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Establishing the Joint Legislative Committee on Medicaid Oversight for specified purposes; revising encounter data reporting requirements for prepaid Medicaid plans; requiring managed care plans to report to the agency and the Office of Insurance Regulation the existence of and specified details relating to certain affiliations by a specified date and annually thereafter; revising requirements for contracts between a pharmacy benefit manager and a participating pharmacy; revising and specifying …
Source: OpenStates · fetched March 10, 2026
The bill establishes a Joint Legislative Committee on Medicaid Oversight and revises encounter data reporting requirements for prepaid Medicaid plans. It also modifies requirements for managed care plans reporting affiliations and contracts between pharmacy benefit managers and pharmacies.
- Medicaid / public insurancedirectModerate impactHigh certainty
The bill establishes a Joint Legislative Committee on Medicaid Oversight and revises encounter data reporting requirements for prepaid Medicaid plans. It also modifies requirements for managed care plans reporting affiliations and contracts between pharmacy benefit managers and pharmacies.
“Establishing the Joint Legislative Committee on Medicaid Oversight for specified purposes”· Establishing the Joint Legislative Committee on Medicaid Oversight for specified purposes
“revising encounter data reporting requirements for prepaid Medicaid plans”· revising encounter data reporting requirements for prepaid Medicaid plans
“requiring managed care plans to report to the agency and the Office of Insurance Regulation the existence of and specified details relating to certain affiliations by a specified date and annually thereafter”· requiring managed care plans to report to the agency and the Office of Insurance Regulation the existence of and specified details relating to certain affiliations by a specified date and annually thereafter
“revising requirements for contracts between a pharmacy benefit manager and a participating pharmacy”· revising requirements for contracts between a pharmacy benefit manager and a participating pharmacy
- Establishes the Joint Legislative Committee on Medicaid Oversight.
- Revises encounter data reporting for prepaid Medicaid plans.
- Requires managed care plans to report affiliations.
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