MO HB1827

Establishes the Missouri Electronic Prior Authorization Committee to facilitate and monitor Missouri-based efforts to contribute to national electronic prior authorization standards developed by the National Council on Prescription Drug Programs (NCPDP).

Committee membership consists of 17 members including 2 state senators, 2 representatives, physicians, pharmacists, pharmacy benefit managers, health carriers, hospitals, patient advocates, and representatives from pharmaceutical companies and electronic health records companies, with the director of the Department of Insurance, Financial Institutions and Professional Registration serving as chair.

Committee must recruit a Missouri-based pharmacy benefits manager to conduct an electronic prior authorization pilot program operational by January 1, 2014, and monitor outcomes and best practices to inform national standards.

Committee required to submit annual reports to the general assembly beginning January 1, 2013, and a final report upon adoption of national standards identifying necessary Missouri administrative regulations and any needed legislative actions.

Program sunsets automatically 6 years after the effective date unless reauthorized by the general assembly; if reauthorized, it sunsets 12 years after reauthorization.