Medicaid Access to Parenteral Nutrition

Removed language requiring the state to ensure reimbursement levels are sufficient to encourage market participation, eliminating explicit funding mandates.

Added a requirement for the state department to create specific professional dispensing fees by October 1, 2025, to encourage adequate market participation among infusion pharmacies.

Added a new reporting requirement for the state department to report to the Joint Budget Committee on the number and geographic distribution of infusion pharmacies, parenteral nutrition needs of adult and child members, and regulatory changes undertaken to encourage market participation.

Changed the deadline for creating professional dispensing fees from January 1, 2026 to October 1, 2025, and added an annual reporting requirement starting November 1, 2025.

Added a new definition for 'parenteral nutrition' to clarify it as a form of nutritional support providing needed nutrients through intravenous infusion, including carbohydrates, amino acids, and lipids.

Added a requirement for the State Department to create specific professional dispensing fees for the preparation and dispensing of parenteral nutrition by January 1, 2026, to encourage adequate market participation among infusion pharmacies.

Removed the House sponsorship list, which was replaced with a blank line, and updated the revision status from 'Rerevised' to 'Revised' with a note about amendments adopted on second reading.

Added House sponsorship members (Bacon, Bird, Boesenecker, Brown, Clifford, Duran, English, Froelich, Gilchrist, Gonzalez R., Hamrick, Lieder, Lindsay, Lukens, Marshall, McCormick, Paschal, Phillips, Ricks, Rutinel, Sirota, Stewart K., Titone)

Added 3rd Reading Unamended status dated May 6, 2025 for House

Added Amended 2nd Reading status dated May 5, 2025 for House

Removed PREAMENDED header and note about committee amendments not yet adopted

Removed original bill text lines 1-16 including definitions of parenteral nutrition and fee structures

Removed final act language indicating the bill was prepared for signatures and directing readers to check legislative status for governor action.

Added preliminary session headers, committee assignments, and bill summary text that were not present in the final act version.

Reordered and renumbered sections to match an earlier draft format, though the actual statutory language and policy provisions remain identical.

Corrected the spelling of Representative Hamrick's name from 'I lamrick' to 'Hamrick' in the sponsor list.

Added a note indicating the bill is prepared for signatures by legislative officers and the Governor.

Removed the original bill title line and replaced it with the sponsor list and subject matter description in a different format.

Added additional sponsors to the bill, including Senator Amabile and Representatives Bacon, Bird, Boesenecker, Brown, Clifford, Duran, English, Froelich, Gilchrist, Gonzalez R., I lamrick, Lieder, Lindsay, Lukens, Marshall, McCormick, Paschal, Phillips, Ricks, Rutinel, Sirota, Stewart K., and Titone.

Removed the original bill summary and reading status notes that indicated the bill was unamended at third reading in the house of introduction.

Updated the bill title and formatting to reflect the reengrossed version with all amendments adopted in the House of Introduction.

Added a new reporting requirement for the State Department to submit data on infusion pharmacies providing parenteral nutrition to members by November 1, 2026, and annually thereafter.

Updated the bill header from 'ENGROSSED' to 'REENGROSSED' and revised the amendment adoption language to reflect all amendments have been adopted.

Added additional sponsors to the Senate sponsorship list: Cutter, Exum, Gonzales J., Jodeh, Kipp, Michaelson Jenet, Snyder, Wallace, and Weissman.

Added Appropriations committee to the list of Senate committees reviewing the bill.

Modified the professional dispensing fee cap to explicitly limit fees to no more than 30% of infusion pharmacy administrative costs.

Changed the implementation deadline for professional dispensing fees from November 1, 2025 to January 1, 2026.

Reorganized and clarified the definitions of infusion pharmacy and parenteral nutrition for better readability.

Added language to the title and summary indicating the bill includes an appropriation to fund the changes.