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Regular Session, 2011
HOUSE RESOLUTION NO. 108
BY REPRESENTATIVE LEBAS
A RESOLUTION
To create the Legislative Workgroup on Electronic Prescribing to study and make
recommendations concerning electronic prescribing.
WHEREAS, Louisiana is working to adopt electronic medical records systems; and
WHEREAS, a survey of physicians recently conducted by the American Medical
Association found significant concerns among physicians about health insurer prior
authorization requirements for both procedures and prescription medications, as well as the
timely adjudication of such matters; and
WHEREAS, prior authorization programs have the potential to delay or limit access
to needed treatments; and
WHEREAS, emerging electronic medical record systems may increasingly offer
physicians the convenience of knowing whether a medication is covered by a health plan,
and whether there are utilization management limitations associated with a medication, but
health plans continue to require the submission of a prior authorization request via a paper
system; and
WHEREAS, physicians often do not know the criteria for approval by a health plan
of a requested treatment; and
WHEREAS, the Health Information Technology for Economic and Clinical Health
(HITECH) Act, enacted as part of the American Recovery and Reinvestment Act of 2009
(ARRA), provides federal incentives for Medicare and Medicaid providers and hospitals to
implement, adopt, and upgrade health information technology, including electronic
prescribing and electronic health record systems; and
WHEREAS, states are responsible for administering the incentive payments, and
have already begun embarking on their own health IT initiatives; and ENROLLEDHR NO. 108
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WHEREAS, the United States Department of Health and Human Services recently
released guidance encouraging states to pursue the implementation of health information
technology as a key to driving down health care costs; and
WHEREAS, the goals of electronic prescribing and health information technology
systems are to strengthen the physician patient relationship, improve patient care by allowing
physicians to coordinate care across specialties and fields, facilitate improved quality
management of chronic disease and thereby reduce health system costs, and allow physicians
to monitor medication adherence.
THEREFORE, BE IT RESOLVED that the House of Representatives of the
Legislature of Louisiana does hereby establish and create the Legislative Workgroup on
Electronic Prescribing to study and make recommendations to the legislature concerning
electronic prescribing which at a minimum would accomplish the following:
(1) Seek to limit marketing in electronic health record systems.
(2) Seek to encourage the provision of evidence-based information at the point of
care for the prescriber and patient.
(3) Standardize prior authorization to maximize administrative simplification and
efficiency and adopt a universal prior authorization form to be made available for electronic
use.
(4) Provide for a patient's freedom of choice with respect to the selection of a
pharmacy.
(5) Provide for user authentication, audit, and physical security.
BE IT FURTHER RESOLVED that the Legislative Workgroup on Electronic
Prescribing is hereby established and shall be composed of the following members:
(1) One representative appointed by the Louisiana State Board of Pharmacy who will
serve as co-chair.
(2) One representative of the Louisiana State Board of Medical Examiners who will
serve as co-chair.
(3) One representative of the Department of Health and Hospitals.
(4) One representative of the Department of Insurance.
(5) One representative appointed by the Louisiana State Medical Society.
(6) One representative appointed by the Louisiana Academy of Family Physicians. ENROLLEDHR NO. 108
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(7) One representative appointed by the Louisiana Independent Pharmacies
Association.
(8) One representative appointed by the Pharmaceutical Researchers and
Manufacturers of America.
(9) One representative appointed by the Louisiana Association of Health Plans.
(10) One representative appointed by the Louisiana Health Care Quality Forum.
(11) One representative appointed by the Louisiana Hospital Association.
(12) One representative of the Louisiana Worker's Compensation Corporation.
(13) One representative of the Louisiana Association of Self Insured Employers.
(14) One representative of eQHealth Solutions.
(15) One representative of the National Association of Chain Drug Stores.
(16) One representative of the Louisiana Orthopedic Association.
(17) One representative of the Louisiana State Board of Nursing.
(18) One representative of the Louisiana Association of Nurse Practitioners.
(19) One representative of Medicine Louisiana, Inc.
(20) One representative of the Louisiana Chapter of the American Academy of
Pediatrics.
(21) One representative of the Louisiana State Board of Optometry Examiners.
BE IT FURTHER RESOLVED that the workgroup shall study and provide
recommendations on the following aspects of electronic prescribing systems:
(1) Best practices to maintain a neutral platform for the secure electronic
transmission of health data, including but not limited to medication history, formulary status,
and other patient information which health professionals typically access when prescribing
medication and other interventions.
(2) Best practices to assure attempts to influence, through economic incentives or
otherwise, the prescribing decisions of the practitioner at the point of care can be kept to a
minimum and focused on patient safety and outcomes that maximize patient and provider
freedom of choice.
(3) Best practices to assure messages in electronic prescribing systems are
substantially supported by scientific evidence, accurate, up to date, and fact based, including ENROLLEDHR NO. 108
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a fair and balanced presentation of risks and benefits, and support for better clinical
decisionmaking, such as alerts to adverse events and access to formulary information.
(4) Best practices to establish a process to provide electronic prior authorization
request and approval transactions between providers and group purchasers.
BE IT FURTHER RESOLVED that the Louisiana Board of Pharmacy and the
Louisiana State Board of Medical Examiners shall coordinate, facilitate, and support the
functions and duties of the Legislative Workgroup on Electronic Prescribing.
BE IT FURTHER RESOLVED that the Legislative Workgroup on Electronic
Prescribing shall submit a report to House Committee on Health and Welfare, the Louisiana
Board of Pharmacy, and the Louisiana State Board of Medical Examiners on or before
January 1, 2012.
BE IT FURTHER RESOLVED that a copy of this Resolution be transmitted to the
Louisiana Board of Pharmacy, the Louisiana State Board of Medical Examiners, the
Louisiana Department of Health and Hospitals, the Louisiana Department of Insurance, the
Louisiana State Medical Society, the Louisiana Academy of Family Physicians, the
Louisiana Independent Pharmacies Association, Pharmaceutical Researchers and
Manufacturers of America, the Louisiana Association of Health Plans, the Louisiana
Healthcare Quality Forum, the Louisiana Hospital Association, the Louisiana Worker's
Compensation Corporation, Louisiana Association of Self Insured Employers, eQHealth
Solutions, the National Association of Chain Drug Stores, the Louisiana Orthopedic
Association, Louisiana State Board of Nursing, the Louisiana Association of Nurse
Practitioners, Medicine Louisiana, Inc., the Louisiana Chapter of the American Academy
of Pediatrics, and the Louisiana State Board of Optometry Examiners.
SPEAKER OF THE HOUSE OF REPRESENTATI VES