect on Jan. 1.

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California Asks Judge to Reject 340B Community Health Centers’ Request to Stop Medicaid Drug Payment Change

In Federal, Judicial, StateJanuary 6, 2022438 Views

Ron Shinkman

California's state health department asked a judge yesterday to reject 340B community health centers' request to halt a major state Medicaid drug reimbursement change that began on Jan. 1.

Federally qualified health clinics in California have no right to sue to stop a major state Medicaid drug reimbursement change that began on Jan. 1., the state Department of Health Care Services (DHCS) argued in a legal brief filed Wednesday.

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Three Big Predictions for the 340B Program in 2022

In Federal, Judicial, Legislative, StateJanuary 4, 2022633 Views

Ron Shinkman

340B Report Publisher and Chief Executive Officer Ted Slafsky makes three big predictions for the 340B program for 2022 in his latest monthly column for Omnicell’s blog.

In his monthly column for Omnicell’s blog, 340B Report Publisher and Chief Executive Officer Ted Slafsky makes three big predictions for the 340B program for 2022.

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News Alert: Calif. 340B Health Centers Ask Judge to Stop Tomorrow’s “Devastating” State Medicaid Drug Payment Changes

In Federal, Judicial, StateDecember 31, 2021885 Views

Ron Shinkman

California health centers asked U.S. District Judge John A. Mendez yesterday to stop a state Medicaid drug reimbursement change due to begin tomorrow that they say would strip away all their 340B drug discount savings.

California health centers asked a federal district judge yesterday to stop a major state Medicaid drug reimbursement change due to begin tomorrow.

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Calif. Health Centers Will Ask Court to Stop State Medicaid Change That Could Reduce 340B Savings Significantly

In Judicial, Regulatory, StateDecember 16, 2021278 Views

Ron Shinkman

California health centers plan to seek a court order stopping the state from moving Medicaid managed care drug benefits to Medicaid fee for service on Jan. 1.

As California’s Medicaid program moves toward implementing a fee-for-service payment structure for drug coverage, one of the primary foes of the transition has returned to court to obtain a temporary restraining order.

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In What Is Believed to Be the First State Action, W.Va. Says Express Scripts’ 340B Claims ID Policy Violates State Law

In Regulatory, StateDecember 14, 2021887 Views

Tom Mirga

West Virginia Insurance Commissioner Allan McVey ruled that Express Scripts’ controversial 340B claims identification and submission requirement violates state law.

Pharmaceutical benefit manager Express Scripts’ (ESI) controversial 340B claims identification and submission requirement violates West Virginia law, state Insurance Commissioner Allan McVey has ruled.

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“Pharma Bro’s” ex-Company and ex-Partner Settling Claims Arising from Daraprim “Scheme,” FTC Says

In Federal, Judicial, StateDecember 9, 2021245 Views

Tom Mirga

“Pharma Bro” Martin Shkreli’s former company and former business partner agreed to settle legal claims arising from the company’s purchase of and 4,000% price increase on the drug Daraprim.

“Pharma Bro” Martin Shkreli’s former company and former business partner agreed Tuesday to settle legal claims brought against them by the U.S. and seven state governments arising from the company’s purchase of and 4,000% price increase on the drug Daraprim,

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