An Act To Improve Electronic Prescribing

CONCEPT DRAFT SUMMARY

This bill is a concept draft pursuant to Joint Rule 208.

This bill proposes to improve the electronic prescription drug program by establishing an electronic prior authorization system that:

1. Is aligned with the SCRIPT standard as set forth by the National Council for Prescription Drug Programs;

2. Is required to be included as a part of all devices and software and hardware systems that facilitate the electronic submission of prescription drug orders;

3. Uses a universal format for prior authorizations;

4. Notifies the patient’s preferred pharmacy of pending prior authorizations;

5. Provides specific feedback to the prescriber on acceptable reasons for approval of a prior authorization request for a prescription drug prescribed for a patient; and

6. Provides real-time feedback on the prior authorization request to a prescriber and a patient’s preferred pharmacy, which provides an explanation of benefits for the patient and includes information on how to appeal in the event of a denial of the requested medication.