Medicaid Access to Parenteral Nutrition

Infusion pharmacies supply medicaid members with parenteral nutrition, which provides patients with essential nutrients through an intravenous infusion.

The bill requires the state department of health care policy and financing (state department) to ensure policies and reimbursement levels for infusion pharmacies create specific professional dispensing fees for the preparation and dispensing of parenteral nutrition are sufficient (fees) to encourage an adequate level of market participation among infusion pharmacies. During the year beginning January 1, 2026, the fees must not exceed 30% of infusion pharmacy administrative costs for the preparation and dispensing of parenteral nutrition. The state department shall seek federal authorization, as necessary, to implement the fees.

The bill requires the state department to annually report on the adequacy of the infusion pharmacy network that supplies parenteral nutrition to medicaid members.

For the 2025-26 state fiscal year, the bill appropriates $54,832 to the state department from the general fund. The general assembly anticipates that the state department will receive an equal amount in federal funds to implement the bill. The state department may use the appropriation for medical and long-term care services for medicaid-eligible individuals.

(Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.)

(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)