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May/June 2022 - Public Policy: Updates from the Capital

25 May 2022 8:09 AM | Anonymous

By: Annie Kliewer, PharmD, BCPS

Hundreds of community and health-system based pharmacists came together in Jefferson City. On April 6th, we flooded the capitol with white coats, talking to our legislators about a variety of issues that greatly impact the practice of pharmacy and the care which we can provide our patients. Here is where each of the pharmacy/healthcare related bills of MSHP, MHA and MPA’s ended up by the conclusion of the 2022 MO Legislative session on May 13, 2022:

HB 2305

Creates provisions relating to insurance coverage of pharmacy servicesSponsored by:

  • Representative Dale Wright, represents portions of St. Francois, Ste. Genevieve, and Perry counties
Summary:
  • Whitebagging - Requires coverage from insurance plans for certain services including pharmacist-administered services, and coverage for products even if not obtained from covered entity   
  • 340B - Health carriers/PBMs may not discriminate against reimbursement of 340B drugs.
  • Biosimilars - Requires coverage for biosimilars in which the reference product is covered.

Updated Status:

  • Referred to the House’s Insurance Committee
  • A public hearing was completed on 4/5/2022 in which MSHP and MPA members spoke in support of the bill
  • The bill did not reach the floor for a vote prior to the close of session 


HB 1677 (SB 921)Enacts provisions relating to payments for prescription drugs

Sponsored by:

  • Senator Bill White, represents Jasper, Dade, and Newton counties
  • Representative Dale Wright, represents portions of St. Francois, Ste. Genevieve, and Perry counties
Summary:
  • Requires increased reporting from PBMs on rebates received from manufacturers and amount that was not passed on to Missouri Consolidated Health Care Plan
  • PBMs cannot discriminate against 340B drug pricing, and must reimburse fairly
  • Penalties can be imposed on a PBM for each violation
Updated Status:  
  • Referred to the House’s Health and Mental Health Policy Committee
  • Passed in the House and sent to the Senate on 3/28/2022
  • Referred to Senate’s Insurance and Banking Committee on 3/31/2022
  • Public Hearing was held on 4/12/2022
  • The bill did not reach the Senate floor for a vote prior to the close of session 


HB 2452 (SB 1126)

Modifies provisions relating to the administration of medications by pharmacists

Sponsored by:

  • Senator Holly Thompson Rehder, represents Bollinger, Cape Girardeau, Madison, Perry, Scott, and Wayne counties
  • Representative Bennie Cook, represents Texas, Phelps, Pulaski, and Howell Counties.

Summary:

  • Repeals former legislation that limited pharmacists to administering only certain vaccines
  • Allows pharmacists with Medication Therapy Services (MTS) certificate to administer ANY vaccine approved by the FDA to persons 7 years and older using statewide collaborative practice agreement

Updated Status: 

  • Referred to the House’s Emerging Issues Committee
  • Perfected with Amendments HA 1, HA 2 as amended, HA 3 adopted on 4/14/2022
  • Placed on the informal third reading calendar on 4/25/2022
  • Dropped from Calendar, pursuant to House rules on 5/10/2022

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