Pennsylvania SR412: A Resolution directing the Legislative Budget and Finance Committee to conduct a performance audit of pharmacy benefit arrangements under the Commonwealth's Medical Assistance managed care program, including the use of public resources, payment transparency, applicable requirements, Department of Human Services oversight and beneficiary pharmacy access and report its findings and recommendations.

What the bill says

A resolution Directing the Legislative Budget and Finance Committee to conduct a performance audit of pharmacy benefit arrangements under the Commonwealth's Medical Assistance managed care program, including the use of public resources, payment transparency, applicable requirements, Department of Human Services oversight and beneficiary pharmacy access and report its findings and recommendations.

From the introduced text, October 27, 2026:

A RESOLUTION Directing the Legislative Budget and Finance Committee to conduct a performance audit of pharmacy benefit arrangements under the Commonwealth's Medical Assistance managed care program, including the use of public resources, payment transparency, applicable requirements, Department of Human Services oversight and beneficiary pharmacy access and report its findings and recommendations. WHEREAS, Pharmacists and other stakeholders have expressed concerns about pharmacy reimbursement, fees, network participation and beneficiary access under Medical Assistance managed care and the extent and contributing factors of those concerns warrant independent examination; and WHEREAS, Medical Assistance managed care pharmacy arrangements involve the Department of Human Services, managed care organizations (MCOs), pharmacy benefit managers (PBMs), and pharmacies and transparent payment information and effective oversight are important to accountability for public resources and access to covered services; and WHEREAS, Act 77 of 2024 addressed pharmacy benefit practices and required the Insurance Department to study specified issues in the fully insured commercial insurance market; and WHEREAS, The Insurance Department's May 2026 study excluded Medicaid and does not establish the payment practices, access conditions or policy effects in Medical Assistance managed care; and WHEREAS, An independent examination can inform legislative decisions regarding pharmacy reimbursement, network protections, purchasing arrangements, reporting requirements and oversight; therefore be it RESOLVED, That the Senate direct the Legislative Budget and Finance Committee to conduct a performance audit …