Summary: S.1861 — 116th Congress (2019-2020)All Information (Except Text)

There is one summary for S.1861. Bill summaries are authored by CRS.

Shown Here:
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.