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MTM still in as House vote looms

APhA watching pharmacy-related amendments to HCR bill, including ones on reimportation of medications, HSAs.

While outwardly confident, Democratic leaders in the House of Representatives are still herding their flocks for tomorrow’s historic vote on the Affordable Health Care for America Act (H.R. 3962). In the Senate, where a filibuster-proof majority of 60 votes is needed, health care reform (HCR) is on a slower track, with votes possible before Thanksgiving but final action now not expected until January.

The HCR process, a major campaign issue during 2008, became President Barack Obama’s chief legislative priority after passage of the economic-stimulus bill in February of this year. Pharmacy organizations have been working overtime to make sure that, regardless of what happens on controversial issues such as the public option and abortions, the profession’s agenda is addressed. APhA has emphasized medication therapy management (MTM) services, and all five bills that came out of committee on Capitol Hill reflect a need to address medication use in this country, and to one degree or another, a potential role for pharmacist clinical services.

The House Committee on Rules is meeting today for votes on preliminary amendments to the HCR bill. According to APhA Vice President for Government Affairs Kristina Lunner, one of the amendments to watch would allow reimportation of prescription drugs. Proposed by Republican Jo Ann Emerson of Missouri, the amendment adds H.R. 1298, the Pharmaceutical Market Access and Drug Safety Act of 2009, to the HCR bill. Another amendment concerns whether patients can get reimbursed for over-the-counter products under their tax-exempt health services accounts. This amendment was introduced by South Carolina Republican J. Gresham Barrett.

This weekend, watch Twitter for updates from APhA if HCR reaches a vote on the House floor. A full update will be posted on pharmacist.com on Monday, or if the vote is delayed, soon after it occurs.

The latest news on the Senate side is that Democratic leaders are aiming for final action in time for President Obama’s State of the Union address, normally delivered in late January. Since final action would be on a merged Senate/House bill, the Senate would need to act well before then. Some votes could come before the Thanksgiving break, but a specific timetable has not been released.

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L. Michael Posey, BPharm, (mposey)
Posted November 6, 2009, 5:00 pm EDT