SLS 16RS-264 ORIGINAL
2016 Regular Session
SENATE BILL NO. 52
BY SENATOR MILLS
MEDICAID. Provides for the creation of a single preferred drug list for reimbursement of
Medicaid covered outpatient drugs. (gov sig)
1 AN ACT
2 To amend and reenact the introductory paragraph of R.S. 46:153.3(B)(2)(a), relative to the
3 Medicaid pharmacy program; to provide for an effective date; and to provide for
4 related matters.
5 Be it enacted by the Legislature of Louisiana:
6 Section 1. The introductory paragraph of R.S. 46:153.3(B)(2)(a) is hereby amended
7 and reenacted to read as follows:
8 ยง153.3. Medical vendor reimbursements; allowable restrictions; peer-based
9 prescribing and dispensing practice patterns; Medicaid
10 Pharmaceutical and Therapeutics Committee
11 * * *
12 B.
13 * * *
14 (2)(a) The department may shall establish a single preferred drug list that
15 utilizes may utilize a prior approval process or any other process or combination of
16 processes that prove to be cost-effective in the medical assistance program. This
17 single preferred drug list shall be developed by the department and utilized in
Page 1 of 2
Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions. SB NO. 52
SLS 16RS-264 ORIGINAL
1 the medical assistance program, including all capitated Medicaid managed care
2 programs. At a minimum any prior approval process shall meet all of the following
3 criteria:
4 * * *
5 Section 2. This Act shall become effective upon signature by the governor or, if not
6 signed by the governor, upon expiration of the time for bills to become law without signature
7 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If
8 vetoed by the governor and subsequently approved by the legislature, this Act shall become
9 effective on the day following such approval.
The original instrument and the following digest, which constitutes no part
of the legislative instrument, were prepared by Christine Arbo Peck.
DIGEST
SB 52 Original 2016 Regular Session Mills
Present law provides that DHH may establish a drug list that utilized a prior authorization
process.
Proposed law provides that DHH shall establish a single preferred drug list that may utilize
prior authorization.
Proposed law establishes a single preferred drug list developed by DHH that applies to the
managed care plans providing services pursuant to a contract with DHH.
Effective upon signature of the governor or lapse of time for gubernatorial action.
(Amends R.S. 46:153.3(B)(2)(a) (intro para))
Page 2 of 2
Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.