SB 25-084

Senate Bill 25-084, also known as the "Medicaid Access to Parenteral Nutrition" bill, aims to ensure that Medicaid members have better access to parenteral nutrition, which is a way of providing essential nutrients through an IV. The bill requires the state health care department to set specific fees for infusion pharmacies that provide this service, encouraging more pharmacies to participate in serving Medicaid patients. It also mandates annual reports on the availability and adequacy of these services. Governor Jared Polis has signed the bill into law, meaning it will take effect as planned, with initial funding allocated for implementation starting January 1, 2026.

Official Summary

Infusion pharmacies supply medicaid members with parenteral nutrition, which provides patients with essential nutrients through an intravenous infusion. The act requires the state department of health care policy and financing (state department) to create specific professional dispensing fees for the preparation and dispensing of parenteral nutrition (fees) to encourage an adequate level of market participation among infusion pharmacies that serve medicaid members. 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 act 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 act appropriates $54,832 to the state department from the general fund. The state department may use the appropriation for medical and long-term care services for medicaid-eligible individuals. The general assembly anticipates that the state department will receive an equal amount in federal funds to implement the act. (Note: This summary applies to this bill as enacted.)

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