GA Medicaid Rx Carve-Out
Legislative Alert: Contact your State Representative!
Despite efforts to reform Georgia Medicaid managed care – PBM and MCO practices threaten the viability of independent pharmacy in Georgia. As Georgia pharmacist, Nikki Bryant said at a Georgia House hearing in January of 2020, “Government contracts in this state, funded by my tax dollars, work to put me out of business.” Along with underwater reimbursements, problems persist with patient steering and retroactive GER fees despite Georgia law.
In light of these ongoing issues, we are excited to announce that House Chairman and pharmacy champion, David Knight, is introducing a prescription drug Medicaid carve-out bill in the Georgia General Assembly next week.
Please reach out to your Georgia House Representative member via phone or email by Monday, February 7, at Noon and let them know:
- PBM and MCO practices are putting your pharmacy in jeopardy
- PBM and MCOs continue to engage in opaque drug pricing and benefit management practices including retroactive fees and steering
- Representative David Knight is introducing a Medicaid Rx carve-out bill that would:
-
- Take away prescription drug benefit administration from Medicaid MCOs
- Increase transparency and fairness by putting prescription drug benefits back info Medicaid FFS where most drugs are reimbursed at NADAC + a fair dispensing fee based on pharmacy costs to dispense, and
- Increase transparency, reign in abusive practices, and treat pharmacies and patients fairly.
Finally,
Ask them to support Rx Medicaid carve-out efforts and to co-sponsor Representative David Knight’s Medicaid prescription drug carve-out bill.
Georgia House of Representatives members
https://www.legis.ga.gov/members/house
Find your Representative (If you don’t know your state representative can use the below link to search by address)
https://openstates.org/find_your_legislator/
