IN THE SENATE OF THE UNITED STATES
June 13, 2019
Mr. Cardin (for himself and Mr. Cornyn) introduced the following bill; which was read twice and referred to the Committee on Finance
To provide for the treatment of a pharmacy counter refusal as a coverage determination under Medicare part D.
This Act may be cited as the
Streamlining Part D Appeals Process Act.
Providing for the treatment of a pharmacy counter refusal as a coverage determination under Medicare part D
Section 1860D–4(g) of the Social Security Act (42 U.S.C. 1395w–104(g)) is amended by adding at the end the following new paragraph:
Treatment of pharmacy counter refusal as coverage determination
For plan years beginning on or after January 1, 2020, the refusal by a pharmacy to fill a prescription for a covered part D drug under a prescription drug plan shall be treated as a coverage determination subject to reconsideration and appeal pursuant to this subsection and subsection (h).