Senate Amendment 5032 PAG LIN 1 1 Amend Senate File 2088 as follows: 1 2 #1. Page 198, by striking line 30 and inserting: 1 3 <Sec. ___. MEDICAID NONPREFERRED DRUG LIST 1 4 PRESCRIBING. 1 5 1. The> 1 6 #2. Page 198, after line 35 by inserting: 1 7 <2. Notwithstanding subsection 1, the department 1 8 shall adopt rules pursuant to chapter 17A to restrict a 1 9 physician or other prescriber prescribing a chemically 1 10 unique mental health prescription drug to prescribing 1 11 not more than a seven=day supply of the prescription 1 12 drug while requesting approval to continue to prescribe 1 13 the medication. The rules shall provide that if 1 14 an approval or disapproval is not received by the 1 15 physician or other prescriber within 48 hours of the 1 16 request, the request is deemed approved.> 1 17 #3. Page 199, line 5, by striking <shall> and 1 18 inserting <may> 1 19 #4. Page 199, line 8, after <drug.> by inserting 1 20 <The department shall consult with the national 1 21 alliance on mental illness, Iowa chapter, and other 1 22 mental health patient organizations in the development 1 23 of the rules and the development of associated 1 24 formularies. The rules shall provide that a medical 1 25 assistance program recipient whose drug regimen is 1 26 established prior to January 1, 2011, on a chemically 1 27 unique mental health prescription drug that would 1 28 otherwise be placed on the nonpreferred drug list and 1 29 subject to prior authorization under this section, 1 30 shall be exempt from the restrictions of this section. 1 31 The department shall not adopt rules under this 1 32 section by emergency rulemaking pursuant to section 1 33 17A.4, subsection 3, and section 17A.5, subsection 2, 1 34 paragraph "b". The rules adopted pursuant to this 1 35 section shall not take effect prior to January 1, 1 36 2011.> 1 37 #5. By renumbering as necessary. JACK HATCH SF2088.401 (1) 83 pf/rj -1-