Loading chat...
HI HB1240
Bill
Status
1/24/2013
Primary Sponsor
Karl Rhoads
Click for details
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