SLS 22RS-274 ENGROSSED
2022 Regular Session
SENATE BILL NO. 82
BY SENATOR FRED MILLS
MEDICAID. Provides relative to Medicaid reimbursement for pharmacy services. (8/1/22)
1 AN ACT
2 To enact R.S. 46:460.32, relative to Medicaid reimbursement for pharmacy services; to
3 provide for enhanced reimbursements using drug rebates; to provide for a state plan
4 amendment; to provide for rulemaking; to provide for an effective date; and to
5 provide for related matters.
6 Be it enacted by the Legislature of Louisiana:
7 Section 1. R.S. 46:460.32 is hereby enacted to read as follows:
8 ยง460.32. Medical assistance programs; pharmacy reimbursement
9 A. The department shall adopt rules and regulations in accordance with
10 the Administrative Procedure Act to enhance reimbursement for services
11 rendered by pharmacists and pharmacies using funds paid to the state in the
12 form of a prescription drug rebate through the Medicaid drug rebate program.
13 B. Notwithstanding any law to the contrary, by January 1, 2023, the
14 department shall file a state plan amendment with the Centers for Medicare
15 and Medicaid Services to provide that a pharmacist or pharmacy shall be
16 eligible for enhanced reimbursement which equals or approximates one
17 hundred percent of the appropriate reasonable cost of providing pharmacy
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. 82
SLS 22RS-274 ENGROSSED
1 services, including but not limited to the actual acquisition cost of drugs and
2 devices.
3 C. On an expedited basis, the department shall take all steps necessary
4 to obtain approval for the state plan amendment and shall, immediately upon
5 notification of approval, promulgate an emergency rule to implement the state
6 plan amendment.
7 D. The enhanced pharmacy reimbursements shall be effective for
8 prescriptions filled on or after July 1, 2023, as permitted by federal law.
The original instrument and the following digest, which constitutes no part
of the legislative instrument, were prepared by Brandi Cannon.
DIGEST
SB 82 Engrossed 2022 Regular Session Fred Mills
Present law provides for the payment of pharmacy claims in the Louisiana Medicaid
program.
Proposed law retains present law and provides for the La. Dept. of Health (LDH) to adopt
rules and regulations to enhance reimbursement for services rendered by pharmacists and
pharmacies using funds paid to the state in the form of a prescription drug rebate through the
Medicaid drug rebate program. Proposed law further provides for LDH to file a state plan
amendment to provide that a pharmacist or pharmacy shall be eligible for enhanced
reimbursement which equals or approximates 100% of the appropriate reasonable cost of
providing pharmacy services.
The enhanced pharmacy reimbursements in proposed law shall be effective for prescriptions
filled on or after July 1, 2023, as permitted by federal law.
Effective August 1, 2022.
(Adds R.S. 46:460.32)
Page 2 of 2
Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.