House File 697 H-1739 Amend the amendment, H-1734, to House File 697 as 1 follows: 2 1. Page 7, by striking lines 10 through 12. 3 2. Page 10, by striking lines 12 through 15. 4 3. By striking page 15, line 18, through page 17, 5 line 11, and inserting: 6 Sec. ___. 2010 Iowa Acts, chapter 1193, section 7 166, subsections 2 and 3, are amended to read as 8 follows: 9 2. a. Prior to July 1, 2010, the department of 10 administrative services shall utilize a request for 11 proposals process to contract for the provision of 12 medication therapy management services beginning 13 July 1, 2010, and prior to July 1, 2011, shall amend 14 the contract to continue the provision of medication 15 therapy management services beginning July 1, 2011, 16 for eligible employees who meet any of the following 17 criteria: 18 (1) An individual who takes four or more 19 prescription drugs to treat or prevent two or more 20 chronic medical conditions. 21 (2) An individual with a prescription drug therapy 22 problem who is identified by the prescribing physician 23 or other appropriate prescriber, and referred to a 24 pharmacist for medication therapy management services. 25 (3) An individual who meets other criteria 26 established by the third-party payment provider 27 contract, policy, or plan. 28 b. The department of administrative services shall 29 utilize an advisory committee comprised of an equal 30 number of physicians and pharmacists to provide advice 31 and oversight regarding the request for proposals and 32 evaluation processes. The department shall appoint the 33 members of the advisory council based upon designees 34 of the Iowa pharmacy association, the Iowa medical 35 society, and the Iowa osteopathic medical association. 36 c. The contract shall require the company to 37 provide annual reports to the general assembly 38 detailing the costs, savings, estimated cost avoidance 39 and return on investment, and patient outcomes 40 related to the medication therapy management services 41 provided. The company shall guarantee demonstrated 42 annual savings, including any savings associated with 43 cost avoidance at least equal to the program’s costs 44 with any shortfall amount refunded to the state. As 45 a proof of concept in the program for the period 46 beginning July 1, 2010, and ending June 30, 2011, the 47 company shall offer a dollar-for-dollar guarantee for 48 drug product costs savings alone. Prior to entering 49 into a contract with a company, the department and 50 -1- H1734.3323 (2) 84 tm/jp 1/ 3 #1. #2. #3.

the company shall agree on the terms, conditions, 1 and applicable measurement standards associated 2 with the demonstration of savings. The department 3 shall verify the demonstrated savings reported by 4 the company was performed in accordance with the 5 agreed upon measurement standards. The company shall 6 be prohibited from using the company’s employees to 7 provide the medication therapy management services and 8 shall instead be required to contract with licensed 9 pharmacies, pharmacists, or physicians. 10 d. The fees for pharmacist-delivered medication 11 therapy management services shall be separate from 12 the reimbursement for prescription drug product or 13 dispensing services; shall be determined by each 14 third-party payment provider contract, policy, or plan; 15 and must be reasonable based on the resources and time 16 required to provide the service. 17 e. A fee shall be established for physician 18 reimbursement for services delivered for medication 19 therapy management as determined by each third-party 20 payment provider contract, policy, or plan, and must be 21 reasonable based on the resources and time required to 22 provide the service. 23 f. If any part of the medication therapy management 24 plan developed by a pharmacist incorporates services 25 which are outside the pharmacist’s independent scope 26 of practice including the initiation of therapy, 27 modification of dosages, therapeutic interchange, or 28 changes in drug therapy, the express authorization 29 of the individual’s physician or other appropriate 30 prescriber is required. 31 g. For the contract period beginning July 1, 2011, 32 the department shall utilize the services of the 33 college of pharmacy at a state university to validate 34 reported drug cost savings. 35 h. The results of the pilot program for the period 36 beginning July 1, 2010, and ending December 31, 2011, 37 shall be submitted to the general assembly no later 38 than March 1, 2012. 39 3. This section is repealed December 31, 2011 June 40 20, 2012 . > 41 4. Page 17, by striking line 22 and inserting 42 < amended in this division of this Act: > 43 5. Page 17, by striking lines 24 through 28 and 44 inserting: 45 < Sec. ___. EFFECTIVE UPON ENACTMENT AND RETROACTIVE 46 APPLICABILITY. This division of this Act, being deemed 47 of immediate importance, takes effect upon enactment, 48 and is retroactively applicable to June 15, 2011. > 49 6. Page 17, by striking lines 12 through 23 and 50 -2- H1734.3323 (2) 84 tm/jp 2/ 3 #4. #5.

inserting: 1 < Sec. ___. TRANSFER —— MEDICATION THERAPY 2 MANAGEMENT PROGRAM. There is transferred $510,000 3 from the fees collected by the board of pharmacy 4 pursuant to chapter 155A and retained by the board 5 pursuant to the authority granted in section 147.82 6 to the department of administrative services for the 7 fiscal year beginning July 1, 2011, and ending June 30, 8 2012, to be used to be used for the medication therapy 9 management program. > 10 7. Page 18, line 5, by striking < five > and 11 inserting < five ten > 12 8. By renumbering as necessary. 13 ______________________________ COWNIE of Polk -3- H1734.3323 (2) 84 tm/jp 3/ 3 #7. #8.