Current Legislative Issues Pennsylvania HB 1041 Scope of

Current Legislative Issues Pennsylvania � HB 1041 – Scope of Practice � HB 882 / SB 596 – Fair Audits

HB 1041 – Scope of Practice Building Collaborative Care between Physicians and Pharmacists � Status ◦ Passed House, now in Senate ◦ Voted out of the Senate Consumer Protection and Professional Licensure ◦ Will be up for full vote on Senate floor soon!

HB 1041 – Scope of Practice Important Points Collaborative practice is a growing trend, already permitted in many states � Pharmacists can help physicians managing specific patient needs � ◦ Disease state management (diabetes, anticoagulation, etc) ◦ MTM services ◦ Immunizations � Voluntary agreements between a physician and a pharmacist ◦ Patient remains under the overall care of the physician ◦ Must voluntarily agree to participate � Collaborative practice improves health outcomes! � No affect on typical prescribing and dispensing ◦ Studies have shown positive results when pharmacists have been involved in disease state management, such as with diabetes, asthma, smoking cessation, etc.

HB 1041 – Scope of Practice Action Needed � Contact your state Senator and ask for their support! ◦ Call ◦ Email ◦ Letter-writing � If your Senator is a co-sponsor or already supports HB 1041, be sure to thank them! Goal: Senate full vote and passage of bill to “Act”in the next few months

HB 882 / SB 596 – Fair Audits Providing for uniform and standard practices in auditing of pharmacy claims Status: Similar bills introduced in House and Senate ◦ HB 882: passed out of the House Health & Human Services Committee and referred to the House Appropriations Committee ◦ SB 596: introduced and referred to the Senate Banking and Insurance Committee

HB 882 / SB 596 – Fair Audits Important Points PBMs and the audits they perform are NOT regulated � Thousands of dollars are reclaimed from pharmacies based on minute clerical errors � Prescribers are not penalized if they write a prescription inappropriately � ◦ Example: ◦ Physician writes the wrong strength when writing a script ◦ He crosses out the mistake, writes the correct strength, and indicated that he made a correction ◦ Pharmacy fills the prescription since it was obvious the physician made a simple mistake ◦ When audited, they were cited with the reason “quantity changed or altered” and forced to pay back the entire amount paid � Pharmacies are simply asking for a fair and uniform process

HB 882 / SB 596 – Fair Audits Action Needed � Contact your state legislators and ask for: ◦ Support ◦ Co-sponsorship ◦ A committee vote to be scheduled Goal: get out of committee as soon as possible and have it up for a full vote in the House

The. Pennsylvania. Pharmacists. Association. Presents Wednesday, March 24 8: 00 a. m. — 3: 00 p. m. Pharmacy Legislative Day 2010 � � Meet with key legislators to discuss important issues and bills Demonstrate clinical skills and the evolving role of pharmacists by providing health screenings, information, and other pharmacy related services to Pennsylvania’s legislators Take a guided tour and learn the history of Pennsylvania’s beautiful state Capitol Building Network with leaders of pharmacy, gain valuable leadership & advocacy skills while helping to advance the profession PPA will provide bus transportation for students coming from Pitt and Duquesne