HOUSE AMENDMENT

                                                  Bill No. HB 2151

    Amendment No.     (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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 5                                           ORIGINAL STAMP BELOW

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11  Representative(s) Kelly offered the following:

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13         Amendment 

14         On page 3, line 6 through page 4, line 5

15  remove from the bill:  all of said lines

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17  and insert in lieu thereof:

18         2.  Reimbursement to pharmacies for Medicaid prescribed

19  drugs shall be set at the average wholesale price minus 11.5

20  percent.

21         3. The agency is authorized to develop and implement a

22  Medicaid preferred prescribed drug designation program.

23  Consultation with another physician shall be required prior to

24  prescription of a drug that has not received preferred

25  prescribed drug designation under the program.

26         4.  The agency shall develop and implement a process

27  for managing the drug therapies of Medicaid beneficiaries who

28  are using significant numbers of prescribed drugs each month.

29  The management process may include, but is not limited to,

30  comprehensive, physician-directed medical record reviews,

31  expansion of the drug utilization review program, claims

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    File original & 9 copies    03/29/00
    hap0008                     12:52 pm         02151-0042-122209




                                                   HOUSE AMENDMENT

                                                  Bill No. HB 2151

    Amendment No.     (for drafter's use only)





 1  analyses, and case evaluations to determine the medical

 2  necessity and appropriateness of a patient's treatment plan

 3  and drug therapies. The agency may contract with a private

 4  organization to provide drug program management services. 

 5         5.  The agency is authorized to establish pharmacy

 6  network controls directed only at reducing fraud.  The agency

 7  shall give special consideration to rural areas in determining

 8  the size and location of pharmacies included in the Medicaid

 9  pharmacy network.

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    File original & 9 copies    03/29/00
    hap0008                     12:52 pm         02151-0042-122209