Transcript Current Law and practice Issues in the state and Nation

CURRENT LAW AND PRACTICE
ISSUES IN THE STATE AND
NATION
Tony King, PharmD
Corey Heffernan, PharmD
Mark Meredith, PharmD
Stuart Doggett, Executive Director, MPA
TOPICS

National Issues
US Pharmacy Caucus
 Compounding
 FDA Hot Topics


Board of Pharmacy
EO Position Update
 Compounding (again)
 Rules Updates


State Legislative Issues
Legislative Tracking List
 MPA’s 2 Bills
 Pharmacy Day at the Capitol

NATIONAL ISSUES

US Pharmacy Caucus
Sen. Tester
 No Contact with MPA

Compounding Tragedy
 FDA

TRAGEDIES DRIVE LEGISLATION
BOARD OF PHARMACY
Executive Officer Position Update
 Biennial rule review
 MAR notice
 Compounding Rules



Sterile and Non-sterile
Federal Regulations
Safeway Update
 Automated Dispensing Update
 Prescription Drug Registry

STATE ISSUES
American Society of Health System Pharmacists
(ASHP) affiliation
STATE LEGISLATIVE UPDATE

MPA 2013 Legislative Bill Tracking Update
(page 6)

HB 14 – Bonding Issue, included Missoula College


HB 133 – BOP Housekeeping


LC0119
Includes PBMs as practicing pharmacy and licenses them
as mail order
HB 140 –Generally revising controlled substance
laws

Spice drugs and analogs
SB 84 – Establishes standards and structure for
patient-centered medical home
 LC1666 – Generally Revise Pharmacy Laws

GOOD/BAD TIMING
STATE LEGISLATIVE ISSUES

LC0545 (page 9 in blue packet)

Revise collaborative practice laws for pharmacy
immunizations
Eliminates need for collaborative agreements for CDC
recommended immunizations for patients age of 18 and
older
 Eliminated need for collaborative agreements for Influenza,
Pneumonia, and TDaP for patients age 7 and older
 Allows pharmacists to vaccinate patients age 7 and older for
other immunizations with a prescription
 Allows pharmacists to administer epinephrine and
diphenhydramine

STATE LEGISLATIVE ISSUES

LC0545 (page 20 of blue packet)

Establish the pharmacy audit integrity act
Limit the burden of pharmacy audits
 Include private payors and Montana Medicaid, but not
Medicare
 Parts taken from several states (PA, UT, MN, etc.)
 Cannot recoup for typographical errors
 10 day notice
 200 claim/18 month window and not within first 5 days of
month
 Same auditing standards at all pharmacies
 May not require more stringent record keeping
 Pay for the audit with the recoupment

QUESTIONS?