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H.R. 3924

Streamlining Part D Appeals Process Act

Streamlining Part D Appeals Process Act

This bill allows a Medicare beneficiary to directly appeal a pharmacy's refusal to fill a prescription as a coverage determination under the Medicare prescription drug benefit.

Currently, if a pharmacy refuses to fill a prescription, the pharmacy provides the beneficiary with a notice explaining how to contact the beneficiary's prescription drug plan (PDP); the beneficiary must then obtain a written coverage determination (i.e., a decision denying coverage) from the PDP before initiating the appeals process.

Referred to the Subcommittee on Health.

Rep. Suozzi, Thomas R. [D-NY-3](D-NY)Sponsor
2 cosponsors1 D1 R
2cosponsors2committees6actions1related bills4subjects
  1. Committee

    Referred to the Subcommittee on Health.

    Health Subcommittee
  2. Committee

    Referred to the Subcommittee on Health.

    Health Subcommittee
  3. IntroReferralH11100

    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

    Ways and Means Committee
  4. IntroReferralH11100

    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

    Energy and Commerce Committee
  5. IntroReferralIntro-H

    Introduced in House

  6. IntroReferral1000

    Introduced in House

Streamlining Part D Appeals Process Act — Informed