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APhA leaders, state execs visit the Hill

Baucus bill released: MTM in, public option out.

It may not be clear exactly what Congress will do about health care reform (HCR), but one thing looks certain: Medication therapy management (MTM) is in a very good position to be a part of anything that does pass.

That’s the current consensus, following more than 30 visits on Tuesday with key Senators, Representatives, and their staff members by APhA leaders and state pharmacy association executives and today’s release of an HCR bill by Sen. Max Baucus (D–MT) that includes the concept. That makes it 5 for 5 for MTM: It’s in both Senate bills and included or noted in all three versions in the House.

In all, 14 APhA Trustees, other leaders, and state execs trekked to the Hill. The group had traveled to DC on their own time to visit with legislators serving on the five key committees involved in HCR discussions. As noted in APhA CEO Tom Menighan’s blog, the pharmacists’ MTM messages were well received, as were requests to address pricing formulas, durable medical equipment accreditation requirement for surety bonds, and workforce support, all issues important to the profession.

In the Baucus bill, MTM was named in a list of innovative models that would be tested as part of HCR. Specifically, the chair of the Senate Finance Committee envisioned the creation of an Innovation Center with the Centers for Medicare & Medicaid Services. This center would conduct a 3-year pilot program that would look at transition services designed to prevent rehospitalization, including medication review and management and patient self-management when appropriate. If certain quality and cost thresholds are met in the program, CMS would be able to move forward with widespread implementation without further statutory authority.

Sen. Baucus said that he will continue to negotiate with the so-called Gang of Six that has been trying to hammer out a bipartisan HCR approach. Despite his omission of the public option favored by Democrats from the bill, Baucus has not garnered any Republican support for the plan at this time. The bill will be considered by the full Finance Committee starting next week.

Pharmacy leaders visiting Capitol Hill this week included the following:

  • Tery Baskin, Arkansas
  •  Ed Hamilton, Florida, APhA President
  • Michael Jackson, Florida, State Association Executive Director
  • Matt Osterhaus, Iowa, APhA Trustee
  • Tom Temple, Iowa, State Association Executive Director
  • Harold Godwin, Kansas, APhA Trustee
  • Mike Larkin, Kansas, State Association Executive Director
  • Howard Schiff, Maryland, State Association Executive Director
  • Gary Kadlec, Michigan, APhA Treasurer
  • Ernie Boyd, Ohio, State Association Executive Director
  • Nancy Alvarez, Pennsylvania, APhA Trustee
  • Pat Epple, Pennsylvania, State Association Executive Director
  • Tim Tucker, Tennessee, APhA Past President
  • Baeteena Black, Tennessee, State Association Executive Director

Related resources on www.pharmacist.com

Related resources on the Web:

L. Michael Posey, BPharm, (mposey)
Posted September 16, 2009, 6:00 PM EDT