Amendment JR2 AA2-ASA1-AB1

LRBb2535/1

DAK:jld:kjf

January 2002 Special Session

2001 - 2002 LEGISLATURE

ASSEMBLY AMENDMENT 2, TO ASSEMBLY SUBSTITUTE AMENDMENT 1, TO ASSEMBLY BILL 1

March 14, 2002 - Offered by Representative Ziegelbauer.

AB1-ASA1-AA2,1,1 At the locations indicated, amend the substitute amendment as follows:

AB1-ASA1-AA2,1,2 1. Page 44, line 6: after that line insert:

AB1-ASA1-AA2,1,4 " Section 140qd. 49.688 (5) (a) (intro.) of the statutes, as created by 2001 Wisconsin Act 16, is amended to read:

AB1-ASA1-AA2,1,10 49.688 (5) (a) (intro.) Beginning on September 1, 2002 July 1, 2004, except as provided in sub. (7) (b), as a condition of participation by a pharmacy or pharmacist in the program under s. 49.45, 49.46, or 49.47, the pharmacy or pharmacist may not charge a person who presents a valid prescription order and a card indicating that he or she meets eligibility requirements under sub. (2) an amount for a prescription drug under the order that exceeds the following:

AB1-ASA1-AA2, s. 140qe Section 140qe. 49.688 (7) (a) of the statutes, as created by 2001 Wisconsin Act 16, is amended to read:

AB1-ASA1-AA2,2,17 49.688 (7) (a) Except as provided in par. (b), from the appropriation accounts under s. 20.435 (4) (bv) and (j), beginning on September 1, 2002 July 1, 2004, the department shall, under a schedule that is identical to that used by the department for payment of pharmacy provider claims under medical assistance, provide to pharmacies and pharmacists payments for prescription drugs sold by the pharmacies or pharmacists to persons eligible under sub. (2) who have paid the deductible specified under sub. (3) (b) 1. or 2. or who, under sub. (3) (b) 1., are not required to pay a deductible. The payment for each prescription drug under this paragraph shall be at the program payment rate, minus any copayment paid by the person under sub. (5) (a) 2. or 4., and plus, if applicable, incentive payments that are similar to those provided under s. 49.45 (8v). The department shall devise and distribute a claim form for use by pharmacies and pharmacists under this paragraph and may limit payment under this paragraph to those prescription drugs for which payment claims are submitted by pharmacists or pharmacies directly to the department. The department may apply to the program under this section the same utilization and cost control procedures that apply under rules promulgated by the department to medical assistance under subch. IV of ch. 49.".

AB1-ASA1-AA2,2,18 2. Page 346, line 13: after that line insert:

AB1-ASA1-AA2,2,19 " Section 1160v. 2001 Wisconsin Act 16, section 9423 (19h) is amended to read:

AB1-ASA1-AA2,2,22 [2001 Wisconsin Act 16] Section 9423 (19h) Prescription drug assistance for elderly. The treatment of section 20.435 (4) (bv) of the statutes takes effect on September 1, 2002 July 1, 2004.".

AB1-ASA1-AA2,2,23 3. Page 394, line 22: after that line insert:

AB1-ASA1-AA2,3,5 "(19d) Prescription drug assistance for elderly. In the schedule under section 20.005 (3) of the statutes for the appropriation to the department of health and family services under section 20.435 (4) (bv) of the statutes, as affected by the acts of 2001, the dollar amount is decreased by $49,900,000 for fiscal year 2002-03 to decrease funding for the purpose for which the appropriation is made.".

AB1-ASA1-AA2,3,6 (End)