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Medicare Prescription Drug Coverage Act of 2001

1/16/2023, 10:48 PM

Congressional Summary of S 10

Medicare Prescription Drug Coverage Act of 2001 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to add a new part D (Outpatient Prescription Drug Benefit Program) (OPDBP) to provide Medicare coverage of certain outpatient prescription drugs and biological products for individuals entitled to benefits under Medicare part A (Hospital Insurance) or enrolled under Medicare part B (Supplementary Medical Insurance).

Directs the Secretary of Health and Human Services to provide for an outpatient prescription drug benefit program for eligible Medicare beneficiaries.

Outlines premiums and cost-sharing provisions, including those for a $250 deductible waivable for generic drugs, as well as coinsurance provisions.

Sets out patient protections.

Authorizes the Secretary to develop and implement an Employer Incentive Program that encourages sponsors of employment-based health care coverage to provide adequate prescription drug benefits to retired individuals.

Establishes a Medicare Pharmacy and Therapeutics Advisory Committee.

Amends SSA title XVIII part C (Medicare+Choice) to require each Medicare+Choice plan, with specified exceptions, to provide enrolled members items and services for which benefits are available under new part D.

Amends SSA title XVIII part D to exclude Medicare part D costs from determination of the part B monthly premium.

Amends SSA title XIX (Medicaid) to: (1) include in Medicare cost-sharing for qualified Medicare beneficiaries premiums under OPDBP; and (2) provide for expanding medical assistance with regard to OPDBP coinsurance and deductible. Sets at 100 percent the Federal Medicaid percentage with respect to such medical assistance.

Amends SSA title XI to increase Medicaid payments to territories.

Amends SSA title XVIII to revise requirements for benefit packages for Medicare supplemental policies, and with regard to comprehensive immunosuppressive drug coverage for transplant patients.

Directs the Secretary to study whether to: (1) establish a uniform format for pharmacy benefit cards provided to beneficiaries by eligible entities under OPDBP; and (2) develop systems to transfer prescriptions electronically under OPDBP from the prescriber to the pharmacist.

Outlines provisions for General Accounting Office and Medicare Payment Advisory Commission (MedPAC) studies involving OPDBP.

Read the Full Bill

Current Status of Bill S 10

Bill S 10 is currently in the status of Bill Introduced since January 22, 2001. Bill S 10 was introduced during Congress 107 and was introduced to the Senate on January 22, 2001.  Bill S 10's most recent activity was Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S155-163) as of January 22, 2001

Bipartisan Support of Bill S 10

Total Number of Sponsors
1
Democrat Sponsors
1
Republican Sponsors
0
Unaffiliated Sponsors
0
Total Number of Cosponsors
32
Democrat Cosponsors
32
Republican Cosponsors
0
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill S 10

Primary Policy Focus

Health

Potential Impact Areas

- Access to health care
- Administrative procedure
- Advertising
- Allergies
- Ambulatory care
- Auditing
- Capitation (Medical care)
- Civil Rights and Liberties, Minority Issues
- Coinsurance
- Commerce
- Communication in medicine
- Competition
- Competitive bidding
- Conflict of interests
- Congress
- Congressional investigations
- Congressional reporting requirements
- Consumer education
- Consumer organizations
- Cost effectiveness
- Department of Health and Human Services
- Drug abuse
- Drug interactions
- Drug utilization
- Drugs
- Economics and Public Finance
- Electronic data interchange
- Emergency Management
- Emergency medicine
- Employee health benefits
- Federal advisory bodies
- Finance and Financial Sector
- Generic drugs
- Government Operations and Politics
- Government paperwork
- Government publicity
- Government trust funds
- Governmental investigations
- Health insurance
- Health insurance continuation
- Housing and Community Development
- Identification devices
- Immunosuppressive drugs
- Indexing (Economic policy)
- Insulin
- Insurance premiums
- Insurance rates
- Labor and Employment
- Law
- Legislation
- Managed care
- Marketing
- Medicaid
- Medical economics
- Medical malpractice
- Medical records
- Medically uninsured
- Medicare
- Medicare fraud
- Medicare managed care
- Medigap
- Nonprescription drugs
- Nonprofit organizations
- Pharmaceutical research
- Pharmacies
- Prescription pricing
- Quality of care
- Research and development
- Retiree health benefits
- Right of privacy
- Rural health
- Science, Technology, Communications
- Social Welfare
- Standards
- Territories (U.S.)
- Transplantation of organs, tissues, etc.

Alternate Title(s) of Bill S 10

Medicare Prescription Drug Coverage Act of 2001
A bill to amend title XVIII of the Social Security Act to provide coverage of outpatient prescription drugs under the medicare program.
Medicare Prescription Drug Coverage Act of 2001

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