Bill Text: IA HSB224 | 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.(See HF 767.)

Spectrum: Committee Bill

Status: (Introduced - Dead) 2021-03-05 - Committee report approving bill, renumbered as HF 767. [HSB224 Detail]

Download: Iowa-2021-HSB224-Introduced.html
House Study Bill 224 - Introduced HOUSE FILE _____ BY (PROPOSED COMMITTEE ON HUMAN RESOURCES BILL BY CHAIRPERSON MEYER) 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 TLSB 2359YC (3) 89 pf/rh
H.F. _____ Section 1. MEDICAID MANAGED CARE —— PARTICIPATING 1 PHARMACIES AND PHARMACISTS. A Medicaid managed care 2 organization shall accept as a participating network provider 3 any licensed pharmacy or pharmacist located within the 4 geographic service area of the managed care organization if 5 the licensed pharmacy or pharmacist agrees to comply with the 6 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 accept as a participating network provider any licensed 17 pharmacy or pharmacist located within the geographic service 18 area of the managed care organization if the licensed pharmacy 19 or pharmacist agrees to comply with the terms and conditions 20 for participation in the managed care organization’s network, 21 meets and agrees to the conditions for participation in 22 the Medicaid program established by the department of human 23 services, accepts the prevailing Medicaid reimbursement, and is 24 subject to license discipline. 25 -1- LSB 2359YC (3) 89 pf/rh 1/ 1
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