– Rep. Jonathan Fritz (R- Susquehanna/Wayne) lauded the House for the unanimous vote in favor of his bill that would improve transparency by ensuring managed care contracts and subcontracts by the Department of Human Services are made fully available for audit by the Office of Auditor General.
“I believe there is a need for greater transparency, which is why I introduced this legislation to ensure taxpayer dollars are being handled effectively and efficiently,” said Fritz.
Almost 90% of Pennsylvania Medicaid patients are served by managed care companies that contract with the state. In turn, those companies contract with pharmacy benefit managers (PBMs) for their pharmacy programs to decide which drugs will be covered and how much to reimburse the pharmacies that fill the prescriptions.
According to the Department of Human Services, Pennsylvania taxpayers pay $3 billion annually to PBMs for Medicaid enrollees.
House Bill 1630
now moves to the Senate for consideration.