402.81 Pharmaceutical expense assistance.
221 words·~1 min read·
/fl/title-xxix/chapter-402/402-81A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
(1)PROGRAM ESTABLISHED. — A program is established in the Agency for Health Care Administration to provide pharmaceutical expense assistance to individuals diagnosed with cancer or individuals who have received organ transplants who were medically needy recipients prior to January 1, 2006.
(2)ELIGIBILITY. — Eligibility for the program is limited to an individual who:
(a)Is a resident of this state;
(b)Was a Medicaid recipient under the Florida Medicaid medically needy program prior to January 1, 2006;
(c)Is eligible for Medicare;
(d)Is a cancer patient or an organ transplant recipient; and
(e)Requests to be enrolled in the program.
(3)BENEFITS. — Subject to an appropriation in the General Appropriations Act and the availability of funds, the Agency for Health Care Administration shall pay, using Medicaid payment policies, the Medicare Part B prescription drug coinsurance and deductibles for Medicare Part B medications that treat eligible cancer and organ transplant patients.
(4)ADMINISTRATION. — The agency shall administer the pharmaceutical expense assistance program in collaboration with the Department of Elderly Affairs and the Department of Children and Families.
(5)NONENTITLEMENT. — The pharmaceutical expense assistance program established by this section is not an entitlement. The agency may develop a waiting list based on application dates to use in enrolling individuals when funds become available for unfilled enrollment slots.