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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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