RDCSB83 4300 4148
DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part
of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute
part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
SB 83 Engrossed 2022 Regular Session Fred Mills
Proposed law provides for the Council on Medicaid Pharmacy Reimbursement within the
La. Dept. of Health (LDH). Proposed law further provides for the membership of the
council, terms of the members, meetings of the council, and the required quorum.
Proposed law provides for the following duties of the council:
(1)Review Medicaid pharmacy reimbursement data and trends and establish a process
by which pharmacists can provide information showing that current reimbursement
does not cover the reasonable and appropriate cost for a specific pharmaceutical.
(2)Provide a platform for pharmacists to submit ideas and express concerns and a venue
for public testimony on Medicaid reimbursements.
(3)Make recommendations to the secretary regarding needed changes to Medicaid
pharmacy reimbursement policies and procedures including but not limited to
enhanced reimbursements for specific pharmaceuticals upon a showing that the
current reimbursement does not cover the reasonable and appropriate costs and
inhibits patient access to prescribed, medically necessary pharmaceuticals.
(4)Advise the secretary of LDH on alleged violations committed by Medicaid managed
care organizations, pharmacy benefit managers, or any other entity that provides any
service related to prescription drug administration or benefits.
(5)Make annual recommendations to the secretary regarding the implementation and
administration of a Medicaid medication therapy management program.
(6)Any other task related to the Medicaid pharmacy program, including but not limited
to Medicaid prescription drug administration, drug rebates, and reimbursement.
Proposed law provides that the Council may consult with health benefit plan issuers,
Medicaid managed care organizations, pharmacy benefit managers, wholesale drug
distributors, and other interested stakeholders in carrying out the duties required by proposed
law.
Effective August 1, 2022.
(Adds R.S. 46:460.37)
Summary of Amendments Adopted by House
The Committee Amendments Proposed by House Committee on Health and Welfare to
the engrossed bill:
1. Require two additional members to be added to the Council on Medicaid
Pharmacy Reimbursement.
2. Establish a licensure provision for certain members of the Council on Medicaid
Pharmacy Reimbursement.
3. Provide additional duties for the Council on Medicaid Pharmacy Reimbursement
to perform relative to reimbursement information provisions and policy and
procedure-related recommendations.
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4. Provide that the Council on Medicaid Pharmacy Reimbursement may seek
assistance relative to carrying out the duties outlined in proposed law from
certain parties.
5. Make technical corrections.
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