Bill Text: IA HF767 | 2021-2022 | 89th General Assembly | Introduced
Bill Title: A bill for an act relating to participating network provider pharmacies and pharmacists under Medicaid managed care.(Formerly HSB 224.)
Spectrum: Committee Bill
Status: (Introduced - Dead) 2021-04-15 - Referred to Human Resources. H.J. 965. [HF767 Detail]
Download: Iowa-2021-HF767-Introduced.html
House
File
767
-
Introduced
HOUSE
FILE
767
BY
COMMITTEE
ON
HUMAN
RESOURCES
(SUCCESSOR
TO
HSB
224)
A
BILL
FOR
An
Act
relating
to
participating
network
provider
pharmacies
1
and
pharmacists
under
Medicaid
managed
care.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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767
Section
1.
MEDICAID
MANAGED
CARE
——
PARTICIPATING
1
PHARMACIES
AND
PHARMACISTS.
A
Medicaid
managed
care
2
organization
shall
contract
with
any
licensed
pharmacy
or
3
pharmacist
located
within
the
geographic
service
area
of
the
4
managed
care
organization
as
a
participating
network
provider
5
if
the
licensed
pharmacy
or
pharmacist
agrees
to
comply
with
6
the
terms
and
conditions
for
participation
in
the
managed
care
7
organization’s
network,
meets
and
agrees
to
the
conditions
8
for
participation
in
the
Medicaid
program
established
by
the
9
department
of
human
services,
accepts
the
prevailing
Medicaid
10
reimbursement,
and
is
subject
to
license
discipline
pursuant
to
11
section
155A.12
or
155A.15,
as
applicable.
12
EXPLANATION
13
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
14
the
explanation’s
substance
by
the
members
of
the
general
assembly.
15
This
bill
requires
a
Medicaid
managed
care
organization
16
to
contract
with
any
licensed
pharmacy
or
pharmacist
located
17
within
the
geographic
service
area
of
the
managed
care
18
organization
as
a
participating
network
provider
if
the
19
licensed
pharmacy
or
pharmacist
agrees
to
comply
with
the
20
terms
and
conditions
for
participation
in
the
managed
care
21
organization’s
network,
meets
and
agrees
to
the
conditions
22
for
participation
in
the
Medicaid
program
established
by
the
23
department
of
human
services,
accepts
the
prevailing
Medicaid
24
reimbursement,
and
is
subject
to
license
discipline.
25
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