Amend Senate File 313, as passed by the Senate, as follows:
   1.  Page 1, before line 1 by inserting: 

<DIVISION I

MEDICAL ASSISTANCE —— GENERAL PROVISIONS>
   2.  Page 5, after line 10 by inserting: 

<DIVISION II

MEDICAID PRESCRIPTION DRUGS
   Sec. ___.  Section 249A.20A, subsection 4, Code 2011, is amended to read as follows:
   4.  With the exception of drugs prescribed for the treatment of human immunodeficiency virus or acquired immune deficiency syndrome, transplantation, or cancer and drugs prescribed for mental illness with the exception of drugs and drug compounds that do not have a significant variation in a therapeutic profile or side effect profile within a therapeutic class, prescribing and dispensing of prescription drugs not included on the preferred drug list shall be subject to prior authorization.
   Sec. ___.  REPEAL.  2010 Iowa Acts, chapter 1031, sections 348 and 349, are repealed.
   Sec. ___.  RESCINDING AND ADOPTION OF RULES.  The department of human services shall rescind the rules adopted pursuant to 2010 Iowa Acts, chapter 1031, sections 347 through 349, and shall instead adopt emergency rules under section 17A.4, subsection 3, and section 17A.5, subsection 2, paragraph “b”, to implement section 249A.20A, as amended in this division of this Act, and the rules shall be effective immediately upon filing and retroactively applicable to January 1, 2011, unless a later date is specified in the rules. Any rules adopted in accordance with this section shall also be published as a notice of intended action as provided in section 17A.4.
   Sec. ___.  EFFECTIVE UPON ENACTMENT AND RETROACTIVE APPLICABILITY.  This division of this Act, being deemed of immediate importance, takes effect upon enactment and applies retroactively to January 1, 2011.>
   3.  Title page, line 2, after<provisions> by inserting <and providing effective date and retroactive applicability provisions>
   4.  By renumbering as necessary.

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SCHULTE of Linn