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HI HB2584
Bill
Status
3/4/2014
Primary Sponsor
Angus McKelvey
Click for details
AI Summary
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Establishes reimbursement rates for prescription drugs under motor vehicle insurance personal injury protection (PIP) benefits at 140% of the average wholesale price as set by the original manufacturer and published in the Medi-Span Master Drug Database on the date of dispensing.
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Allows insurers to contract directly with providers for lower reimbursement amounts than the 140% standard rate.
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Requires generic drug substitution for brand name drugs unless the prescribing physician certifies that the patient's condition does not tolerate a generic alternative.
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Sets reimbursement for compounded medications at 140% of the combined average wholesale price by gram weight of each underlying prescription drug in the compound, using the original manufacturer's pricing from the Medi-Span database.
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Takes effect July 1, 2112.
Legislative Description
Motor Vehicle Insurance; Personal Injury Protection Benefits; Reimbursement; Drugs
Last Action
The committee on CPN deferred the measure.
3/18/2014