New JerseyBill would audit Medicaid pharmacy contracts after federal approval
If federal officials approve any needed waivers, the bill would require Medicaid pharmacy audits and set a minimum payment for many covered prescriptions.
What it does
The State Auditor would examine Medicaid pharmacy benefit contracts, including money received by benefit managers and payments to pharmacies, then report findings to lawmakers.
Argument forAudits and reports could help lawmakers track Medicaid pharmacy payments and consider ways to improve the program or reduce costs.
Argument againstThe minimum payment could increase state payments for covered prescriptions, while claims involving some covered and high-need providers are excluded.
More detail
The bill would audit Medicaid pharmacy benefit contracts and report findings to the Legislature. The audits would cover Medicaid pharmacy benefit management contracts or other arrangements made by managed care organizations or the state Medicaid division. The Auditor would report audit findings each quarter and issue an annual report on the previous year's audits and costs.
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Where it stands
- Introduced
- Passed 1st Chamber
- Passed 2nd Chamber
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Sep 10Introduced, Referred to Assembly Aging and Human Services CommitteeIntroduced
HealthcareGovernment & Ethics