2020 Session

Budget Amendments - SB30 (Committee Approved)

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Pharmacy Passthrough Pricing in Managed Care

Item 313 #20s

Item 313 #20s

First Year - FY2021 Second Year - FY2022
Health and Human Resources
Department of Medical Assistance Services FY2021 ($4,026,000) FY2022 ($4,026,000) GF
FY2021 ($6,071,000) FY2022 ($6,071,000) NGF

Page 294, line 18, strike "$15,939,731,997" and insert "$15,929,634,997".
Page 294, line 18, strike "$17,038,007,934" and insert "$17,027,910,934".


(This amendment reflects savings of $4.0 million from the general fund and $6.1 million in federal Medicaid funds as a result of all Medicaid managed care organizations moving to a pharmacy pass-through pricing model rather than a spread pricing model consistent with Senate Bill 568, that prohibits spread pricing in the Department of Medical Assistance Services' contracts. The savings are based on a report released in December 2019 by the agency's actuary that developed the estimates based on a review of different pharmacy payment models.)