UNIFORM PRESCRIPTION DRUG CARD - H.B. 4607 (S-1): FLOOR ANALYSIS

House Bill 4607 (Substitute S-1 as reported)

Sponsor: Representative Andrew Raczkowski

House Committee: Insurance and Financial Services

Senate Committee: Financial Services


CONTENT


The bill would amend the Insurance Code to do the following:


-- Require a health plan that provides, or administers a plan that provides, coverage for prescription drugs or devices and issues, uses, or requires a card or other technology for prescription claims submission and adjudication, to issue for the plan's enrollees or members a uniform prescription drug information card or other technology.

-- Require the Commissioner of the Office of Financial and Insurance Services to develop a uniform card and technology based on certain national standards.

-- Prescribe the information that would have to be included on a uniform prescription drug information card or technology.

-- Provide that the card or technology could be used for any and all health care coverage.

-- Place in statute the following statement: "It is the intent of the legislature that pharmacists, by July 1, 2008, be able to obtain information on and submit claims for prescription drug or device benefits by electronic means, including, but not limited to, the internet".


By July 1, 2003, the Commissioner would have to develop a uniform prescription drug information card and uniform prescription drug information technology based on the standards and format approved by the National Council For Prescription Drug Programs Pharmacy ID Card Implementation Guide. The card and technology would have to include all of the Council's standard information required by a health plan for submission and adjudication of claims for prescription drug or device benefits, or at a minimum contain the information prescribed in the bill.


The bill would take effect July 1, 2003, and would apply to all health plan coverages issued or renewed on or after July 1, 2005.


Proposed MCL 500.2213d - Legislative Analyst: George Towne


FISCAL IMPACT


This bill would increase the responsibilities of the Office of Financial and Insurance Services by requiring the development of the uniform card or information technology. Existing restricted revenue resources would be used to cover any additional costs associated with this change.


Date Completed: 12-9-02 - Fiscal Analyst: Maria TyszkiewiczFloor\hb4607 - Bill Analysis @ www.senate.michigan.gov/sfa

This analysis was prepared by nonpartisan Senate staff for use by the Senate in its deliberations and does not constitute an official statement of legislative intent.