SF 2318 (LSB 1489SV (2) 88)

SENATE FILE 2318

BY  COMMITTEE ON HUMAN RESOURCES

(SUCCESSOR TO SF 123)

A BILL FOR

An Act relating to collaborative pharmacy practice allowing pharmacists to provide patient care and drug therapy management services.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  NEW SECTION.  155A.47  Collaborative pharmacy practice —— agreements —— payment.
   1.  For the purposes of this section:
   a.  “Collaborative pharmacy practice” means a practice of pharmacy whereby a pharmacist provides patient care and drug therapy management services, not otherwise permitted to be performed by a pharmacist, to patients under a collaborative pharmacy practice agreement. 
   b.  “Collaborative pharmacy practice agreement” means a written agreement between one or more pharmacists and one or more practitioners that provides for a collaborative pharmacy practice and defines the nature, scope, conditions, and limitations of the patient care and drug therapy management services to be provided by a pharmacist in order to ensure that a patient achieves the desired outcomes.
   c.  “Health benefit plan” means the same as defined in section 514J.102.
   d.  “Health carrier” means the same as defined in section 514J.102.
   2.  Notwithstanding any provision to the contrary, a pharmacist may engage in a collaborative pharmacy practice, in accordance with rules adopted by the board pursuant to chapter 17A and under a collaborative pharmacy practice agreement, to provide patient care and drug therapy management services to a patient including but not limited to a patient following a behavioral health diagnosis by a practitioner.
   3.  Notwithstanding any provision of a health benefit plan to the contrary, whenever a health benefit plan provides for payment or reimbursement for a service that is within the lawful scope of practice of a practitioner or pharmacist and the service is provided by a pharmacist pursuant to a collaborative pharmacy practice agreement under this section, the health carrier may provide payment or reimbursement for the service.
   4.  This section shall not apply to the medical assistance program pursuant to chapter 249A, including to a managed care organization acting pursuant to a contract with the department of human services to provide coverage to medical assistance program members, or to the hawk-i program pursuant to chapter 514I.
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill allows a pharmacist to engage in a collaborative pharmacy practice, in accordance with administrative rules adopted by the board of pharmacy and under a collaborative pharmacy practice agreement, to provide patient care and drug therapy management services to a patient including a patient following a behavioral health diagnosis by a practitioner. The bill also provides that if a health benefit plan provides for payment or reimbursement for a service that is within the lawful scope of practice of a practitioner or pharmacist and the service is provided by a pharmacist pursuant to a collaborative pharmacy practice agreement, the health carrier may provide payment or reimbursement for the service. The bill provides definitions used in the bill including “collaborative pharmacy practice” and “collaborative pharmacy practice agreement”. The bill does not apply to the medical assistance program or to the hawk-i program.