Amendment vs bill Amendment S-3143 vs Introduced

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Senate File 530 - Introduced SENATE FILE 530 BY COMMITTEE ON HUMAN RESOURCES (SUCCESSOR TO SF 291) A BILL FOR An Act relating to the dispensing of insulin in emergency situations, and providing for insurance coverage.
Senate File 530 S-3143 Amend Senate File 530 as follows:
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
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530 Section 1.
Section 155A.29, Code 2019, is amended to read as follows:
155A.29 Prescription refills.
Except as specified in subsection 2 or 3 , a prescription for any prescription drug or device which is not a controlled substance shall not be filled or refilled more than eighteen months after the date on which the prescription was issued and a prescription which is authorized to be refilled shall not be refilled more than twelve times.
By striking everything after the enacting clause and inserting:
2.
<Section 1.
A pharmacist may exercise professional judgment by refilling a prescription without prescriber authorization if all of the following are true:
Section 155A.29, subsection 3, Code 2019, is amended to read as follows:
a.
The pharmacist is unable to contact the prescriber after reasonable effort efforts.
b.
Failure to refill the prescription might result in an interruption of therapeutic regimen or create patient suffering.
c.
The pharmacist informs the patient or the patient’s representative at the time of dispensing, and the practitioner at the earliest convenience that prescriber reauthorization is required.
d.
Prescriptions may be refilled once pursuant to subsection 2 for a period of time reasonably necessary for the pharmacist to secure prescriber authorization.
3.
In addition to the authorization for a pharmacist to refill a prescription without prescriber authorization pursuant to subsection 2, a pharmacist may exercise professional judgment and refill a prescription for and dispense insulin without prescriber authorization if all of the following conditions are met:
Prescriptions may be refilled once pursuant to subsection 2 for a period of time reasonably necessary for the pharmacist to secure prescriber authorization.
(1) The pharmacy has a record of the patient’s expired prescription.
(2) The pharmacist is unable to contact the prescriber after reasonable efforts.
(3) The insulin is essential to the health of the patient LSB 2486SV (1) 88 -1- pf/rh 1/3 S.F.
530 and the patient will be harmed if the insulin is not dispensed.
The pharmacist may dispense insulin pursuant to this subsection in an amount not to exceed a thirty-day supply and only once in a twelve-month period.
Notwithstanding paragraph “a”, a prescription may be refilled pursuant to subsection 2, once in a twelve-month period, and the pharmacist may dispense an amount not to exceed a thirty-day supply, or if the standard unit of dispensing exceeds a thirty-day supply or is unit dosed, an amount not to exceed the standard supply or unit of dispensing.
4.
> 2.
An authorization to refill a prescription drug order shall be transmitted to a pharmacy by a prescriber or the prescriber’s authorized agent pursuant to section 155A.27, except that prescription drug orders for controlled substances shall be transmitted pursuant to section 124.308, and, if not transmitted directly by the practitioner, shall also include the name and title of the practitioner’s agent completing the transmission.
Title page, by striking lines 1 and 2 and inserting <An Act relating to the refilling of a prescription in emergency situations.> ______________________________ THOMAS A.
Sec.
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2.
NEW SECTION.
514C.18A Insulin coverage.
1.
Notwithstanding the uniformity of treatment requirements of section 514C.6, a policy or contract providing for third-party payment or prepayment of insulin when prescribed by a practitioner as defined in section 155A.3, shall provide coverage for insulin dispensed without authorization pursuant to section 155A.29, subsection 3, for an amount not to exceed a thirty-day supply and only once in a twelve-month period.
2.
a.
This section applies to the following classes of third-party payment provider contracts or policies delivered, issued for delivery, continued, or renewed in this state on or after July 1, 2019:
(1) Individual or group accident and sickness insurance providing coverage on an expense-incurred basis.
(2) An individual or group hospital or medical service contract issued pursuant to chapter 509, 514, or 514A.
(3) An individual or group health maintenance organization contract regulated under chapter 514B.
(4) Any other entity engaged in the business of insurance, risk transfer, or risk retention, which is subject to the jurisdiction of the commissioner.
(5) A plan established pursuant to chapter 509A for public employees.
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LSB 2486SV (1) 88 -2- pf/rh 2/3 S.F.
530 b.
This section shall not apply to accident-only, specified disease, short-term hospital or medical, hospital confinement indemnity, credit, dental, vision, Medicare supplement, long-term care, basic hospital and medical-surgical expense coverage as defined by the commissioner, disability income insurance coverage, coverage issued as a supplement to liability insurance, workers’ compensation or similar insurance, or automobile medical payment insurance.
EXPLANATION The inclusion of this explanation does not constitute agreement with the explanation’s substance by the members of the general assembly.
This bill provides that in addition to existing provisions relating to the refilling of a prescription without prescriber authorization, a pharmacist may exercise professional judgment and refill a prescription for and dispense insulin without prescriber authorization if the pharmacy has a record of the patient’s expired prescription, the pharmacist is unable to contact the prescriber after reasonable efforts, and the insulin is essential to the health of the patient and the patient will be harmed if the insulin is not dispensed.
Under these conditions, a pharmacist may dispense insulin in an amount not to exceed a 30-day supply and only once in a 12-month period.
The bill also provides that a policy or contract providing for third-party payment or prepayment of insulin when prescribed by a practitioner shall also provide coverage for insulin dispensed without authorization as provided in the bill, for an amount not to exceed a 30-day supply, once in a 12-month period.
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