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S. 1861: Streamlining Part D Appeals Process Act

The text of the bill below is as of Jun 13, 2019 (Introduced).


II

116th CONGRESS

1st Session

S. 1861

IN THE SENATE OF THE UNITED STATES

June 13, 2019

(for himself and Mr. Cornyn) introduced the following bill; which was read twice and referred to the Committee on Finance

A BILL

To provide for the treatment of a pharmacy counter refusal as a coverage determination under Medicare part D.

1.

Short title

This Act may be cited as the Streamlining Part D Appeals Process Act.

2.

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:

(3)

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).

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