Leslie e Ridle Mike Navarr rre Valer erie e Davidson Dr. - PDF document

2/8/2018 1). Describe ibe recen ent t legisla slativ tive e issues es where re AKPhA represe resente ted d Alask ska Pharm rmacy issues. es. AkPhA 2). List three ee AKPhA Legisla slativ tive Priori rities ties for 2018 Legislative Update: Legisla slativ tive Sessio sion. Pertinent Pharmacy Legislative Issues 3). Identif tify non-AKPhA sponso sore red d legisla slatio tion/in initia itiativ tives es poten entia tially lly impactin ting the profess ession of Pharm rmacy in Alask ska. 2 1). PDMP 2 ). Naturop opaths 3 ). E-Prescri ribing 4). Health Exchange Regulations 5). AKM Mediset Coverage 6). AK College of Pharmacy 7). Immunizations 8). Cough Syrup Limitation/DMX 10). Loan Forgiveness Program 11). Preauthorization Forms 12). Medicaid Reform 13). Medicaid Regulations 14). Opiod 15). Tramadol 17). Narcan 18). Biosimilars 19). Compound Rx Coverage 3 4 Leslie e Ridle Mike Navarr rre Valer erie e Davidson Dr. Michael el Johnson Administration Commerce, Health and Social Education and Early Community and Services Development Economic Development Lt. Governor or – Byron Mallot ott Governor Bill Walker Dean Williams Larry ry Hartig Both up for reelection on 2018 Heidi Drygas Sam Cotten Corrections Environmental Labor and Workforce Fish & Game Conservation Development 5 6 1

2/8/2018 House and Senate Run By Coalitions Jahna Lindemuth Andy Mack Walt Monegan Sheldon Fisher er Law Natural Resources Public Safety Revenue Sen. Pete Kelly (R) of Rep. Bryce Edgmon (D) of Dillingham is the Speaker of Fairb rbanks is the the House. President ent of the Senate. He leads a 22 - member r House e Majori rity Coalition He He leads a 15 15 – member er 17 Democrats Majori rity Coalition 3Republicans 2 Non-Partisans 14 Republicans 1 1 Democra rat. Marc Luiken en Maj. Gen. Laurie e Hummel el Transportation and Public Facilities Military and Veterans' Affairs 7 8 Majori ority Leaders rs Minority Leaders Rules Chairs  1). Pharmacy Fair Audit Legislation  2). Wholesaler Licensure Legislation  3). Board of Pharmacy Extension (2022) Legislation Rep. . Chris Tuck Rep. Charisse Millett Rep.G .Gabri rielle LeDoux  4). Explore options to advance Provider Status for Anchora orage Anchorage Anchora orage pharmacists  5). 12 months s of Birth Control and Insurance Contraceptives Coverage  6). Maintain an active voice on opioid issues & regulations Sen. John Coghill Sen. Kevin Meye yer North Pole Sen. Berta Gardner Anchora orage Anchora orage 9 10  Establishes submission of data/medical record standards to allow for clarification where  Brings s fairn rness ess to the unreg egula lated ted and expandin ding discrepancies are identified. practi tice of pharm rmacy audits its.  Does s not allow audits its the first t seven en calen enda dar r days s  Establishes a reasonable time frame for the of each month th because se of the high patien ent t volu lume, me, announcement of an audit to allow proper unles less s the pharm rmacy and audito itor r agree ee otherw erwise ise. retrieval of records under review.  Is designed ed to preven ent t the targetin ting of minor r  Establishes an audit appeals process for cleri rical l or admin inistr strativ tive e errors rs where e no true e fraud, d, patien ient t harm, m, or financia ial l loss has s occurr rred. ed. pharmacies. 11 12 2

2/8/2018  Establishes guidelines for PBM’s (Pharmacy  Legislation does not prevent the recoupment of funds where Benefit Managers) to follow regarding patient fraud, waste and abuse exist. confidentiality.  40 other states have already enacted fair audit legislation  Extrapolation cannot be used in assessing  Bill will also include: fees/penalties. 1). Registration of PBM’s 2). Set up guidelines for generic drug MAC pricing by PBM’s  Alaska pharmacists would not be penalized for providing mail-order service to their customers. 3). Establish a mechanism for pharmacy to appeal MAC pricing Local mail-order service keeps Alaskan dollars in Alaska. 13 14 15 16  An Act extending the termination date of  The bills would give the the State Board of Pharmacy the the Board of Pharmacy; and providing for an authority to license and inspect the facilities of wholesale drug distributors and outsourcing facilities located out side effective date. the state under AS 08.80.159.  Board of Pharmacy (AS 08.80.010) –  It also gives the board the authority to establish the qualifications and duties of the administrator. June 30, 2022 [2018]. 17 18 3

2/8/2018  AkPhA Board Chair – Set-up Provider Status Working group. Named Colman Cutchins chair.  Toda day, , most women en have ve to refill their r birth contro rol every ry three ee months.  Working Group met, educated members and discussed strategies.  This can be a burden den for many women en espec ecially in rural ral areas, , and d women en who o work in profes fession ons that requ quire re them to be gone e exten ended ded periods ods of time.  Lobbyist discussed with Sen. Giessel/staff to develop a draft bill.  HB 25 helps ps ensure re all women en have ve consisten ent acces ess to the e birth contro rol method od best for them.  AkPhA needs to educate legislators, and state  Gives ves them the ability to contro rol when en and if they have e departments. children dren, , and healthier er pregnancies es.  Plans are to file 2019 Legislation. 19 20 Bill – Short Title – Prime Sponsor( or(s) ) - Current Status - Status Date  1). . Require res insuran rance e plans to cover r all FDA-appro pproved ed contrac racept eptive ve methods ods, , includi ding long-acting revers rsibl ble e  HB159/SB 79 OPIOIDS;PRESCRIPTIONS;DATABASE LICENSES contrac racept eptive ves (LARC RC), , tubal ligation on and vasec ectom omies es. HOUSE RULES BY REQUEST OF THE GOVERNOR CHAPTER 2  2). Require res insuran rance e plans to cover r a one year r suppl pply SSSLA 17 07/25/2017 of self-adm dminister ered ed birth contro rol (pills, , patches es, , rings), , when en prescri ribed bed.  HB 326/SB120 NATUROPATHS: LICENSING; PRACTICE REP. TARR & Senator Giessel(H) L&C 02/02/2018  3). . The bill does not mandate the prescri ript ption on of a one year r suppl pply.  SB 32 PRESCRIPTIONS FOR BIOLOGICAL PRODUCTS SENATOR HUGHES(H) FIN 04/14/2017  4). . Applies es to priva vate e indi divi vidu dual and group p plans, , state e and d municipa pal employ oyees ees, , and Medicaid. d. 21 22 NACDC  The association will host it’s annual Juneau u legis isla lative ve fly-in on 2/28 thru u 3/2/2018. . NH ME WA VT MT ND MN OR WI MA  All members rs are invited to particip icipate NY SD RI ID MI WY PA NJ IA NE OH DE IN WV MD  Come meet your legisla lators rs and learn n more NV IL UT CO V A MO KS KY about ut the legisla lativ ive process first hand CA Legend NC TN OK SC AR AZ NM E-prescribing MS AL GA Legislation Introduced LA AK TX E-prescribing FL 2019 HI 23 4

2/8/2018 Aetna – CareMa Mark rk - Expre ress Script – Teamsters rs – State of AK estions? Thank you. Questio 25 5