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

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