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ND HB1032
Bill
Status
Introduced
1/3/2017
Primary Sponsor
Legislative Management
Click for details
AI Summary
- Amends North Dakota Century Code section 50-24.1-37 to modify provider reimbursement rates for the Medicaid expansion program effective January 1, 2018
- Establishes that provider reimbursement rates for medical assistance expansion are the same as rates for traditional medical assistance
- Requires contracts with private carriers implementing the expansion to include a reimbursement methodology for medications and dispensing fees available on the department website
- Mandates full transparency of costs and rebates, allows pharmacy choice including mail order options, and requires prior authorization for out-of-state pharmacy services in jurisdictions beyond North Dakota and its three contiguous states
- Prohibits private carriers from requiring payback amounts to carriers or contractors that exceed amounts allowed under the reimbursement methodology, and designates pharmacy benefit manager information as confidential
Legislative Description
Provider reimbursement rates for the Medicaid expansion program.
Last Action
Second reading, failed to pass, yeas 0 nays 89
2/23/2017
Committee Referrals
Appropriations1/3/2017
Full Bill Text
No bill text available