HB 21-1275

  • Colorado House Bill
  • 2021 Regular Session
  • Introduced in House May 25, 2021
  • Passed House May 25, 2021
  • Passed Senate Jun 04, 2021
  • Signed by Governor Jul 07, 2021

Medicaid Reimbursement For Services By Pharmacists

Abstract

Under the act, a pharmacist is eligible for reimbursement under the medical assistance program for certain medically necessary pharmacist services, as described in the act, that are not duplicative of other pharmacist services or programs reimbursed under the medical assistance program. The department of health care policy and financing shall include services reimbursed pursuant to the act in the review of provider rates for the medical assistance program.Further, the act allows a pharmacist or pharmacy that dispenses or administers extended-release injectable medications for the treatment of mental health or substance use disorders to seek reimbursement for those medications under the medical assistance program as either a pharmacy benefit or as a medical benefit.The act requires that costs associated with services provided by clinical pharmacists through a federally qualified health center (FQHC) be considered allowable costs for the purpose of the FQHC's cost report and be included in the calculation of the reimbursement rate for a patient visit at an FQHC.The act appropriates $372,554 to the department of health care policy and financing from the general fund and the healthcare affordability and sustainability fee cash fund to implement the act.(Note: This summary applies to this bill as enacted.)

Bill Sponsors (4)

Votes


Jun 04, 2021

May 25, 2021

Actions


Jul 07, 2021

Office of the Governor

Governor Signed

Jun 22, 2021

Office of the Governor

Sent to the Governor

House

Signed by the Speaker of the House

Senate

Signed by the President of the Senate

Jun 04, 2021

Senate

Senate Third Reading Passed - No Amendments

Jun 03, 2021

Senate

Senate Second Reading Special Order - Passed - No Amendments

Senate

Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole

  • Committee-Passage
Appropriations

May 26, 2021

Senate

Senate Committee on State, Veterans, & Military Affairs Refer Unamended to Appropriations

  • Referral-Committee
Appropriations State, Veterans, & Military Affairs

May 25, 2021

Senate

Introduced In Senate - Assigned to State, Veterans, & Military Affairs

  • Introduction
State, Veterans, & Military Affairs

House

House Third Reading Passed - No Amendments

May 24, 2021

House

House Second Reading Special Order - Passed with Amendments - Committee

House

House Committee on Appropriations Refer Amended to House Committee of the Whole

  • Committee-Passage
  • Referral-Committee
House Committee of the Whole Appropriations

Apr 28, 2021

House

House Committee on Health & Insurance Refer Amended to Appropriations

  • Referral-Committee
Appropriations

Apr 15, 2021

House

Introduced In House - Assigned to Health & Insurance

  • Introduction
Health & Insurance

Bill Text

Bill Text Versions Format
Signed Act (07/07/2021) PDF
Final Act (06/22/2021) PDF
Rerevised (06/04/2021) PDF
Revised (06/03/2021) PDF
Reengrossed (05/25/2021) PDF
Engrossed (05/24/2021) PDF
Introduced (04/15/2021) PDF
PA2 (05/24/2021) PDF
PA1 (04/29/2021) PDF
Committee Amendment PDF

Related Documents

Document Format
Fiscal Note SA1 (05/20/2021) PDF
Fiscal Note SA2 (06/02/2021) PDF
Fiscal Note FN1 (04/27/2021) PDF
Fiscal Note FN2 (05/12/2021) PDF
Fiscal Note FN3 (05/26/2021) PDF
Fiscal Note FN4 (10/05/2021) PDF

Sources

Data on Open States is updated periodically throughout the day from the official website of the Colorado General Assembly.

If you notice any inconsistencies with these official sources, feel free to file an issue.