Reimbursement for pharmacist services.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Passed
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Overview
This bill aims to improve reimbursement rates for pharmacist services in California, particularly for advanced practice pharmacists and medication therapy management (MTM) services. It seeks to align reimbursement rates with those for physician services and ensures that Medi-Cal payments are directed to qualified pharmacies, including those at federally qualified health centers and rural clinics. The bill also updates existing regulations to cover these expanded pharmacist services.
Key provisions
- Requires reimbursement rates for advanced practice pharmacists to match physician service rates, including MTM services.
- Mandates MTM reimbursement methodology for specialty drugs, prioritizing payments to eligible advanced practice pharmacists or pharmacies.
- Expands coverage to include pharmacists at federally qualified health centers and rural health clinics.
- Updates the Knox-Keene Health Care Service Plan Act to require payment or reimbursement for advanced practice pharmacist services.
- Modifies the Welfare and Institutions Code to include pharmacist services under Medi-Cal.
- Addresses reimbursement for naloxone hydrochloride, self-administered hormonal contraception, immunizations, tobacco cessation counseling, preexposure prophylaxis, and postexposure prophylaxis.
- Establishes a process for the department to seek federal approvals for implementing these changes.
- Clarifies that no reimbursement is required under the California Constitution due to the creation of a new crime.
Bill text
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Sponsors
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1 on record
Primary sponsor
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