S.1861 - Streamlining Part D Appeals Process Act116th Congress (2019-2020) |
|Sponsor:||Sen. Cardin, Benjamin L. [D-MD] (Introduced 06/13/2019)|
|Committees:||Senate - Finance|
|Latest Action:||Senate - 06/13/2019 Read twice and referred to the Committee on Finance. (All Actions)|
This bill has the status Introduced
Here are the steps for Status of Legislation:
- Passed Senate
- Passed House
- To President
- Became Law
Summary: S.1861 — 116th Congress (2019-2020)All Information (Except Text)
Introduced in Senate (06/13/2019)
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.