Senate File 2318 - Introduced SENATE FILE 2318 BY COMMITTEE ON HUMAN RESOURCES (SUCCESSOR TO SF 123) A BILL FOR An Act relating to collaborative pharmacy practice allowing 1 pharmacists to provide patient care and drug therapy 2 management services. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 1489SV (2) 88 pf/rh

S.F. 2318 Section 1. NEW SECTION . 155A.47 Collaborative pharmacy 1 practice —— agreements —— payment. 2 1. For the purposes of this section: 3 a. “Collaborative pharmacy practice” means a practice of 4 pharmacy whereby a pharmacist provides patient care and drug 5 therapy management services, not otherwise permitted to be 6 performed by a pharmacist, to patients under a collaborative 7 pharmacy practice agreement. 8 b. “Collaborative pharmacy practice agreement” means a 9 written agreement between one or more pharmacists and one or 10 more practitioners that provides for a collaborative pharmacy 11 practice and defines the nature, scope, conditions, and 12 limitations of the patient care and drug therapy management 13 services to be provided by a pharmacist in order to ensure that 14 a patient achieves the desired outcomes. 15 c. “Health benefit plan” means the same as defined in 16 section 514J.102. 17 d. “Health carrier” means the same as defined in section 18 514J.102. 19 2. Notwithstanding any provision to the contrary, a 20 pharmacist may engage in a collaborative pharmacy practice, in 21 accordance with rules adopted by the board pursuant to chapter 22 17A and under a collaborative pharmacy practice agreement, to 23 provide patient care and drug therapy management services to 24 a patient including but not limited to a patient following a 25 behavioral health diagnosis by a practitioner. 26 3. Notwithstanding any provision of a health benefit plan 27 to the contrary, whenever a health benefit plan provides for 28 payment or reimbursement for a service that is within the 29 lawful scope of practice of a practitioner or pharmacist 30 and the service is provided by a pharmacist pursuant to a 31 collaborative pharmacy practice agreement under this section, 32 the health carrier may provide payment or reimbursement for the 33 service. 34 4. This section shall not apply to the medical assistance 35 -1- LSB 1489SV (2) 88 pf/rh 1/ 2

S.F. 2318 program pursuant to chapter 249A, including to a managed care 1 organization acting pursuant to a contract with the department 2 of human services to provide coverage to medical assistance 3 program members, or to the hawk-i program pursuant to chapter 4 514I. 5 EXPLANATION 6 The inclusion of this explanation does not constitute agreement with 7 the explanation’s substance by the members of the general assembly. 8 This bill allows a pharmacist to engage in a collaborative 9 pharmacy practice, in accordance with administrative rules 10 adopted by the board of pharmacy and under a collaborative 11 pharmacy practice agreement, to provide patient care and drug 12 therapy management services to a patient including a patient 13 following a behavioral health diagnosis by a practitioner. 14 The bill also provides that if a health benefit plan provides 15 for payment or reimbursement for a service that is within 16 the lawful scope of practice of a practitioner or pharmacist 17 and the service is provided by a pharmacist pursuant to a 18 collaborative pharmacy practice agreement, the health carrier 19 may provide payment or reimbursement for the service. The bill 20 provides definitions used in the bill including “collaborative 21 pharmacy practice” and “collaborative pharmacy practice 22 agreement”. The bill does not apply to the medical assistance 23 program or to the hawk-i program. 24 -2- LSB 1489SV (2) 88 pf/rh 2/ 2