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HOUSE BILL NO. 707

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Daily Data Tracking History

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H0707.................................................by HEALTH AND WELFARE
PHARMACY - Amends existing law to establish pharmacy reimbursement rates
through June 30, 1998, and to permit negotiated rulemaking to establish
rates thereafter.

02/13    House intro - 1st rdg - to printing
02/16    Rpt prt - to Health/Wel
03/05    Rpt out - rec d/p - to 2nd rdg
03/06    2nd rdg - to 3rd rdg
03/09    3rd rdg - PASSED - 66-1-3
      AYES -- Alltus, Barraclough, Barrett, Bell, Bieter, Bivens,
      Black(15), Black(23), Boe, Bruneel, Callister, Campbell, Chase,
      Clark, Crane, Crow, Cuddy, Deal, Denney, Ellsworth, Gagner, Geddes,
      Gould, Hadley, Hansen, Henbest, Hornbeck, Jaquet, Jones(9),
      Jones(22), Judd, Kellogg, Kempton, Kendell, Kjellander, Kunz, Lake,
      Linford, Loertscher, Mader, Marley, McKague, Meyer, Miller,
      Mortensen, Newcomb, Pischner, Pomeroy, Reynolds, Richman, Ridinger,
      Robison, Sali, Schaefer, Stevenson, Stone, Stubbs, Taylor, Tilman,
      Tippets, Trail, Watson, Wheeler, Wood, Zimmermann, Mr Speaker
      NAYS -- Stoicheff
      Absent and excused -- Field(13), Field(20), Jones(20),
    Floor Sponsor - Jaquet
    Title apvd - to Senate
03/10    Senate intro - 1st rdg - to Health/Wel
03/13    Rpt out - rec d/p - to 2nd rdg
03/16    2nd rdg - to 3rd rdg
03/18    3rd rdg - PASSED - 34-0-1
      AYES--Andreason, Boatright, Branch, Bunderson, Burtenshaw, Cameron,
      Crow, Danielson, Darrington, Deide, Dunklin, Frasure, Geddes,
      Hawkins, Ingram, Ipsen, Keough, King, Lee, McLaughlin, Noh, Parry,
      Richardson, Riggs, Risch, Sandy, Schroeder, Sorensen, Stennett,
      Sweeney, Thorne, Twiggs, Wheeler, Whitworth
      NAYS--None
      Absent and excused--Hansen
    Floor Sponsor - Wheeler
    Title apvd - to House
03/19    To enrol - rpt enrol - Sp signed
    Pres signed - to Governor
03/20    Governor signed
         Session Law Chapter 187
         Effective: 07/01/98

Bill Text

H0707


                                                                        
 ||||              LEGISLATURE OF THE STATE OF IDAHO             ||||
Fifty-fourth Legislature                 Second Regular Session - 1998
                                                                        

                             IN THE HOUSE OF REPRESENTATIVES

                                    HOUSE BILL NO. 707

                             BY HEALTH AND WELFARE COMMITTEE

 1                                        AN ACT
 2    RELATING TO PHARMACY REIMBURSEMENT; AMENDING SECTION 56-209g, IDAHO  CODE,  TO
 3        ESTABLISH  PHARMACY  REIMBURSEMENT  RATES  AND  TO AUTHORIZE ADJUSTMENT OF
 4        RATES THROUGH NEGOTIATED RULEMAKING.

 5    Be It Enacted by the Legislature of the State of Idaho:

 6        SECTION 1.  That Section 56-209g, Idaho Code, be, and the same  is  hereby
 7    amended to read as follows:

 8        56-209g.  PHARMACY  REIMBURSEMENT.    From  January  1, 1991, through
 9    December 31, 1994, pursuant to federal action, a moratorium  on  reduction  of
10    pharmacy reimbursement levels for medicaid under title XIX of the social secu-
11    rity  act has been in effect   Medicaid pharmacy reimbursement lev-
12    els are a combination of the cost of the  drug  and  a  dispensing  fee  which
13    includes  such pharmaceutical care services as counseling, obtaining a patient
14    history, documentation, and dispensing . From and after January 1, 1995,
15     through June 30, 1998,  it shall be the policy  of  the  state  of
16    Idaho that there be no reduction of pharmacy reimbursement levels for medicaid
17    under  title XIX of the social security act except as necessary to comply with
18    federal regulations, 42 CFR 447.331 through 447.334,  as  implemented  in  the
19    state  of  Idaho.   Effective July 1, 1998, pharmacy reimbursement levels
20    may be adjusted in accordance with rules promulgated by the  director  through
21    negotiated rulemaking with interested parties including representatives of the
22    pharmacy profession. 

Statement of Purpose / Fiscal Impact

    STATEMENT OF PURPOSE 
    RS07941
    
    
    Consistent with the Governor's Medicaid Reform initiatives, the purpose of this legislation 
    is to give the state flexibility to adjust, through negotiated rule-making with interested 
    parties including representatives of the pharmacy profession, reimbursement for 
    prescription drugs purchased in connection with the state's medical assistance program. 
    Current state law prohibits the department from reducing payment levels except where 
    federal upper payment limits are exceeded. This legislation will allow the department the 
    flexibility to consider both components of the reimbursement level, the dispensing fee and 
    the cost of the drug, in determining appropriate payment levels.
    
                               FISCAL IMPACT
    
    While no cost to the state is anticipated, any savings is dependent on the rules that are
    
             negotiated.
    
             CONTACT
             Name:        Kathleen Allyn
             Agency:Department of Health and Welfare
             Phone:              334-5747
    
    Statement of Purpose/Fiscal Impact
    
    H 707