Legis Daily

Streamlining Part D Appeals Process Act

USA116th CongressS-1861| Senate 
| Updated: 6/13/2019
Benjamin L. Cardin

Benjamin L. Cardin

Democratic Senator

Maryland

Cosponsors (1)
John Cornyn (Republican)

Finance Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
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.
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Timeline
Jun 13, 2019
Introduced in Senate
Jun 13, 2019
Read twice and referred to the Committee on Finance.
Jul 24, 2019

Latest Companion Bill Action

HR 116-3924
Referred to the Subcommittee on Health.
  • June 13, 2019
    Introduced in Senate


  • June 13, 2019
    Read twice and referred to the Committee on Finance.


  • July 24, 2019

    Latest Companion Bill Action

    HR 116-3924
    Referred to the Subcommittee on Health.

Health

Related Bills

  • HR 116-3924: Streamlining Part D Appeals Process Act
Administrative law and regulatory proceduresAdministrative remediesDepartment of Health and Human ServicesDepartment of LaborDepartment of the TreasuryEmployee benefits and pensionsFederal preemptionFinancial services and investmentsGovernment information and archivesIncome tax creditsMedicarePrescription drugsSecuritiesSmall businessTax administration and collection, taxpayers

Streamlining Part D Appeals Process Act

USA116th CongressS-1861| Senate 
| Updated: 6/13/2019
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.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Jun 13, 2019
Introduced in Senate
Jun 13, 2019
Read twice and referred to the Committee on Finance.
Jul 24, 2019

Latest Companion Bill Action

HR 116-3924
Referred to the Subcommittee on Health.
  • June 13, 2019
    Introduced in Senate


  • June 13, 2019
    Read twice and referred to the Committee on Finance.


  • July 24, 2019

    Latest Companion Bill Action

    HR 116-3924
    Referred to the Subcommittee on Health.
Benjamin L. Cardin

Benjamin L. Cardin

Democratic Senator

Maryland

Cosponsors (1)
John Cornyn (Republican)

Finance Committee

Health

Related Bills

  • HR 116-3924: Streamlining Part D Appeals Process Act
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Administrative law and regulatory proceduresAdministrative remediesDepartment of Health and Human ServicesDepartment of LaborDepartment of the TreasuryEmployee benefits and pensionsFederal preemptionFinancial services and investmentsGovernment information and archivesIncome tax creditsMedicarePrescription drugsSecuritiesSmall businessTax administration and collection, taxpayers