PRINTER'S NO. 1344
No. 1180 Session of 1991
INTRODUCED BY E. Z. TAYLOR, OLASZ, WILSON, VANCE, LEH, GERLACH, BILLOW, ARMSTRONG, BUNT, LAUGHLIN, BUSH, HERMAN, HECKLER, GEIST, KING, MERRY, COLAIZZO, O'BRIEN, NOYE, STEELMAN, GLADECK, REBER, RAYMOND, SAURMAN, McCALL AND MICOZZIE, APRIL 17, 1991
REFERRED TO COMMITTEE ON AGING AND YOUTH, APRIL 17, 1991
AN ACT 1 Amending the act of November 4, 1983 (P.L.217, No.63), entitled 2 "An act establishing a program of limited pharmaceutical 3 assistance for the elderly; granting powers to and imposing 4 duties on the Department of Aging; establishing a payment 5 system; making provisions for funding; providing for reports; 6 and fixing penalties for violations of the pharmaceutical 7 assistance program," further defining "maximum annual 8 income"; and further providing for program criteria. 9 The General Assembly of the Commonwealth of Pennsylvania 10 hereby enacts as follows: 11 Section 1. The definition of "maximum annual income" in 12 section 3 of the act of November 4, 1983 (P.L.217, No.63), known 13 as the Pharmaceutical Assistance Contract for the Elderly Act, 14 amended December 17, 1984 (P.L.1002, No.202), is amended to 15 read: 16 Section 3. Definitions. 17 The following words and phrases when used in this act shall 18 have the meanings given to them in this section unless the 19 context clearly indicates otherwise:
1 * * * 2 "Maximum annual income." Annual income as determined by the 3 department. Such amount shall not exceed [$12,000] $13,000 in 4 the case of single persons nor [$15,000] $16,200 in the case of 5 the combined annual income of married persons. 6 * * * 7 Section 2. Section 4(e)(5) of the act, amended June 30, 1987 8 (P.L.169, No.17), is amended to read: 9 Section 4. Responsibilities of Department of Aging. 10 * * * 11 (e) Program criteria.--The program shall include the 12 following criteria: 13 * * * 14 (5) The system established shall include a participant 15 copayment schedule of $4 for each prescription [for the first 16 year of the contract] filled with an approved generic 17 equivalent drug and $8 for each prescription filled with an 18 approved brand name drug. The copayment [shall] may increase 19 or decrease [on the annual basis] by the average percent 20 change of ingredient costs for all prescription drugs plus a 21 differential to raise the copayment to the next highest 25¢ 22 increment. In addition, the department may approve a request 23 for increase or decrease in the level of copayment based upon 24 the financial experience and projections of the program [and] 25 but only after consultation with the Pharmaceutical 26 Assistance Review Board. The department is prohibited from 27 approving adjustments to the copayment on more than a 28 semiannual basis. 29 * * * 30 Section 3. This act shall take effect in 90 days. C12L67PJP/19910H1180B1344 - 2 -