SF 973

as introduced - 84th Legislature (2005 - 2006) Posted on 12/15/2009 12:00am

A bill for an act
relating to medical assistance; requiring medical
assistance to cover medication therapy management
services; amending Minnesota Statutes 2004, section
256B.0625, by adding a subdivision.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2004, section 256B.0625, is
amended by adding a subdivision to read:

new text begin Subd. 13h. new text end

new text begin Medication therapy management care. new text end

new text begin (a)
Medical assistance covers medication therapy management
services. For purposes of this subdivision, "medication therapy
management" means the provision of the following pharmaceutical
care services by a licensed pharmacist to optimize the
therapeutic outcomes of the patient's medications:
new text end

new text begin (1) performing or obtaining necessary assessments of the
patient's health status;
new text end

new text begin (2) formulating a medication treatment plan;
new text end

new text begin (3) selecting, initiating, modifying, or administering
medication therapy;
new text end

new text begin (4) monitoring and evaluating the patient's response to
therapy, including safety and effectiveness;
new text end

new text begin (5) performing a comprehensive medication review to
identify, resolve, and prevent medication-related problems,
including adverse drug events;
new text end

new text begin (6) documenting the care delivered and communicating
essential information to the patient's other primary care
providers;
new text end

new text begin (7) providing verbal education and training designed to
enhance patient understanding and appropriate use of the
patient's medications;
new text end

new text begin (8) providing information, support services, and resources
designed to enhance patient adherence with the patient's
therapeutic regimens; and
new text end

new text begin (9) coordinating and integrating medication therapy
management services within the broader health care management
services being provided to the patient.
new text end

new text begin Nothing in this subdivision shall be construed to expand or
modify the scope of practice of the pharmacist as defined in
section 151.01, subdivision 27.
new text end

new text begin (b) For the purposes of reimbursement for medication
therapy management, the commissioner may enroll individual
pharmacists as medical assistance providers and shall seek to
ensure that participating pharmacists represent all geographic
regions of the state.
new text end

new text begin (c) The commissioner, after receiving recommendations from
professional medical associations, professional pharmacy
associations, and consumer groups shall establish a nine-member
Medication Therapy Management Advisory Committee, to advise the
commissioner on the implementation and administration of
medication therapy management services and the development of
eligibility criteria for enrollees and providers. The committee
shall be comprised of: two licensed physicians; two licensed
pharmacists; two consumer representatives; and three members
with expertise in the area of medication therapy management, who
may be licensed physicians or licensed pharmacists. The
committee is governed by section 15.059, except that committee
members do not receive compensation or reimbursement for
expenses.
new text end

new text begin (d) The commissioner shall evaluate the effect of
medication therapy management on quality of care, patient
outcomes, and program costs and shall report to the legislature
by December 15, 2007. The commissioner may contract with a
vendor or an academic institution that has expertise in
evaluating health care outcomes for the purpose of completing
the evaluation.
new text end