HOUSE BILL REPORT
ESSB 5566
As Reported by House Committee On:
Health Care
Appropriations
Title: An act relating to requiring uniform prescription drug information cards.
Brief Description: Requiring uniform prescription drug information cards.
Sponsors: By Senate Committee on Health & Long‑Term Care (originally sponsored by Senators Thibaudeau, Franklin, Deccio and Kohl‑Welles).
Brief History:
Committee Activity:
Health Care: 3/29/01 [DP];
Appropriations: 3/31/01, 4/2/01 [DP].
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Brief Summary of Engrossed Substitute Bill
$Health benefit plans that issue prescription drug information cards to beneficiaries for filling prescriptions by pharmacists are required to use uniform prescription drug information.
$The state Insurance Commissioner must implement this requirement, and may adopt rules as necessary taking into consideration relevant standards developed by the National Council for Prescription Drug Programs and requirements of the federal Health Insurance Portability and Accountability Act of 1996.
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HOUSE COMMITTEE ON HEALTH CARE
Majority Report: Do pass. Signed by 14 members: Representatives Campbell, Republican Co‑Chair; Cody, Democratic Co‑Chair; Schual‑Berke, Democratic Vice Chair; Skinner, Republican Vice Chair; Alexander, Ballasiotes, Conway, Darneille, Edmonds, Edwards, Marine, McMorris, Pennington and Ruderman.
Staff: John Welsh (786‑7133).
Background:
There is no uniform prescription drug card for filling drug prescriptions being utilized by beneficiaries of health benefit plans, including state administered health programs. Currently, there are from 1,000 to 2,500 differently formatted prescription drug benefit cards being used to fill prescriptions. Over 70 percent of all prescriptions are paid for by some type of health insurance program.
The National Council for Prescription Drug Programs has developed a standard format for information on patient pharmacy benefit cards in order to increase the efficiency of operations and communications with patients and prescribing providers. This information is used by pharmacists to determine the specific health coverages for patients and provide the appropriate drugs outlined in their service provider agreements. The uniform information contains seven record fields on the card.
To date, nine states have adopted the use of the uniform prescription drug card.
Summary of Bill:
A health carrier or health plan administrator whose plans cover outpatient prescription drugs and who issues a card or other technology for prescription drug claims processing must include on that card or technology all information necessary for proper claims adjudication. The information must be updated upon renewal of the plan.
The act does not require the issuance of a pharmacy card separate from any other card issued to plan enrollees, if the card issued contains all of the information necessary to properly adjudicate prescription drug claims.
The Insurance Commissioner may adopt rules to implement the act, taking into consideration any relevant standards developed by the National Council for Prescription Drug Programs and the requirements of the federal Health Insurance Portability and Accountability Act of 1996.
The act applies to health benefit plans that are delivered, issued for delivery, or renewed on or after July 1, 2003.
Appropriation: None.
Fiscal Note: Not Requested.
Effective Date: Ninety days after adjournment of session in which bill is passed.
Testimony For: The use of a uniform prescription drug card by all insureds in this state would increase the pharmacist's efficiency in filling prescriptions and facilitate communication between the patient and pharmacist. It would streamline the dispensing of drugs and save costs.
Testimony Against: None.
Testified: Senator Thibaudeau, prime sponsor; Senator Deccio; and Dedi Hitchens, Washington Retail Association.
HOUSE COMMITTEE ON APPROPRIATIONS
Majority Report: Do pass. Signed by 31 members: Representatives Sehlin, Republican Co‑Chair; H. Sommers, Democratic Co‑Chair; Barlean, Republican Vice Chair; Doumit, Democratic Vice Chair; Lisk, Republican Vice Chair; Alexander, Benson, Boldt, Buck, Clements, Cody, Cox, Dunshee, Fromhold, Grant, Kagi, Keiser, Kenney, Kessler, Lambert, Linville, Mastin, McIntire, Mulliken, Pearson, Pflug, Ruderman, D. Schmidt, Schual‑Berke, Talcott and Tokuda.
Staff: Andrea Hardy (786‑7349).
Summary of Recommendation of Committee On Appropriations Compared to Recommendation of Committee On Health Care:
No new changes were recommended.
Appropriation: None.
Fiscal Note: Available.
Effective Date: Ninety days after adjournment of session in which bill is passed.
Testimony For: None.
Testimony Against: None.
Testified: None.