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IN HB1249
Bill
Status
1/10/2019
Primary Sponsor
Steven Davisson
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AI Summary
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Requires the Office of the Secretary of Family and Social Services to directly administer prescription drug benefits for Medicaid recipients in risk-based managed care programs, changing from optional ("may") to mandatory ("shall")
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Prohibits managed care organizations from including prescription drug programs in their contracts with the state, transferring this responsibility entirely to the state office
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Applies the same requirement to the Healthy Indiana Plan (HIP), mandating state-administered prescription drug coverage for plan participants
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Removes the board's annual review requirement of managed care organizations' prescription drug programs, since MCOs will no longer administer these benefits
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Effective date: July 1, 2019
Legislative Description
Medicaid prescription drug program. Requires the office of the secretary of family and social services to provide a prescription drug benefit for a Medicaid recipient under: (1) the risk based managed care program; and (2) the healthy Indiana plan. (Current law allows the office or the managed care organization to provide the prescription drug benefit.)
Last Action
First reading: referred to Committee on Public Health
1/10/2019