Managed care organizations & pharmacy benefits manager; data collection and reporting requirements.

Managed care organizations; pharmacy benefits manager; data collection and reporting requirements; civil penalty. Requires the Department of Medical Assistance Services to develop, and managed care organizations and pharmacy benefits managers to comply with, standardized methodologies for the collection and reporting of data related to expenditures, rebates, and the source of all cost components to the Department and the Centers for Medicare and Medicaid Services. The bill requires managed care …

Source: OpenStates · fetched February 18, 2026

• Medicaid / public insuranceindirectModerate impactHigh certainty

  Managed care organizations and pharmacy benefits managers are required to collect and report specific data related to expenditures, rebates, and cost components to the Department of Medical Assistance Services and the Centers for Medicare and Medicaid Services. This impacts the administrative processes surrounding Medicaid, rather than direct changes to beneficiary eligibility or benefits.

  “Requires the Department of Medical Assistance Services to develop, and managed care organizations and pharmacy benefits managers to comply with, standardized methodologies for the collection and reporting of data related to expenditures, rebates, and the source of all cost components to the Department and the Centers for Medicare and Medicaid Services.”· Requires the Department of Medical Assistance Services to develop, and managed care organizations and pharmacy benefits managers to comply with, standardized methodologies for the collection and reporting of data related to expenditures, rebates, and the source of all cost components to the Department and the Centers for Medicare and Medicaid Services.