CPhA Sponsored Legislation for 2016:
AB 2084 (Wood) allows pharmacists to be paid for Comprehensive Medication Management (CMM) services within their scope of practice when provided to Medi-Cal beneficiaries. To achieve this goal, AB 2084 establishes a CMM benefit for Medi-Cal beneficiaries who need ongoing medication management by a pharmacist. A CMM benefit will allow pharmacists to be reimbursed for clinical services, ensuring that patients get the medication services they need from pharmacists.
AB 2050 (Steinorth) requires all commercial health plans and PBMs to provide coverage for prescription refill synchronization programs to chronic patients who are on ongoing multiple medications. This bill will streamline prescription refill synchronization, making it more convenient for patients to pick up all their prescriptions on one trip to the pharmacy and requires health plans to use the national standard codes or establish classification codes used for medication synchronization. AB 2050 eliminates any barriers for pharmacists who are implementing prescription refill synchronization, a service that has been shown to improve rates of medication adherence and improving patient outcomes.
See what CPhA Sponsored in 2015:
AB 627 (Gomez) establishes fair standards for Maximum Allowable Cost (MAC)-based pharmacy reimbursement. The bill requires PBMs to update their MAC lists weekly; requires PBMs to provide in-network pharmacies with the current MAC list upon request and disclose the sources used in establishing MAC lists; and establishes much-needed standards for appeals filed by pharmacies for MAC list prices that appear to be out of date. **SIGNED BY THE GOVERNOR: 7/13/15**
SB 672 (Hernandez), which CPhA is co-sponsoring with CSHP, adds pharmacists to the list of healthcare providers whose peer review records are given evidentiary privilege and protection from disclosure in civil matters. Pharmacist peer review performed in pharmacies already has these protections, but if the peer review program is run by a clinic, hospital, or other setting the peer review records are not protected. This protection is necessary to ensure that pharmacists can participate in peer review, providing honest and open feedback, without fear that the information could harm themselves or a colleague. **SIGNED BY THE GOVERNOR: 9/4/15**