H.B. 1108 Summary

• Directs Legislative Services Commission to contract with a consultant to develop a proposal for purchasing inmate medications through the HRSA 340B program and Disproportionate Share Hospitals, with up to $25,000 in funding allocated from existing appropriations.

• Requires Department of Public Safety Health Services to revise policies designating prescription supplies valued at $1,000 or more (excluding HIV treatments) as Direct Observation Therapy and report to the Joint Legislative Oversight Committee on Justice and Public Safety by October 1, 2019.

• Establishes new data collection requirements for medication losses during inmate transfers, including tracking loss reasons, prison origins, and custody officials involved, with the Department's Internal Audit unit investigating losses exceeding $200.

• Requires Department of Public Safety to establish disciplinary actions for staff responsible for medication losses during inmate transfers and complete an internal audit of medication transport processes for Fiscal Year 2018-2019 by December 1, 2019.

• Mandates adoption of a statewide reimbursement rate for local pharmacy purchases based on the North Carolina State Health Plan for Teachers and State Employees rates, with data collection and oversight mechanisms to monitor prescriptions filled outside the contract.