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OH SB277
Bill
Status
6/2/2010
Primary Sponsor
Bob Gibbs
Click for details
AI Summary
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Requires the Department of Job and Family Services to contract every two years with a research organization affiliated with an educational institution to survey pharmacy provider costs for dispensing drugs under Medicaid fee-for-service.
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Directs the director of job and family services to establish dispensing fees within 90 days of survey completion that equal the average per-prescription cost determined by the survey, with allowance for higher fees on generic drugs than brand name drugs.
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Allows Medicaid recipients to obtain up to four brand name prescribed drugs at one time without prior authorization; authorization required for more than four brand name drugs.
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Requires the director to revise Medicaid reimbursement rates for estimated acquisition cost pharmaceuticals within one business day of any wholesale acquisition cost changes, based on the full amount of the revised wholesale cost.
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Maintains existing Medicaid dispensing fees at December 31, 2009 levels until new fees are established pursuant to the survey process.
Legislative Description
, and to repeal Section 309.30.76 of Am. Sub. H.B. 1 of the 128th General Assembly regarding the Medicaid reimbursement rate for estimated acquisition cost pharmaceuticals, the Medicaid dispensing fee, and the number of brand name drugs available at one time under the Medicaid program without prior authorization.
Medicaid reimbursement rate-cost of drugs
Last Action
To Health, Human Services, & Aging
6/2/2010