Department of Medical Assistance Services (602)
| Request Title | Account for Medicaid MCO Contracts with Pharmacy Benefits Managers |
| Biennium | 2020-2022 |
| Budget Round | Initial Bill |
| Half Sheet Number | 313 #7c |
Description
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This amendment captures savings to the state's Medicaid program from the passage of House Bill 1291 and Senate Bill 568, which prohibit Medicaid managed care organizations (MCOs) from engaging in the conduct of 'spread pricing' with the MCOs' contracted pharmacy benefits manager. This prohibition saves $4.1 million from the general fund and $6.8 million from nongeneral funds the first year and $4.3 million from the general fund and $7.1 million from nongeneral funds the second year in the state's Medicaid program. |
Funding Details
| By Program | Program Code | Program Title | FY 2020 | FY 2021 |
| 456 | Medicaid Program Services | ($10,920,915) | ($11,357,751) | |
| By Fund | Fund Code | Fund Title | FY 2020 | FY 2021 |
| 01000 | General Fund | ($4,115,274) | ($4,289,871) | |
| 09780 | Healthcarecoverageassmntfund | ($269,037) | ($277,801) | |
| 10000 | Federal Trust | ($6,536,604) | ($6,790,079) |
Authorized Position Details
| By Program | Program Code | Program Title | FY 2020 | FY 2021 |
p3_opview - Official Enacted Budget View Operating Bullet Details - 06-07-2025 18:07:12
