H.R.3924 - Streamlining Part D Appeals Process Act116th Congress (2019-2020) |
|Sponsor:||Rep. Suozzi, Thomas R. [D-NY-3] (Introduced 07/23/2019)|
|Committees:||House - Energy and Commerce; Ways and Means|
|Latest Action:||House - 07/24/2019 Referred to the Subcommittee on Health. (All Actions)|
This bill has the status Introduced
Here are the steps for Status of Legislation:
- Passed House
- Passed Senate
- To President
- Became Law
Summary: H.R.3924 — 116th Congress (2019-2020)All Information (Except Text)
Introduced in House (07/23/2019)
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.