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Text: H03764                            Text: H03766
Text: H03700 - H03799                   Text: H Index
Bills and Amendments: General Index     Bill History: General Index

House Amendment 3765

Amendment Text

PAG LIN
  1  1    Amend Senate File 462, as amended, passed, and
  1  2 reprinted by the Senate, as follows:
  1  3    #1.  Page 7, by striking lines 13 through 29 and
  1  4 inserting the following:
  1  5    "10.  a.  Beginning September 1, 1995, the
  1  6 department may require prior authorization for any
  1  7 brand name prescription drug which has an "A" rated
  1  8 generic bioequivalent as determined by the federal
  1  9 food and drug administration and which is recommended
  1 10 for prior authorization by the drug utilization review
  1 11 commission.  The department shall establish an
  1 12 educational program through the drug utilization
  1 13 review commission to review and encourage the use of
  1 14 these "A" rated generic equivalents within the medical
  1 15 assistance program.  The department shall adopt
  1 16 administrative rules to implement the prior
  1 17 authorization provisions of this paragraph.  Beginning
  1 18 January 1, 1996, prior authorization shall not be
  1 19 required for clozapine.  The department shall consider
  1 20 expert medical opinion in revising administrative
  1 21 rules applicable to clozapine.
  1 22    b.  The department of human services shall, when it
  1 23 is economically beneficial, implement maximum
  1 24 allowable costs for multiple source drugs in
  1 25 accordance with federal guidelines.
  1 26    c.  The department shall require prior
  1 27 authorization for full therapeutic dose levels of
  1 28 histamine H2 receptor antagonists and sucralfate
  1 29 beyond 60 days of therapy.
  1 30    d.  The department shall review the feasibility of
  1 31 assuming responsibility for administratively pursuing
  1 32 reimbursement for pharmacy services for which a
  1 33 recipient of medical assistance also has third-party
  1 34 coverage.  The department shall submit a report of the
  1 35 department's findings and recommendations to the
  1 36 chairpersons and ranking members of the joint
  1 37 appropriations subcommittee on human services on or
  1 38 before January 15, 1996."
  1 39    #2.  Page 10, by striking line 12 and inserting the
  1 40 following:  
  1 41 "................................................. $  7,740,000"
  1 42    #3.  Page 11, line 10, by inserting after the
  1 43 figure "12." the following:  "The department may adopt
  1 44 emergency rules to implement the provisions of this
  1 45 lettered paragraph."
  1 46    #4.  Page 12, line 5, by striking the figure
  1 47 "640,270" and inserting the following:  "636,641".
  1 48    #5.  Page 12, line 11, by striking the figure
  1 49 "1,679,769" and inserting the following:  "1,676,139".
  1 50    #6.  Page 16, by striking line 13 and inserting the
  2  1 following:  
  2  2 "................................................. $ 13,480,000"
  2  3    #7.  Page 16, by striking line 18 and inserting the
  2  4 following:  
  2  5 "................................................. $  4,980,000"
  2  6    #8.  Page 16, by striking line 23 and inserting the
  2  7 following:  
  2  8 "................................................. $  8,500,000"
  2  9    #9.  Page 17, by striking line 7 and inserting the
  2 10 following:  
  2 11 "................................................. $ 83,380,000"
  2 12    #10.  Page 21, lines 12 and 13, by striking the
  2 13 words "a portion may be used" and inserting the
  2 14 following:  "$1,000,000 is allocated".
  2 15    #11.  Page 21, line 16, by inserting after the word
  2 16 "placement." the following:  "On or before January 4,
  2 17 1996, the department shall review the use of the
  2 18 funding allocated in this subsection and project
  2 19 whether an amount of the funding will be unused by the
  2 20 close of the fiscal year.  If an amount is projected,
  2 21 the department shall transfer the projected amount to
  2 22 the appropriation in this Act for family support
  2 23 subsidy for use to provide assistance to additional
  2 24 families who would otherwise remain on the waiting
  2 25 list for that program.  The department shall work with
  2 26 the Iowa governor's planning council for developmental
  2 27 disabilities, the arc of Iowa, the Iowa respite
  2 28 coalition, and the Iowa family support initiative to
  2 29 review use of the program funded in this section and
  2 30 develop recommendations for consideration in the 1996
  2 31 legislative session.  The recommendations shall
  2 32 address how much of the funding should be directed to
  2 33 families trying to keep their children with
  2 34 disabilities in the family home, potential
  2 35 administrative rule revisions to improve the program,
  2 36 and actions for the department to take to inform
  2 37 families about the program."
  2 38    #12.  Page 23, by striking line 19 and inserting
  2 39 the following:  
  2 40 "................................................. $  2,620,000"
  2 41    #13.  Page 23, line 21, by striking the figure
  2 42 "756,048" and inserting the following:  "754,000".
  2 43    #14.  Page 23, line 31, by striking the figure
  2 44 "300,000" and inserting the following:  "298,000".
  2 45    #15.  Page 24, line 32, by striking the figure
  2 46 "732,789" and inserting the following:  "731,014".
  2 47    #16.  Page 25, line 1, by striking the figure
  2 48 "100,000" and inserting the following:  "98,000".
  2 49    #17.  Page 27, by striking line 30 and inserting
  2 50 the following:  
  3  1 "................................................. $ 43,190,000"
  3  2    #18.  Page 27, by striking line 35 and inserting
  3  3 the following:  
  3  4 "................................................. $ 14,840,000"
  3  5    #19.  Page 28, by striking line 3 and inserting the
  3  6 following:  
  3  7 "................................................. $  6,000,000"
  3  8    #20.  Page 28, by striking line 6 and inserting the
  3  9 following:  
  3 10 "................................................. $ 17,590,000"
  3 11    #21.  Page 28, by striking line 9 and inserting the
  3 12 following:  
  3 13 "................................................. $  4,760,000"
  3 14    #22.  Page 28, by striking line 29 and inserting
  3 15 the following:  
  3 16 "................................................. $ 66,260,000"
  3 17    #23.  Page 28, by striking line 34 and inserting
  3 18 the following:  
  3 19 "................................................. $ 35,830,000"
  3 20    #24.  Page 29, by striking line 2 and inserting the
  3 21 following:  
  3 22 "................................................. $ 30,430,000"
  3 23    #25.  Page 29, by striking lines 8 through 11.
  3 24    #26.  Page 30, by striking line 3 and inserting the
  3 25 following:  
  3 26 "................................................. $  1,110,000"
  3 27    #27.  Page 30, by striking line 33 and inserting
  3 28 the following:  
  3 29 "................................................. $  5,470,000"
  3 30    #28.  Page 31, by striking line 8 and inserting the
  3 31 following:  
  3 32 "................................................. $ 16,230,000"
  3 33    #29.  Page 31, line 9, by striking the figure
  3 34 "15,888,182" and inserting the following:
  3 35 "15,630,138".
  3 36    #30.  Page 32, by inserting after line 17 the
  3 37 following:
  3 38    "   .  Of the funds appropriated in this section,
  3 39 not more than $248,862 shall be provided to those
  3 40 counties having supplemental per diem contracts in
  3 41 effect on June 30, 1995, which were originally
  3 42 initiated under 1993 Iowa Acts, chapter 172, section
  3 43 16, subsection 2.  The amount provided to each county
  3 44 shall be equal to the amount the county would be
  3 45 eligible to receive under the supplemental per diem
  3 46 contracts in effect on June 30, 1995, if the contracts
  3 47 were continued in effect for the entire fiscal year
  3 48 beginning July 1, 1995."
  3 49    #31.  Page 35, by striking lines 1 through 4 and
  3 50 inserting the following:  "served under the pilot
  4  1 project or the waiver."
  4  2    #32.  Page 35, by striking line 35 and inserting
  4  3 the following:  
  4  4 "................................................. $ 38,146,205"
  4  5    #33.  Page 36, by inserting after line 1 the
  4  6 following:
  4  7    "The department may exceed the quantity of full-
  4  8 time equivalent positions authorized in this section
  4  9 by up to 8.5 FTEs as necessary to increase services
  4 10 for the permanent placement of children for whom
  4 11 parental rights have been terminated and who are under
  4 12 the guardianship of the department."
  4 13    #34.  Page 36, by striking line 33 and inserting
  4 14 the following:  
  4 15 "................................................. $    919,000"
  4 16    #35.  Page 39, by inserting after line 34 the
  4 17 following:
  4 18    "c.  The department revises the reimbursement rates
  4 19 due to implementation of a redesigned purchase of
  4 20 services system."
  4 21    #36.  By striking page 40, line 34 through page 41,
  4 22 line 5 and inserting the following:
  4 23    "   .  The department shall modify reimbursement
  4 24 provisions applicable to agencies providing services
  4 25 under the department's rehabilitative treatment
  4 26 program for children and their families.  The
  4 27 modification shall address the service utilization
  4 28 reimbursement rates under the program to include the
  4 29 time a child is away from the agency for good cause."
  4 30    #37.  Page 41, by striking lines 8 through 12.  
  4 31 
  4 32 
  4 33                              
  4 34 COMMITTEE ON APPROPRIATIONS
  4 35 MILLAGE of Scott, Chairperson
  4 36 SF 462.702 76
  4 37 jp/sc
     

Text: H03764                            Text: H03766
Text: H03700 - H03799                   Text: H Index
Bills and Amendments: General Index     Bill History: General Index

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