[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 1861 Introduced in Senate (IS)]

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116th CONGRESS
  1st Session
                                S. 1861

    To provide for the treatment of a pharmacy counter refusal as a 
             coverage determination under Medicare part D.


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                   IN THE SENATE OF THE UNITED STATES

                             June 13, 2019

Mr. Cardin (for himself and Mr. Cornyn) introduced the following bill; 
     which was read twice and referred to the Committee on Finance

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                                 A BILL


 
    To provide for the treatment of a pharmacy counter refusal as a 
             coverage determination under Medicare part D.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Streamlining Part D Appeals Process 
Act''.

SEC. 2. PROVIDING FOR THE TREATMENT OF A PHARMACY COUNTER REFUSAL AS A 
              COVERAGE DETERMINATION UNDER MEDICARE PART D.

    Section 1860D-4(g) of the Social Security Act (42 U.S.C. 1395w-
104(g)) is amended by adding at the end the following new paragraph:
            ``(3) Treatment of pharmacy counter refusal as coverage 
        determination.--For plan years beginning on or after January 1, 
        2020, the refusal by a pharmacy to fill a prescription for a 
        covered part D drug under a prescription drug plan shall be 
        treated as a coverage determination subject to reconsideration 
        and appeal pursuant to this subsection and subsection (h).''.
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