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CA AB2712
Bill
Status
11/30/2016
Primary Sponsor
David Chiu
Click for details
AI Summary
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Expands pharmacy Medi-Cal program pricing to apply to any California resident who presents a valid prescription and proof of California residency (such as a state ID or driver's license), not just Medicare beneficiaries with a Medicare card.
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Requires participating pharmacies to charge eligible patients a price not exceeding the Medi-Cal reimbursement rate for prescription medicines plus a department-set electronic transmission charge.
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Excludes over-the-counter medications and compounded prescriptions from the Medi-Cal reimbursement rate pricing.
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Clarifies that "covered by insurance" exemption does not apply to prescriptions for specific medications not on a patient's health plan formulary when the patient is prepared to pay cash.
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Requires the State Department of Health Care Services to conduct outreach including publishing Medi-Cal reimbursement rates for at least 200 commonly prescribed medicines monthly and providing signs at pharmacies informing patients of their rights.
Legislative Description
Pharmacies: Medi-Cal program participation.
Last Action
From committee without further action.
11/30/2016