SB-0656, As Passed Senate, December 4, 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

SUBSTITUTE FOR

 

SENATE BILL NO. 656

 

 

 

 

 

 

 

 

 

 

 

     A bill to amend 1939 PA 280, entitled

 

"The social welfare act,"

 

(MCL 400.1 to 400.119b) by adding section 109l.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 109l. The department of community health and contracted

 

health plans shall utilize a process for maximum allowable cost

 

pricing reconsiderations that must be available and provided to

 

providers and pharmacists. This process must include identification

 

of 3 national drug codes, if there are 3 or more available, and all

 

available national drug codes, if there are fewer than 3, for the

 

drug in question that are actually available and deliverable by a

 

Michigan licensed wholesaler or a Michigan licensed manufacturer

 

and would fall into the department of community health's or

 


contracted health plans' maximum allowable cost pricing. The

 

process must be completed in 10 business days, with all

 

notification to the pharmacy in either written or electronic form.

 

The department of community health and contracted health plans

 

cannot be held accountable for failing to provide information for

 

which they do not have access.