990243                                                            No.   3
                    HOUSE APPROPRIATIONS BILL AMENDMENT
                                  HB1885

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                                                   ORIGINAL STAMP BELOW





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Representative(s): Brummer and Garcia
offered the following amendment:

In Section: 03 On Page: 056 Specific Appropriation:  204
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Explanation:
Amends proviso to require Medicaid recipient cost sharing in lieu of
ingredient price reductions on prescribed drugs.
                                                     DELETE         INSERT

        AGENCY FOR HEALTH CARE ADMINISTRATION
        Program: Health Care Services
        Medicaid Services To Individuals

        In Section 03  On Page 056
204     Special Categories
        Prescribed Medicine/Drugs

Delete the fourth paragraph of existing proviso language, following 
Specific Appropriation 204:

Funds in Specific Appropriation 204 reflect a reduction of $11,951,226 
from the General Revenue Fund and $17,127,183 from the Medical Care
Trust Fund as a result of reducing Medicaid pharmacy ingredient prices.

and insert in lieu thereof:

Funds in Specific Appropriation 204 reflect a reduction of $11,951,226
from the General Revenue Fund and $17,127,183 from the Medical Care
Trust Fund as a result of the agency adopting provisions requiring
recipients of prescribed pharmaceuticals to share the cost of those

     990243  Log:0019  STM/RYA           04/06/05 09:57:16 PM  House  Page: 1
pharmaceuticals by requiring recipients to pay a nominal co-payment upon
receipt of each prescription medication. A provider shall not refuse to
provide a recipient a service if the recipient is unable to pay a
required co-payment; however, this provision shall not relieve a
recipient of an obligation to pay a co-payment or prevent a provider
from attempting to collect a co-payment.  If it is the routine business
practice of a provider to refuse service to an individual with
uncollected debt, the provider may include uncollected co-payments under
this practice. A provider shall give advanced notice to a recipient with
uncollected debt before services can be terminated. A provider shall not
waive a co-payment obligation as imposed by the department for a
recipient.

Line item amendments are accepted as part of the amendatory process.  However, due to the necessity of using computerized systems this may entail a different placement
within a budget entity or the renumbering of the specific appropriation items.










































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