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IN SB0181
Bill
Status
1/3/2018
Primary Sponsor
Ronald Grooms
Click for details
AI Summary
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Accident and sickness insurers must reimburse pharmacists for covered health care services performed within their licensed scope of practice at the same rate as physicians, advanced practice nurses, and physician assistants
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Reimbursement parity applies only when the pharmacist has a preferred provider agreement with the insurer under IC 27-8-11-3
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Preferred provider agreements for pharmaceutical services must include provisions for pharmacist reimbursement as required by the new law
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Insurers must demonstrate to the Indiana Department of Insurance that they have an adequate number of pharmacists located within reasonable proximity to covered insureds
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Effective date: July 1, 2018
Legislative Description
Coverage for pharmacist care. Requires an accident and sickness insurer that enters into a preferred provider agreement to: (1) reimburse for health care service provided by a pharmacist within the scope of practice to the same extent and in the same manner as the insurer would reimburse certain other health care providers (reimbursement); and (2) demonstrate an adequate number of pharmacists within a reasonable proximity to insureds. Requires a preferred provider agreement to provide for the reimbursement.
Last Action
First reading: referred to Committee on Insurance and Financial Institutions
1/3/2018