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PACE/PACENET Expansion and Pharmacy Modernization
Summary
House Bill 2069 would:
  • Remove Federal Upper Limits (FULs) from the PACE reimbursement methodology;
  • Rebalance reimbursement to National Average Drug Acquisition Cost (NADAC) + a $13 professional dispensing fee or Wholesale Acquisition Cost (WAC) +3.2% (when NADAC is not available);

  • Institute a Medication Synchronization program;

  • Develop a proposal for retail pharmacy Medication Therapy Management (MTM);

  • Increase the PACENET income limits to add approximately 32,000 seniors to the program;

  • Eliminate the monthly premium that PACENET patients have to pay increases their co-pay by $3 for brand and generics; and
  • Exempt Veterans' benefits and savings bonds from what is considered income for the PACE/PACENET program
Bill Numbers and Prime Sponsors
Status
  • House Bill 2069 was unanimously voted out of the House of Representatives and Senate Aging & Youth Committee. This bill now resides in the Senate Appropriations Committee where it awaits their consideration.

 

Please contact Don Smith at (717) 234-6151, ext. 102 or dsmith@papharmacists.com with any questions.

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