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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