Legislation impacting pharmacy benefits
Optum Rx closely monitors and acts to influence legislation that has the potential to adversely impact pharmacy benefits offered by both fully insured and self-insured clients.
The most recent updates are available, below. Check back on a quarterly basis for the latest legislative updates.
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Regulations to watch: Spring 2024
Optum Rx closely monitors and acts to influence legislation and rulemaking that has the potential to adversely impact pharmacy benefits offered by both fully insured and self-insured clients. Here is a quick summary of the latest pharmacy benefit legislative and regulatory issues happening this winter:
- Federal PBM reform legislation unlikely in federal funding package
- Centers for Medicare and Medicaid Services releases 2025 Advance Notice and guidance on Medicare prescription payment plan
- 2024 State legislative sessions underway
- New York proposes new PBM regulation
- FDA approves Florida drug importation plan
- Supreme Court to consider abortion drug cases
- What Optum Rx is doing and how your voice can be heard
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Addressing pharmacy issues that matter to you
From specialty pharmacy to drug affordability, our experts tackle your biggest pharmacy challenges.
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Regulatory update: Winter 2023
Get the latest on legislation impacting PBMs.
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Regulations to watch: Fall 2023
Learn what's at stake as the PBM legislation advances on Capitol Hill.