Kansas has no PBM reimbursement floor — no NADAC or above-acquisition-cost requirement. It requires MAC-list transparency, updates every 7 business days, and a 10-business-day MAC-price appeal; a 2022 law added PBM licensure but not a reimbursement floor.
| Status | Partially enacted |
|---|---|
| Law | K.S.A. 40-3830 (MAC lists and appeals); PBM Licensure Act, S.B. 28 (2022) |
| Effective date | MAC list/appeal requirements in effect; PBM licensure effective January 1, 2023 |
| Reimbursement basis | No reimbursement floor; MAC-list construction and update rules only |
| Professional dispensing fee | Not specified in statute |
| Appeal route | MAC lists updated every 7 business days; pharmacy may appeal no later than 10 business days after the fill date; PBM must respond within 10 business days; a denied appeal must identify an in-state wholesaler at or below the MAC price |
Kansas regulates MAC lists and licenses PBMs, but does not set a reimbursement floor. K.S.A. 40-3830 governs which drugs may go on a MAC list and requires lists to be updated every 7 business days, with a 10-business-day appeal — but it does not require reimbursement at NADAC or above acquisition cost.
The 2022 PBM Licensure Act (S.B. 28) brought PBMs under Insurance Department licensure effective January 1, 2023, but it too is a licensing and conduct law, not a reimbursement-floor law.