3.0.0 3924 2022-11-01T13:50:27Z 2022-11-01T13:50:27Z House HR 2019-07-23 116 [Congressional Record Volume 165, Number 124 (Tuesday, July 23, 2019)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. SUOZZI:H.R. 3924.Congress has the power to enact this legislation pursuantto the following:Article I, Section 8 of the Constitution of the UnitedStates.[Page H7243]]]> hsif00 Energy and Commerce Committee House Standing hsif14 Health Subcommittee Referred to 2019-07-24T17:43:01Z Referred to 2019-07-23T16:05:00Z hswm00 Ways and Means Committee House Standing hswm02 Health Subcommittee Referred to 2019-07-23T19:00:56Z Referred to 2019-07-23T16:05:05Z Streamlining Part D Appeals Process Act 116 1861 S 2019-06-13 Read twice and referred to the Committee on Finance. Identical bill CRS 2019-07-24 hsif14 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2019-07-23 hswm02 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2019-07-23 Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. IntroReferral H11100 2 House floor actions hswm00 Ways and Means Committee 2019-07-23 Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. IntroReferral H11100 2 House floor actions hsif00 Energy and Commerce Committee 2019-07-23 Introduced in House IntroReferral Intro-H 9 Library of Congress 2019-07-23 Introduced in House IntroReferral 1000 9 Library of Congress S001201 Rep. Suozzi, Thomas R. [D-NY-3] Thomas Suozzi D NY R. 3 N R000585 Rep. Reed, Tom [R-NY-23] Tom Reed R NY 23 2019-07-23 True W000800 Rep. Welch, Peter [D-VT-At Large] Peter Welch D VT 0 2019-09-19 False Health Administrative remedies Department of Health and Human Services Medicare Prescription drugs Health 00 2019-07-23 Introduced in House 2020-08-28T14:52:49Z Streamlining Part D Appeals Process Act

This bill allows a Medicare beneficiary to directly appeal a pharmacy's refusal to fill a prescription as a coverage determination under the Medicare prescription drug benefit.

Currently, if a pharmacy refuses to fill a prescription, the pharmacy provides the beneficiary with a notice explaining how to contact the beneficiary's prescription drug plan (PDP); the beneficiary must then obtain a written coverage determination (i.e., a decision denying coverage) from the PDP before initiating the appeals process.

]]> Streamlining Part D Appeals Process Act Display Title Streamlining Part D Appeals Process Act Official Title as Introduced To provide for the treatment of a pharmacy counter refusal as a coverage determination under Medicare part D. Introduced in House IH Short Title(s) as Introduced Streamlining Part D Appeals Process Act Introduced in House IH Introduced in House 2019-07-23T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-116hr3924ih/xml/BILLS-116hr3924ih.xml 2019-07-24 Referred to the Subcommittee on Health. text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.