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May 11, 2009

Texas Pharmacy Business Council is an organization of American Pharmacies and the Academy of Independent Pharmacists-Texas.
In this issue


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TDI pharmacy help
The Texas Department of Insurance has a Pharmacist Resource Page that includes links to complaint forms and advises when the next Pharmacy Outreach Conference Call will be held.

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to your online "favorites" list.

2009 Texas legislation successes
 
Regulation of Rx discount cards


 PBM transparency in state contracts

Mail order parity

becks Great news on federal PBM & Medicare bills
Influential D.C. leaders attending NCPA legislative conference
These are exciting times in Washington. Our priorities are moving forward and influential elected and administrative staff are coming to speak to us this week at the annual National Community Pharmacists Association Legislation and Government Affairs Conference in D.C.

Yesterday afternoon we heard from Peter J. Levitas, JD, deputy director of the FTC Bureau of Competition. This is one of the groups looking into whether CVS Caremark is engaging in anticompetitive actions. We also heard from Jeffrey A. Kelman, MD, MMSc, chief medical officer for the CMS Center for Beneficiary Choices who talked about the important role independent community pharmacists play in the new health care bill.

I'm particularly excited about today's speakers and topics.
A panel discussion with the influential national political blog Politico, Congressional Quarterly, and Wall Street Journal will shed some light on the issues as they see them. Other panel discussions include Medicaid pharmacy, DEA, and FDA issues.

Our lunch speakers include long-time pharmacy advocate Sen. Mark Pryor (D-AR), chairman of the Subcommittee on Consumer Protection, Product Safety, and Insurance; and Rima Cohen, JD, Counselor for Health Policy to the Secretary of HHS.

Tomorrow we descend on our various elected officials to discuss with them and/or their staff the issues most important to pharmacy. This includes the two bills introduced Friday in the U.S. House of Representatives.
 
PBM Audit Reform and Transparency Act of 2010
HR 5234 (Anthony Weiner/D/NY and Jerry Moran/R/KS)
This is a comprehensive PBM reform bill that builds on the NCPA-supported foundation PBM reforms enacted in the health care reform law. This bill applies many of the PBM reporting requirements in the health care reform bill to other private sector health care plans.
  • Reforms the manner in which PBMs conduct pharmacy audits to stop the abuses;
  • Requires disclosure of PBM reimbursement methodologies so plans and payers can determine whether PBMs are playing games with mail order reimbursement;
  • Prohibits PBMs from using financial incentives to shift patients to their own mail-order owned pharmacies;
  • Prohibits PBMs from forcing pharmacies to participate in certain PBM networks as a condition of participating in others; and more.
  • Click here for a summary.
Medicare Access to Diabetes Supplies Act
HR 5235 (Peter Welch/D/VT and Mike Rogers/R/MI)
This bill exempts small community pharmacies from being required to competitively bid under Medicare Part B to provide diabetes testing supplies to their Medicare patients. The next round of the program is scheduled to go into effect in 2013, with bidding starting next year.


More than 20 Texas pharmacists are here, as well as 14 Texas pharmacy students. Don't you wish you were here, too? Then plan on it for next May!

Stay tuned!

Richard's signature
Richard E. Beck, RPh
Executive Director, Texas Pharmacy Business Council
Texas Pharmacy Business Council
Ensuring patient access to quality pharmacy care services,
the viability of community pharmacy and the pharmacy profession.

1001 Congress Ave., Suite 250, Austin, TX 78701 512.992.1219
Richard E. Beck, RPh, Executive Director
www.TxRxCouncil.org
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