Legislation & Regulation

Discover essential legislative and regulatory resources tailored for managed care pharmacy professionals. Stay informed with the latest updates, policies, and advocacy tools to effectively navigate and influence the health care landscape.

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NYS Capitol

State Update: New York Releases Major Market Conduct Regulations for Pharmacy Benefit Managers

On November 21, the New York Department of Financial Services (DFS) announced sweeping market conduct regulations for pharmacy benefit managers (PBMs) serving health plans in the state. The DFS rule implements a landmark 2021 bill, S. 3762/A. 1396, which imposed restrictions on PBM contracts with health plans and pharmacies and established consumer protections. This action follows previous DFS rulemaking that created a broad definition of pharmacy benefit management services, required PBMs operating in the state to obtain a license, and established annual reporting requirements.
Legislation & Regulation
AMCP Regulatory NewsBreaks

CMS Issues Physician Fee Schedule Final Rule

On November 1, 2024, the Centers for Medicare and Medicaid Services (CMS) issued the Physician Fee Schedule Final Rule (Final Rule), which is scheduled to be published in the Federal Register on December 9, 2024. In addition to finalizing payment rates, the Final Rule includes a variety of provisions that may impact managed care pharmacy.
Legislation & Regulation