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HI SB2494
Bill
Status
1/17/2014
Primary Sponsor
Rosalyn Baker
Click for details
AI Summary
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Requires health care providers to separately list and certify that charges for prescribed drugs, supplies, or materials are necessary for injuries covered by motor vehicle insurance benefits.
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Prohibits reimbursement of dietary supplements (minerals and vitamins) unless a specific compensable dietary deficiency has been clinically established as a result of the covered injury.
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Limits reimbursement for prescription drugs and medical supplies to amounts charged by prepaid health care plans under chapter 393, unless the provider and insurer have contracted for different payment amounts.
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Requires providers to submit written justification when prescribing uncovered drugs or supplies, and mandates use of generic drugs instead of brand name unless the prescribing physician certifies the claimant's condition requires a specific formulation.
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Caps charges for drugs or supplies without comparable prepaid health care plan alternatives at 120 percent of the wholesale price actually paid by the provider, excluding repackaging charges.
Legislative Description
Motor Vehicle Insurance; Personal Injury Protection Benefits; Reimbursement; Drugs, Supplies, and Materials
Last Action
Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM.
2/10/2014