Sec. 303. Establishment of pharmacy quality measures under Medicare part D
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Section 1860D–4(c) of the Social Security Act ( 42 U.S.C. 1395w–104(c) ) is amended— by redesignating the paragraph (6), as added by section 50354 of division E of the Bipartisan Budget Act of 2018 ( Public Law 115–123 ), as paragraph (7); and by adding at the end the following new paragraph: A PDP sponsor that implements incentive payments to a pharmacy or price concessions paid by a pharmacy based on quality measures shall use measures established or approved by the Secretary under subparagraph
(B)with respect to payment for covered part D drugs dispensed by such pharmacy. The Secretary shall establish or approve standard quality measures from a consensus and evidence-based organization for payments described in subparagraph (A). Such measures shall focus on patient health outcomes and be based on proven criteria measuring pharmacy performance. The requirement under subparagraph
(A)shall take effect for plan years beginning on or after January 1, 2021, or such earlier date specified by the Secretary if the Secretary determines there are sufficient measures established or approved under subparagraph
(B)to meet the requirement under subparagraph (A). .
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Sec. 303
Establishment of pharmacy quality measures under Medicare part D
Cite42 USC 1395w–104(c)
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