Existing law requires the Department of Health and Human Services to administer Medicaid. (NRS 422.270) Section 1 of this bill requires the Director of the Department to include under Medicaid: (1) coverage for services provided by a pharmacist within his or her scope of practice if such services are covered when performed by another provider of health care; and (2) reimbursement for such services at an amount equal to or greater than the amount reimbursed to a physician, physician assistant or advanced practice registered nurse for similar services. Sections 1 and 5 of this bill prohibit Medicaid or a managed care organization that provides health care services to recipients of Medicaid from requiring prior authorization for such a service if prior authorization is not required when the service is performed by another provider of health care. Sections 2, 3 and 6 of this bill remove requirements related to coverage under Medicaid for specific services provided by pharmacists because section 1 would provide for the coverage of such services. Section 4 of this bill makes a conforming change to indicate that the provisions of section 1 will be administered in the same manner as other provisions of existing law governing Medicaid.

Statutes affected:
As Introduced: 422.27172, 422.27235, 232.320, 687B.225, 422.27237