Leslie e Ridle Mike Navarr rre Valer erie e Davidson Dr. - - PDF document

leslie e ridle mike navarr rre valer erie e davidson dr
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Leslie e Ridle Mike Navarr rre Valer erie e Davidson Dr. - - PDF document

2/8/2018 1). Describe ibe recen ent t legisla slativ tive e issues es where re AKPhA represe resente ted d Alask ska Pharm rmacy issues. es. AkPhA 2). List three ee AKPhA Legisla slativ tive Priori rities ties for 2018


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SLIDE 1

2/8/2018 1

AkPhA Legislative Update:

Pertinent Pharmacy Legislative Issues 1). Describe ibe recen ent t legisla slativ tive e issues es where re AKPhA represe resente ted d Alask ska Pharm rmacy issues. es. 2). List three ee AKPhA Legisla slativ tive Priori rities ties for 2018 Legisla slativ tive Sessio sion. 3). Identif tify non-AKPhA sponso sore red d legisla slatio tion/in initia itiativ tives es poten entia tially lly impactin ting the profess ession of Pharm rmacy in Alask ska.

2

1). PDMP 2). Naturop

  • paths

3). E-Prescri ribing 4). Health Exchange Regulations 5). AKM Mediset Coverage 6). AK College of Pharmacy 7). Immunizations 8). Cough Syrup Limitation/DMX 10). Loan Forgiveness Program 11). Preauthorization Forms 12). Medicaid Reform 13). Medicaid Regulations 14). Opiod 15). Tramadol 17). Narcan 18). Biosimilars 19). Compound Rx Coverage

3 4

  • Lt. Governor
  • r – Byron Mallot
  • tt

5

Both up for reelection

  • n 2018

Governor Bill Walker

6

Leslie e Ridle Administration Mike Navarr rre Commerce, Community and Economic Development Dean Williams Corrections

  • Dr. Michael

el Johnson Education and Early Development Valer erie e Davidson Health and Social Services Larry ry Hartig Environmental Conservation Sam Cotten Fish & Game Heidi Drygas Labor and Workforce Development

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SLIDE 2

2/8/2018 2

7

Jahna Lindemuth Law

  • Maj. Gen. Laurie

e Hummel el Military and Veterans' Affairs Andy Mack Natural Resources Walt Monegan Public Safety Sheldon Fisher er Revenue Marc Luiken en Transportation and Public Facilities

  • Sen. Pete Kelly (R) of

Fairb rbanks is the President ent of the Senate. He He leads a 15 15 – member er Majori rity Coalition 14 Republicans 1 1 Democra rat.

8

  • Rep. Bryce Edgmon (D) of

Dillingham is the Speaker of the House. He leads a 22 - member r House e Majori rity Coalition 17 Democrats

3Republicans 2 Non-Partisans

House and Senate Run By Coalitions

9

Rep. . Chris Tuck Anchora

  • rage

Majori

  • rity Leaders

rs

  • Sen. John Coghill

North Pole

Minority Leaders

  • Rep. Charisse Millett

Anchorage

  • Sen. Berta Gardner

Anchora

  • rage

Rules Chairs

Rep.G .Gabri rielle LeDoux Anchora

  • rage
  • Sen. Kevin Meye

yer Anchora

  • rage

 1). Pharmacy Fair Audit Legislation  2). Wholesaler Licensure Legislation  3). Board of Pharmacy Extension (2022) Legislation  4). Explore options to advance Provider Status for

pharmacists

 5). 12 months

s of Birth Control and Insurance Contraceptives Coverage

 6). Maintain an active voice on opioid issues & regulations

10

 Brings

s fairn rness ess to the unreg egula lated ted and expandin ding practi tice of pharm rmacy audits its.

 Does

s not allow audits its the first t seven en calen enda dar r days s

  • f each month

th because se of the high patien ent t volu lume, me, unles less s the pharm rmacy and audito itor r agree ee otherw erwise ise.

 Is designed

ed to preven ent t the targetin ting of minor r cleri rical l or admin inistr strativ tive e errors rs where e no true e fraud, d, patien ient t harm, m, or financia ial l loss has s occurr rred. ed.

11

 Establishes submission of data/medical record

standards to allow for clarification where discrepancies are identified.

 Establishes a reasonable time frame for the

announcement of an audit to allow proper retrieval of records under review.

 Establishes an audit appeals process for

pharmacies.

12

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SLIDE 3

2/8/2018 3

 Establishes guidelines for PBM’s (Pharmacy

Benefit Managers) to follow regarding patient confidentiality.

 Extrapolation cannot be used in assessing

fees/penalties.

 Alaska pharmacists would not be penalized for

providing mail-order service to their customers. Local mail-order service keeps Alaskan dollars in Alaska.

13

 Legislation does not prevent the recoupment of funds where

fraud, waste and abuse exist.

 40 other states have already enacted fair audit legislation  Bill will also include:

1). Registration of PBM’s 2). Set up guidelines for generic drug MAC pricing by PBM’s 3). Establish a mechanism for pharmacy to appeal MAC pricing

14 15 16

 The bills would give the the State Board of Pharmacy the

authority to license and inspect the facilities of wholesale drug distributors and outsourcing facilities located out side the state under AS 08.80.159.

 It also gives the board the authority to establish the

qualifications and duties of the administrator.

17

 An Act extending the termination date of

the Board of Pharmacy; and providing for an effective date.

 Board of Pharmacy (AS 08.80.010) –

June 30, 2022 [2018].

18

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SLIDE 4

2/8/2018 4

 AkPhA Board Chair – Set-up Provider Status Working

  • group. Named Colman Cutchins chair.

 Working Group met, educated members and discussed

strategies.

 Lobbyist discussed with Sen. Giessel/staff to develop a

draft bill.

 AkPhA needs to educate legislators, and state

departments.

 Plans are to file 2019 Legislation.

19

 Toda

day, , most women en have ve to refill their r birth contro rol every ry three ee months.

 This can be a burden

den for many women en espec ecially in rural ral areas, , and d women en who

  • work in profes

fession

  • ns that

requ quire re them to be gone e exten ended ded periods

  • ds of time.

 HB 25 helps

ps ensure re all women en have ve consisten ent acces ess to the e birth contro rol method

  • d best for them.

 Gives

ves them the ability to contro rol when en and if they have e children dren, , and healthier er pregnancies es.

20

 1).

. Require res insuran rance e plans to cover r all FDA-appro pproved ed contrac racept eptive ve methods

  • ds,

, includi ding long-acting revers rsibl ble e contrac racept eptive ves (LARC RC), , tubal ligation

  • n and vasec

ectom

  • mies

es.

 2). Require

res insuran rance e plans to cover r a one year r suppl pply

  • f self-adm

dminister ered ed birth contro rol (pills, , patches es, , rings), , when en prescri ribed bed.

 3).

. The bill does not mandate the prescri ript ption

  • n of a one

year r suppl pply.

 4).

. Applies es to priva vate e indi divi vidu dual and group p plans, , state e and d municipa pal employ

  • yees

ees, , and Medicaid. d.

21

Bill – Short Title – Prime Sponsor(

  • r(s)

) - Current Status - Status Date

 HB159/SB 79 OPIOIDS;PRESCRIPTIONS;DATABASE LICENSES

HOUSE RULES BY REQUEST OF THE GOVERNOR CHAPTER 2 SSSLA 17 07/25/2017

 HB 326/SB120 NATUROPATHS: LICENSING; PRACTICE REP.

TARR & Senator Giessel(H) L&C 02/02/2018

 SB 32 PRESCRIPTIONS FOR BIOLOGICAL PRODUCTS SENATOR

HUGHES(H) FIN 04/14/2017

22

 The association will host it’s annual Juneau

u legis isla lative ve fly-in on 2/28 thru u 3/2/2018. .

 All members

rs are invited to particip icipate

 Come meet your legisla

lators rs and learn n more about ut the legisla lativ ive process first hand

23

Legend

E-prescribing Legislation Introduced E-prescribing 2019

WA OR CA AK ID NV UT AZ NM TX OK CO WY MT ND SD NE KS IA MO AR LA MS AL GA FL SC NC TN KY IL MI IN OH PA WV V A NY VT NH ME MA RI NJ DE MD MN WI HI NACDC

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SLIDE 5

2/8/2018 5

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Aetna – CareMa Mark rk - Expre ress Script – Teamsters rs – State of AK

Questio estions? Thank you.