Text: HF00245 Text: HF00247 Text: HF00200 - HF00299 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. NEW SECTION. 249A.21 PHARMACIES CONDITION 1 2 OF PARTICIPATION IN MEDICAL ASSISTANCE PROGRAM. 1 3 1. As a condition of participation in the medical 1 4 assistance program, a pharmacy, upon presentation by an 1 5 individual of a valid prescription and the individual's 1 6 federal Medicare card, shall charge the individual a price for 1 7 the prescription that does not exceed the reimbursement rate 1 8 and any additional charges established by the department for 1 9 dispensing of the prescription under the medical assistance 1 10 program. The price requirements of this section do not apply 1 11 to the prices of over-the-counter medications or compounded 1 12 prescriptions. 1 13 2. The department shall provide a mechanism to calculate 1 14 and transmit the price to the pharmacy. The drug utilization 1 15 review process shall not apply to prescriptions provided under 1 16 this section. 1 17 3. The department shall monitor pharmacy participation 1 18 under this section and shall report the results of the 1 19 monitoring to the general assembly by January 1, annually. 1 20 The report shall include but is not limited to information 1 21 regarding any pharmacy that discontinues participation in the 1 22 medical assistance program and the reasons provided for the 1 23 discontinued participation. 1 24 4. It is the intent of the general assembly that the 1 25 provision of benefits under this section is to be reevaluated 1 26 if a prescription drug benefit is provided through the federal 1 27 Medicare program. The department shall inform the legislative 1 28 fiscal bureau if a prescription drug benefit is provided 1 29 through the federal Medicare program. 1 30 Sec. 2. Section 249A.21 is repealed January 1, 2003. 1 31 EXPLANATION 1 32 This bill provides that as a condition of participation in 1 33 the medical assistance program, pharmacies are required to 1 34 charge the reimbursement rate plus any other charge 1 35 established by the department of human services for dispensing 2 1 of the prescription that is charged under the medical 2 2 assistance program for prescriptions of individuals who 2 3 present a valid prescription and a federal Medicare card to 2 4 the pharmacist. The price requirements do not apply to over- 2 5 the-counter medications or to compounded prescriptions. The 2 6 department of human services is to provide a mechanism to 2 7 calculate and transmit the price to the pharmacy. Drug 2 8 utilization review requirements under the medical assistance 2 9 program do not apply to the provisions of the bill. The 2 10 department of human services is directed to monitor pharmacy 2 11 participation under the bill and is to report annually on the 2 12 results of the monitoring. The bill provides that it is the 2 13 intent of the general assembly to reevaluate the benefits 2 14 provided under the bill if a prescription drug benefit is 2 15 provided through the federal Medicare program. The department 2 16 is directed to inform the legislative fiscal bureau if such a 2 17 benefit is provided through the federal Medicare program. The 2 18 bill provides that the new Code section is repealed January 1, 2 19 2003. 2 20 LSB 2307YH 79 2 21 pf/gg/8
Text: HF00245 Text: HF00247 Text: HF00200 - HF00299 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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