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                                                      PRINTER'S NO. 1436

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

No. 1045 Session of 2006


        INTRODUCED BY VANCE, COSTA, EARLL, KITCHEN, O'PAKE, PUNT,
           RAFFERTY, WENGER AND WONDERLING, JANUARY 3, 2006

        REFERRED TO PUBLIC HEALTH AND WELFARE, JANUARY 3, 2006

                                     AN ACT

     1  Amending the act of June 13, 1967 (P.L.31, No.21), entitled "An
     2     act to consolidate, editorially revise, and codify the public
     3     welfare laws of the Commonwealth," providing for home
     4     infusion therapy to be available to all eligible recipients
     5     and adding a definition of "home infusion therapy."

     6     The General Assembly of the Commonwealth of Pennsylvania
     7  hereby enacts as follows:
     8     Section 1.  The act of June 13, 1967 (P.L.31, No.21), known
     9  as the Public Welfare Code, is amended by adding a section to
    10  read:
    11     Section 443.9.  Home Infusion Therapy.--(a)  The department
    12  shall ensure that home infusion therapy shall be a required
    13  benefit and available to all eligible recipients. There are
    14  three distinct components to the provision of home infusion
    15  therapy:
    16     (1)  prescription pharmaceuticals;
    17     (2)  professional pharmacy services, which includes:
    18  dispensing, clinical monitoring, care coordination, supplies and
    19  equipment; other multiple categories of pharmacy professional

     1  services necessary for safe and effective administration of the
     2  drug therapies; and expected adherence to professional standards
     3  of practice related to quality care and applicable laws and
     4  regulations, administrative services and support services; and
     5     (3)  home infusion nursing visits.
     6  The department shall reimburse providers in a manner that is
     7  consistent with the services provided and pay separately for
     8  each of the defined components.
     9     (b)  For the purposes of this section, "home infusion
    10  therapy" shall mean the preparation of parenteral
    11  pharmaceuticals, which are prescription drugs and biologics
    12  administered through catheters and/or needles, provided in a
    13  patient's home, other place of residence or outpatient setting.
    14  Parenteral routes of administration include intravenous,
    15  intraspinal, intrathecal, intra-arterial, subcutaneous and
    16  intramuscular. Home infusion therapy also involves clinical
    17  pharmacy monitoring as well as clinical nursing for the
    18  administration, teaching and oversight of the patient's
    19  prescribed parenteral therapy.
    20     Section 2.  This act shall take effect in 60 days.







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