Bill > H0291

This bill adds a new chapter to existing Idaho law to implement the Fair Pharmacy Audits Act. The key provisions of the bill include: 1. Establishing minimum and uniform standards and criteria for the audit of pharmacies, with some exceptions for certain types of audits. 2. Requiring auditors to provide written notice, limit interference with pharmacy operations, and conduct audits involving clinical or professional judgment through a licensed pharmacist. 3. Prohibiting auditors from recouping payment for certain clerical or recordkeeping errors, limiting the scope and time frame of audits, and requiring disclosure of recouped funds to plan sponsors. 4. Establishing an appeals process for pharmacies to challenge unfavorable audit findings. 5. Prohibiting the use of "extrapolation audits," which estimate audit results for a larger group of claims based on a sample. 6. Declaring an emergency and making the Act effective on July 1, 2023.

Health and Social Services

Health and Welfare Committee (House)

https://legislature.idaho.gov/sessioninfo/2023/legislation/H0291/