To ensure Medicaid enrollees have access to small, independent pharmacies located in rural and frontier areas.
What it does: Inserts new text on page 121, line 25
Sen. Kent Conrad (D-ND)Inserts new text on page 121, line 25
InsertsPrinted pageInserted: (5) Rules applicable to critical access retail pharmacies.--
Inserted: (A) Reimbursement limits.--Notwithstanding paragraph (2)(A), in the case of a critical access retail pharmacy (as defined in subparagraph (C)), the upper payment limit--
Inserted: (i) for the ingredient cost of a single source drug, is the lesser of--
Inserted: (I) 108 percent of the average manufacturer price for the drug; or
Inserted: (II) the wholesale acquisition cost for the drug; and
Inserted: (ii) for the ingredient cost of a multiple source drug, is the lesser of--
Inserted: (II) 140 percent of the weighted average manufacturer price for the drug; or
Inserted: (II) the wholesale acquisition cost for the drug.
Inserted: (B) Application of other provisions.--The preceding provisions of this subsection shall apply with respect to reimbursement to a critical access retail pharmacy in the same manner as such provisions apply to reimbursement to other retail pharmacies except that, in establishing the dispensing fee for a critical access pharmacy the Secretary, in addition to the factors required under paragraph (4), shall include consideration of the costs associated with operating a critical access retail pharmacy.
Inserted: (C) Critical access retail pharmacy defined.--For purposes of subparagraph (A), the term 'critical access retail pharmacy' means an retail pharmacy that is not within a 20-mile radius of another retail pharmacy.
Inserted: (2) Increase in basic rebate for single source drugs and innovator multiple source drugs.--Section 1927(c)(1)(B)(i)(VI) (42 U.S.C. 1396r-8(c)(1)(B)(i)(VI), as added by section 6002(a)(3), is amended by striking "17" and inserting "18.1".
Original wording
On page 121, after line 25, add the following:
Read automatically from the Congressional Record. Check the original before relying on it.
As printed
SA 2422. Mr. CONRAD (for himself and Mr. Salazar) proposed an amendment to the bill S. 1932, to provide for reconciliation pursuant to section 202(a) of the concurrent resolution on the budget for fiscal year 2006 (H. Con. Res. 95); as follows:
On page 121, after line 25, add the following:
“(5) Rules applicable to critical access retail pharmacies.--
“(A) Reimbursement limits.--Notwithstanding paragraph (2)(A), in the case of a critical access retail pharmacy (as defined in subparagraph (C)), the upper payment limit--
“(i) for the ingredient cost of a single source drug, is the lesser of--
“(I) 108 percent of the average manufacturer price for the drug; or
“(II) the wholesale acquisition cost for the drug; and
“(ii) for the ingredient cost of a multiple source drug, is the lesser of--
“(II) 140 percent of the weighted average manufacturer price for the drug; or
“(II) the wholesale acquisition cost for the drug.
“(B) Application of other provisions.--The preceding provisions of this subsection shall apply with respect to reimbursement to a critical access retail pharmacy in the same manner as such provisions apply to reimbursement to other retail pharmacies except that, in establishing the dispensing fee for a critical access pharmacy the Secretary, in addition to the factors required under paragraph (4), shall include consideration of the costs associated with operating a critical access retail pharmacy.
“(C) Critical access retail pharmacy defined.--For purposes of subparagraph (A), the term ‘critical access retail pharmacy' means an retail pharmacy that is not within a 20-mile radius of another retail pharmacy.”.
(2) Increase in basic rebate for single source drugs and innovator multiple source drugs.--Section 1927(c)(1)(B)(i)(VI) (42 U.S.C. 1396r-8(c)(1)(B)(i)(VI), as added by section 6002(a)(3), is amended by striking “17” and inserting “18.1”.
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Senate amendment submitted
November 3, 2005
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Senate amendment submitted
November 3, 2005
Senate amendment agreed to: Amendment SA 2422 agreed to in Senate by Voice Vote.
November 3, 2005
Senate amendment proposed (on the floor): Amendment SA 2422 proposed by Senator Conrad.
November 3, 2005
Amendment SA 2422 proposed by Senator Conrad. (consideration: CR S12325-12326; text: CR S12325) To ensure Medicaid enrollees have access to small, independent pharmacies located in rural and frontier areas.
November 3, 2005
Amendment SA 2422 agreed to in Senate by Voice Vote.
November 3, 2005