Source: http://www.wvlegislature.gov/Bill_Status/bills_text.cfm?billdoc=sb148%20intr.htm&yr=2013&sesstype=RS&i=148
Timestamp: 2018-01-22 00:05:50
Document Index: 588436449

Matched Legal Cases: ['§16', '§16', '§16', '§16', '§16', '§16', '§16', '§16', '§16', '§16', '§16', '§16']

sb148 intr
[Introduced February 14, 2013; referred to the Committee on Health and Human Resources; and then to the Committee on Finance.]
A BILL to amend the Code of West Virginia, 1931, as amended, by adding thereto a new article, designated §16-45-1, §16-45-2, §16-45-3, §16-45-4, §16-45-5 and §16-45-6, all relating to creating the Medication Therapy Management Act; and specifying that fees for third-party providers pay for the therapy under this act.
ARTICLE 45. MEDICATION THERAPY MANAGEMENT ACT.
§16-45-1. Medication therapy management program.
A medication therapy management program defined in this article is a program of drug therapy management furnished by a duly licensed pharmacist under the West Virginia Code, and that is designed to assure, with respect to targeted patients, that medications are appropriately used to optimize therapeutic outcomes through improved medication use, and to reduce the risk of adverse events, including adverse drug interactions. Such a program may distinguish between services in ambulatory and institutional settings. Upon implementation, third-party providers and state health care providers shall pay a fee to pharmacy providers for medication therapy management services. Targeted patients are individuals who have at least one chronic disease, including, but not limited to, diabetes, asthma, chronic obstructive pulmonary disease or other chronic lung disorders, hypertension, hyperlipidemia, congestive heart failure, chronic pain disorder or behavioral health disorder, and are taking multiple drugs to treat one or more such conditions. A patient with a prescription drug therapy problem who is identified by the primary health care provider and is eligible for medication therapy management services under the plan may self-pay.
§16-45-2. Definition.
"Medication therapy management" means the one-on-one provision of the following pharmaceutical care services by a licensed pharmacist to optimize the therapeutic outcomes of the patient's medications. Working with the patient to develop a personal medication record as part of a personal health record that contains all prescription and nonprescription drugs, herbal products, and dietary supplements taken by the patient.
§16-45-3. Patient treatment.
(e) Assessing, identifying, prioritizing and developing a plan for resolving medication-related problems related to the clinical appropriateness of each medication, the appropriateness of the dosage of each medication, including considerations of indications, contraindications, and potential adverse effects, adherence to regimen, untreated diseases or conditions, medication costs, and provider access considerations;
(o) Performing follow-up medication therapy management services for the maintenance and support of the patient, as recommended by the primary health care provider or other health care professional or specialist, or both; and
§16-45-4. Reimbursement eligibility.
§16-45-5. Evaluation.
§16-45-6. Payment of fees.
(b) The fee shall be calculated using one or more quarter- hourly rates implemented by formal regulation that are designed to reimburse the pharmacist or pharmacy based on time spent in providing the medication therapy management services.