CSHB 318(FIN): "An Act relating to a health insurance uniform prescription drug information card; and providing for an effective date."
00 CS FOR HOUSE BILL NO. 318(FIN) 01 "An Act relating to a health insurance uniform prescription drug information card; and 02 providing for an effective date." 03 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 04 * Section 1. AS 21.06 is amended by adding a new section to read: 05 Sec. 21.06.086. Uniform prescription drug information card. (a) A health 06 care insurer that provides coverage for prescription drugs or devices and that issues, 07 uses, requires, or reissues a card or other technology for prescription claims processing 08 shall issue or require the insurer's agent, contractor, or third-party administrator to 09 issue a uniform prescription drug information card for an insured, enrollee, or 10 participant in the insurer's health insurance plan as required in this section. The 11 director shall by regulation specify the information to be contained on a uniform 12 prescription drug information card and shall require, at a minimum, that a uniform 13 prescription drug information card 14 (1) except as required in this section, conform to the standards and
01 format of the current National Council for Prescription Drug Programs Pharmacy 02 Identification Card Implementation Guide; or 03 (2) contain, in a clear, readable, and understandable manner, all 04 information necessary for prescription drug claims submission, including 05 (A) the card issuer's name or logo on the front of the card; 06 (B) the name and identification number of the enrollee or 07 enrollee's dependent displayed on the front of the card; 08 (C) if the insurer accepts electronic prescription drug claims 09 submissions, complete and clearly labeled information for electronic 10 transaction claims routing, including 11 (i) the international or bank identification number; 12 (ii) the processor control number; or 13 (iii) the group number if required for adjudication; 14 (D) the name and address of the benefits administrator or other 15 entity responsible for prescription claims submission, adjudication, or 16 pharmacy provider correspondence for prescription benefits claims; and 17 (E) a help desk telephone number for pharmacy benefit claims 18 assistance or a reference to a telephone number for pharmacy benefit claims 19 assistance, unless provided electronically at the time of adjudication. 20 (b) This section 21 (1) does not apply to a health care insurer providing prescription drug 22 coverage under an excepted benefits policy; 23 (2) may not be construed to require the reissuance of a uniform 24 prescription drug information card issued before the effective date of this section; and 25 (3) does not require issuance of a separate prescription drug 26 information card if an existing information card contains the information required 27 under this section. 28 (c) In this section, 29 (1) "device" has the meaning given in AS 08.80.480; 30 (2) "excepted benefits" has the meaning given in AS 21.54.160; 31 (3) "health care insurer" has the meaning given in AS 21.54.500;
01 (4) "prescription drug" has the meaning given in AS 08.80.480 and 02 includes a device. 03 * Sec. 2. This Act takes effect July 1, 2004.