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House Journal: Page 1132: Wednesday, April 9, 1997

43   prescribed medication.
44     (4)  The costs of prescribing mandates, such as
45   requiring two failures of generic drug treatment
46   before allowing the prescribing of a brand name
47   alternative.
48     (5)  The measurement of the cost-effectiveness of
49   patient outcomes under prior authorization compared to
50   the patient outcomes under prospective drug

Page 2  

 1   utilization review.
 2     (6)  The comparison of administrative costs for
 3   prior authorization review and prospective drug
 4   utilization review.
 5     The department shall review the methodology for
 6   calculating and projecting costs savings and shall
 7   update the methodology, if necessary.
 8     The costs identified under the studies performed
 9   shall be netted against the cost savings projected by
10   the department to accurately determine and report cost
11   savings for the drug prior authorization program.
12     The department shall submit a report of the studies
13   to the general assembly on or before March 1, 1998,
14   for review.  Subsequent to that date, the general
15   assembly may direct the department to remove from the
16   categories of prescription drugs for which prior
17   authorization is currently required, all of the drugs
18   for which the comparative studies establish that
19   prospective drug utilization review is at least as
20   cost-effective in patient outcomes as prior
21   authorization."
Amendment H-1635 was adopted.
Ford of Polk offered the following amendment H-1631 filed by him
and moved its adoption:

H-1631

 1     Amend House File 715 as follows:
 2     1.  Page 24, by inserting after line 17 the
 3   following:
 4     "Sec. ___.  EDUCATIONAL PROGRAMMING AT ELDORA AND
 5   TOLEDO.  There is appropriated from the general fund
 6   of the state to the department of human services for
 7   the fiscal year beginning July 1, 1997, and ending
 8   June 30, 1998, the following additional amount, or so
 9   much thereof as is necessary, to be used for purposes
10   of providing educational programs at the state
11   training school at Eldora and the Iowa juvenile home
12   at Toledo which focus on the prevention of sexual
13   abuse and the development of positive social

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