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HI HB1240

Bill

Status

Introduced

1/24/2013

Primary Sponsor

Karl Rhoads

Click for details

Origin

House of Representatives

2013 Regular Session

AI Summary

  • Establishes reimbursement rates for brand name prescription medications at average wholesale price plus 40%, and generic medications at average wholesale price plus 60%, with exceptions for direct carrier-provider contracts.

  • Requires repackaged or relabeled medications to be reimbursed based on the average wholesale price of the original manufacturer's underlying medication plus the applicable percentage (40% or 60%).

  • Sets reimbursement for compounded medications as the sum of average wholesale prices for each ingredient with a national drug code, plus 40%.

  • Provides that if original labeler or manufacturer information for repackaged or compounded medications is unknown, reimbursement shall be based on the most reasonable and closely related average wholesale price.

  • Takes effect July 1, 2013, and applies to Hawaii's workers' compensation insurance system for medical care, services, medication, and supplies provided to injured employees.

Legislative Description

Workers' Compensation; Repackaged Medications and Compounded Medications

Last Action

The committee(s) on LAB/HLT recommend(s) that the measure be deferred.

2/12/2013

Committee Referrals

Labor & Public Employment1/30/2013
Health1/28/2013

Full Bill Text

No bill text available