The original instrument and the following digest, which constitutes no part of the
legislative instrument, were prepared by Christopher D. Adams.
DIGEST
SB 170 Original 2015 Regular Session Kostelka
Proposed law prohibits the following:
(1)The Department of Health and Hospitals (DHH) cannot place any limit on the number of
prescriptions available to residents of long term care facilities as defined in the Social
Security Act or regulations promulgated thereunder.
(2)Any contract between the department and a managed care organization or prepaid
coordinated care organization, as defined pursuant to present law, that establishes or enforces
any limit on the number of prescriptions available to residents of long term care facilities as
defined in the Social Security Act or regulations promulgated thereunder shall be prohibited.
(3)A managed care organization or a prepaid coordinated care organization, as defined pursuant
to present law, cannot establish or enforce any limit on the number of prescriptions available
to residents of long term care facilities as defined in the Social Security Act or regulations
promulgated thereunder.
Proposed law does not prohibit any requirement, such as medical necessity, which is otherwise
applicable to individual prescriptions.
Proposed law provides DHH shall ensure that the dispensing fees paid by a managed care
organization and a prepaid coordinated care organization, as defined pursuant to present law, related
to prescriptions provided to patients in long term care facilities are set based on data specific to the
costs incurred by such pharmacies in filling such prescriptions, and the amounts of dispensing fees
take into account the unique requirements of servicing those patients and the costs related thereto.
Effective upon signature of the governor or lapse of time for gubernatorial action.
(Adds R.S. 46:460.36)