LRB-1257/P2
SWB:kjf:rs
2015 - 2016 LEGISLATURE
DOA:......Dombrowski, BB0441 - Pharmacy Medical Assistance reimbursement for child immunization; requirement to update immunization registry
For 2015-2017 Budget -- Not Ready For Introduction
An Act ...; relating to: the budget.
Analysis by the Legislative Reference Bureau
Health and human services
Health
Under current law, DHS carries out a statewide immunization program to eliminate certain diseases specified by the department. With limited exceptions, school-age students, as well as children admitted to any nursery school or child care center must present evidence that he or she has received the immunizations required for his or her age group. Under current law, any person who immunizes an individual must maintain certain records regarding the immunization. DHS must prescribe the mechanisms for implementing the immunization program and monitoring compliance. DHS has established a computerized database for information relating to immunizations called the Wisconsin Immunization Registry. This bill requires a pharmacy or pharmacist that gives a vaccine to a person age 6 to 18 years of age to update the Wisconsin Immunization Registry within 24 hours of administering the vaccine.
Medical Assistance
Currently, DHS administers the Medical Assistance (MA) program, which is a joint federal and state program that provides health services to individuals who have limited resources. Under current law, DHS is required to pay allowable charges to certified providers for Medical Assistance on behalf of eligible recipients for certain federally mandated benefits and other additional services. This bill requires, subject to federal approval of an amendment to the state Medical Assistance plan, DHS to provide Medical Assistance reimbursement to pharmacists who meet certain requirements specified by DHS for administering vaccines to people 6 to 18 years of age.
For further information see the state fiscal estimate, which will be printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
Section
1. 49.45 (39m) of the statutes is created to read:
49.45
(39m) State plan amendment for pharmacist reimbursement. The department shall submit to the federal department of health and human services an amendment to the state Medical Assistance plan to permit Medical Assistance reimbursement to pharmacists who meet the training requirements specified by the department to administer vaccines, as determined by the department, to a person 6 to 18 years of age. The department shall provide Medical Assistance reimbursement under this subsection if the federal department of health and human services approves the amendment to the state Medical Assistance plan. A pharmacist or pharmacy shall enroll in the federal Vaccines for Children Program under
42 USC 1396s to be eligible for Medical Assistance reimbursement under this subsection.
Section
2. 252.04 (9m) of the statutes is created to read:
252.04 (9m) A pharmacist or pharmacy that administers a vaccine under this section to a person 6 to 18 years of age shall update the Wisconsin Immunization Registry established by the department within 24 hours of administering the vaccine.
(End)
