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HR 3924 116th Congress House Health Administrative remedies Department of Health and Human Services Medicare Prescription drugs

Streamlining Part D Appeals Process Act

Introduced: July 23, 2019 Introduced by: Suozzi, Thomas R. Democratic · New York See on congress.gov
 Everywhere this bill has been 4 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jul 24, 2019
Referred to the Subcommittee on Health.
Jul 23, 2019
Referred to the Subcommittee on Health.
Jul 23, 2019
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Jul 23, 2019
Introduced in House
 Plain-English summary Congressional Research Service

Streamlining Part D Appeals Process Act

This bill allows a Medicare beneficiary to directly appeal a pharmacy's refusal to fill a prescription as a coverage determination under the Medicare prescription drug benefit.

Currently, if a pharmacy refuses to fill a prescription, the pharmacy provides the beneficiary with a notice explaining how to contact the beneficiary's prescription drug plan (PDP); the beneficiary must then obtain a written coverage determination (i.e., a decision denying coverage) from the PDP before initiating the appeals process.

What's happening now July 24, 2019

Referred to the Subcommittee on Health.

 Committees of jurisdiction 4