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IN HB1051

Bill

Status

Introduced

1/9/2012

Primary Sponsor

Peggy Welch

Click for details

Origin

House of Representatives

2012 Regular Session

AI Summary

  • Limits onsite pharmacy audits by third-party payers to once per calendar year per pharmacy location and restricts initial audits to no more than 75 claims

  • Reduces the audit lookback period from 24 months to 18 months after a claim was submitted or adjudicated

  • Requires auditors to provide at least 60 days for pharmacies to appeal preliminary audit report findings and allows pharmacies to reschedule audits up to 14 days after the proposed date

  • Prohibits recoupment of dispensing fees when the pharmacy actually dispensed the prescribed drug or device, and requires at least 30 days to elapse after the final audit report before any recoupment can occur

  • Requires third-party payers to reimburse pharmacies $0.25 per prescription copy required for an audit and allows pharmacies to obtain corrected prescriptions from physicians when errors are identified during audits

Legislative Description

Pharmacy audits.

Last Action

Representative Welch added as coauthor

1/26/2012

Full Bill Text

No bill text available