The 60-day legislative session ends on March 10th. 

Also in Washington, the Health Care Authority (HCA) will submit to Centers for Medicare & Medicaid Services by July 15, 2022, a request to renew the Section 1115 Medicaid demonstration waiver, called the Medicaid Transformation Project (MTP), which will allow the state to create and continue to develop projects, activities, and services that improve Washington’s health care system using federal Medicaid funding. The new proposals include: 

• Continuous Medicaid enrollment for children 
• Extending coverage for postpartum services 
• Re-entry services for individuals who are exiting jail, prison, or other correctional facility 
• Enhancements to long-term services and support (LTSS) 

Finally in Washington, the Health Care Authority (HCA) aimed at increasing health care cost transparency and controlling health care cost growth include: 

• The Health Care Cost Transparency Board is focusing on reducing health care cost growth and increasing price transparency. 
• Prescription drug price transparency focuses on creating an annual report on how prescription drugs affect health care costs. 
• The Washington State All Payer Claims Database (WA-APCD) is a tool used to collect health care claims data for reporting, analytics, and to help the public make their health care decisions. The WA-APCD supports health care and payment reform while addressing the need for cost, quality, and utilization transparency. 
• Value-based purchasing (VBP) helps us achieve a healthier Washington by containing costs while improving outcomes, patient and provider experience, and equity. 

For more information, contact NACDS’ Mary Staples at 817-442-1155.

Gov. Jay Inslee (D) issued a proclamation removing the statewide indoor mask mandate effective February 18, 2022.

Also in Washington, legislation twice amended that NACDS opposed that mandates prescription label translations, unanimously passed the House earlier this month. This week it was approved by the Senate Health and Long-Term Care and Rules Committees, and now goes to the full Senate for review. (ESHB 1852) 

For more information, contact NACDS’ Mary Staples at 817-442-1155.

Legislation of concern to pharmacies that mandates prescription label translations was amended for a second time on the House floor and approved by the full House. NACDS will work with other pharmacy groups on the Senate side to get the House Health Care and Wellness Committee Substitute language restored. (HB 1852)

For more information, contact NACDS’ Mary Staples at 817-442-1155.

The Health Care Authority (HCA) announced that the Human papillomavirus (HPV) vaccine is now a covered benefit under the Family Planning Only programs, effective February 1, 2022. For billing information, please refer to the Family Planning Billing Guide on the HCA website. 

Also in Washington, in advance of the February 3rd House Finance Committee hearing, NACDS sent letters to members of the Committee and leadership stating our opposition to HB 2091, legislation that would increase the Business and Occupation (B&O) tax on prescription drug wholesalers. 

For more information, contact NACDS’ Mary Staples at 817-442-1155.

Apple Health (Medicaid) covers over–the–counter (OTC) COVID-19 tests with or without a prescription for clients. An adjudicated pharmacy claim is required for reimbursement. Pharmacies may not bill for test administration of an OTC COVID-19 test as these tests should be used by the patient in the home setting.

For more information, contact NACDS’ Mary Staples at 817-442-1155.

In advance of the January 17th House Health Care and Wellness Committee hearing on HB 1852 / SB 5840 legislation that would require by January 1, 2023, prescription label translations in 15 languages for both the directions for use and the side effects of the drug, the latter which is not currently required to be on the label, NACDS submitted this statement for the record opposing the bill. 

 NACDS has substantial concerns that although well-intentioned, this bill would impose new  requirements for labeling prescriptions in multiple languages that would be redundant to the  ways that pharmacies ensure meaningful access to care for individuals with limited English  proficiency under 45 CFR 92.201. Moreover, we are concerned that the requirements of this bill  go beyond what is practical and could potentially undermine the numerous ways that pharmacies  already provide translation services to their patients. We, therefore, urge Washington lawmakers to reject his impractical legislation. 

For more information, contact NACDS’ Mary Staples at 817-442-1155.

The State Health Care Authority (HCA) issued a statement that while they are not able to implement at this time, HCA is working to create a process to meet these legislative mandates in a law passed last year, Substitute Senate Bill 5195. The law requires HCA to reimburse hospitals, behavioral health agencies, or pharmacies who dispense opioid overdose reversal medication to uninsured individuals by January 1, 2022. The plan will include a process to back-dated opioid reversal medication claims to January 1, 2022.

For more information, contact NACDS’ Mary Staples at 817-442-1155.

The State Department of Health’s (DOH) December 7^th COVID-19 partner call the Health Care Authority and the Office of the Insurance Commissioner will present information on reimbursement for patient counseling on COVID-19 vaccines, and provider billing and reimbursement for COVID-19 vaccines.

For more information, contact NACDS’ Mary Staples at 817-442-1155.

The State Department of Health (DOH) announced that as of early November, more than 10 million doses of COVID-19 vaccine have been administered since distribution began in mid-December 2020.

For more information, contact NACDS’ Mary Staples at 817-442-1155.