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II
116th CONGRESS
1st Session
S. 1861
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
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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