PRINTER'S NO. 401
THE GENERAL ASSEMBLY OF PENNSYLVANIA
SENATE BILL
No.
432
Session of
2019
INTRODUCED BY PHILLIPS-HILL, J. WARD, BROWNE AND YUDICHAK,
MARCH 12, 2019
REFERRED TO HEALTH AND HUMAN SERVICES, MARCH 12, 2019
AN ACT
Amending the act of October 27, 2014 (P.L.2911, No.191),
entitled "An act providing for prescription drug monitoring;
creating the ABC-MAP Board; establishing the Achieving Better
Care by Monitoring All Prescriptions Program; and providing
for unlawful acts and penalties," further providing for
access to prescription information.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. Section 9(b)(7) of the act of October 27, 2014
(P.L.2911, No.191), known as the Achieving Better Care by
Monitoring All Prescriptions Program (ABC-MAP) Act, is amended
and the subsection is amended by adding a paragraph to read:
Section 9. Access to prescription information.
* * *
(b) Authorized users.--The following individuals may query
the system according to procedures determined by the board and
with the following limitations:
* * *
(7) Designated Commonwealth personnel and contracted
staff who are responsible for the development and evaluation
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of quality improvement strategies, program integrity
initiatives or conducting internal compliance reviews and
data reporting for the medical assistance program, Children's
Health Insurance Program (CHIP), Pharmaceutical Assistance
Contract for the Elderly (PACE) or Pharmaceutical Assistance
Contract for the Elderly Needs Enhancement Tier (PACENET).
* * *
(12) Personnel of an organization that has an agreement
to be paid on a capitated basis to provide services to
medical assistance beneficiaries, who are engaged in care
management, the development and evaluation of quality
improvement strategies, program integrity initiatives or
conducting internal compliance reviews and data reporting for
the medical assistance program. Personnel engaged in these
activities:
(i) May query the system to review the requested
dispensing or prescribing of a controlled substance under
this act to an individual to whom the organization
provides services under Title XIX of the Social Security
Act (P.L.74-271, 42 U.S.C. ยง 1396 et seq.) .
(ii) Shall notify the Department of Human Services
and the Office of Attorney General if fraud is suspected
based on the results of the query and review of the
database.
* * *
Section 2. This act shall take effect in 60 days.
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