H.R. 3924 — Introduced in House

I 116th CONGRESS 1st Session H. R. 3924 IN THE HOUSE OF REPRESENTATIVES July 23, 2019Mr. Suozzi (for himself and Mr. Reed) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned 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). .