Text: SF00187 Text: SF00189 Text: SF00100 - SF00199 Text: SF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Section 1. NEW SECTION. 514L.1 INTENT OF THE GENERAL
1 2 ASSEMBLY.
1 3 It is the intent of the general assembly to lessen waiting
1 4 times for patients, decrease administrative burdens for
1 5 pharmacies, and improve patient care by minimizing confusion,
1 6 eliminating unnecessary paperwork, and streamlining dispensing
1 7 of prescription products paid for by third-party payors. This
1 8 chapter shall be broadly applied and interpreted to effectuate
1 9 its purpose.
1 10 Sec. 2. NEW SECTION. 514L.2 DEFINITIONS.
1 11 As used in this chapter, unless the context otherwise
1 12 requires:
1 13 1. "Prescription drug" means prescription drug as defined
1 14 in section 155A.3 and includes a device as defined in section
1 15 155A.3.
1 16 2. "Provider of third-party payment or prepayment of
1 17 prescription drug expenses" means a provider of an individual
1 18 or group policy of accident or health insurance or an
1 19 individual or group hospital or health care service contract
1 20 issued pursuant to chapter 509, 514, or 514A, a provider of an
1 21 individual or group health maintenance organization contract
1 22 issued and regulated under chapter 514B, a provider of an
1 23 organized delivery system contract regulated under rules
1 24 adopted by the director of public health, a provider of a
1 25 preferred provider contract issued pursuant to chapter 514F,
1 26 and any other entity providing health insurance or health
1 27 benefits which provide for payment or prepayment of
1 28 prescription drug expenses coverage subject to state insurance
1 29 regulation.
1 30 Sec. 3. NEW SECTION. 514L.3 UNIFORM PRESCRIPTION DRUG
1 31 INFORMATION CARDS.
1 32 1. A provider of third-party payment or prepayment of
1 33 prescription drug expenses that issues a card or other
1 34 technology for claims processing and an administrator of the
1 35 payor, including, but not limited to, third-party
2 1 administrators for self-insured plans and state-administered
2 2 plans, shall issue to its insureds a card or other technology
2 3 containing uniform prescription drug information. The uniform
2 4 prescription drug information card or technology shall be the
2 5 format approved by the national council for prescription drug
2 6 programs and shall include all of the required fields and
2 7 conform to the most recent pharmacy information card or
2 8 technology implementation guide produced by the national
2 9 council for prescription drug programs or conform to a
2 10 national format acceptable to the commissioner of insurance.
2 11 If a provider includes a conditional or situational field of
2 12 payment or prepayment, the card or other technology shall
2 13 conform to the most recent pharmacy information card or
2 14 technology implementation guide produced by the national
2 15 council for prescription drug programs or shall conform to a
2 16 national format acceptable to the commissioner of insurance.
2 17 2. A new uniform prescription drug information card or
2 18 technology, as required pursuant to subsection 1, shall be
2 19 issued by a provider of third-party payment or prepayment upon
2 20 enrollment and reissued upon any change in the certificate
2 21 holder's coverage that impacts data contained on the card or
2 22 technology or upon any change in the national council for
2 23 prescription drug program implementation guide or successor
2 24 document, provided that the change affects data elements
2 25 contained on the card. Newly issued cards or technology shall
2 26 be updated with the latest coverage.
2 27 EXPLANATION
2 28 This bill requires the use of a uniform prescription drug
2 29 card or technology by providers of third-party payment or
2 30 prepayment of prescription drug expenses. The format for the
2 31 card or technology is to be the format approved by the
2 32 national council for prescription drug programs or a national
2 33 format approved by the commissioner of insurance. The uniform
2 34 card or technology is to be issued upon enrollment and
2 35 reissued at any time that changes in the national format take
3 1 place.
3 2 LSB 1069XS 79
3 3 pf/gg/8
Text: SF00187 Text: SF00189 Text: SF00100 - SF00199 Text: SF Index Bills and Amendments: General Index Bill History: General Index
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