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Proposed Cuts to Pharmacy Reimbursement
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Summary

Governor Wolf is proposing to cut the PACE professional dispensing fee while, at the same time, the Pennsylvania Department of Human Services proposes cutting pharmacy Medicaid reimbursement. If acted upon, these proposals would be detrimental to patients and pharmacies throughout the Commonwealth.

 

Ultimately, the two issues are closely tied together because Governor Wolf has requested uniformity in pharmaceutical pricing and proposed merging four state agencies to create a new Pennsylvania Department of Health and Human Services.

 

Visit www.papharmacists.com/PACEReimbursement to learn more about the proposed cuts to PACE reimbursement and visit www.papharmacists.com/MedicaidReimburse to learn more about the proposed cuts to Medicaid reimbursement.

 

 

Take Action

It's vital that we work together to fight this assault on community pharmacies!

 

Step 1: Email your state legislators

Emailing your state legislators is a great first step in advocating against the proposed cuts to pharmacy. Click here to email to your state legislators urging them to oppose any actions that would cut the PACE professional dispensing fee.

 

Then send an email to your state senator asking them to co-sponsor legislation Senator Thomas Killion (R-9) plans to introduce that would establish a $10.49 professional dispensing fee in the Medicaid program while reimbursing pharmacies for ingredient cost based on the National Average Drug Acquisition Cost (NADAC). Click here to message your state senator asking them to co-sponsor and support this vital legislation.

 

Step 2: Call your state legislators

Calling your legislators directly is significantly more powerful than simply sending an email. Click here to find the name, office address, and office phone number of your state legislators. Then call your state legislators and urge them to oppose any actions that would further the proposed cuts to pharmacy. Feel free to utilize the below script when you call:

 

Hello, my name is InsertYourName and, as a constituent, I’m calling to urge Senator/Representative InsertLegislator'sLastName to oppose any actions that would further the current proposals to cut pharmacy reimbursement in the PACE and Medicaid programs. As a pharmacists, I am proud to care for Pennsylvania’s citizens and feel that these programs are vital to our commonwealth.

 

First, I'd like to ask the senator/representative to oppose Governor Wolf's proposal to cut the PACE professional dispensing fee. This proposal would cut an additional $45 million from pharmacies on top of the $23.6 million in cuts pharmacies are already experiencing due to legislation passed at the end of last session. These proposed cuts are tied to the governor’s Health and Human Services merger and will likely be brought up during budget negotiations.

 

Also, I'd like to ask the senator/representative to co-sponsor and support legislation that would mitigate the Department of Human Services proposal to cut pharmacy Medicaid reimbursement. Senator Killion plans to introduce a bill that would establish a $10.49 professional dispensing fee in the Medicaid program while reimbursing pharmacies for ingredient cost based on the National Average Drug Acquisition Cost. This legislation will align pharmacy payment with surrounding states helping to counter DHS's current proposal, which would pay Pennsylvania pharmacies less than any other state.

 

Moving forward with the proposed cuts pharmacy PACE and Medicaid reimbursement would be detrimental to patients throughout the commonwealth and could force many local community pharmacies out of business. 

Can I count on the senator/representative to support community pharmacies and oppose these cuts?

 

Step 3: Schedule an in-person meeting with your state legislators

The best form of advocacy is meeting in-person with your legislator. Click here to find the name, office address, and office phone number of your state legislators. Then call their district office to schedule an in-person meeting with the legislator so you can discuss these issues in detail.

 

When you attend your meeting be sure to give the following issue briefs to your legislators:

 

Click here for an issue brief on the proposed cuts to pharmacy PACE reimbursement.

 

Click here for an issue brief on the proposed cuts to pharmacy Medicaid reimbursement.

 

Also, you can use the following talking points to assist you in your meeting:

 

Click here for an talking points on the proposed cuts to pharmacy PACE reimbursement.

 

Click here for an talking points on the proposed cuts to pharmacy Medicaid reimbursement.

 

Step 4: Discuss with your patients

Patients need to understand the detrimental effect these proposals would have on them. Print the following flyers to share with your patients urging them to contact their legislators.

 

Click here for a full-page flyer or click here for a third-page flyer that you can edit by putting in the name of your pharmacy, your logo, the name of your legislators, and your legislators' phone numbers. Then share this flyer with your patients and urge them to contact their state legislators.

 

Click here for a generic full-page flyer or click here for a generic third-page flyer that you can share with your patients to urge them to contact their state legislators.

 

 

 

For questions, contact Jeff Stuby.

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