2013 LEGISLATIVE PRIORITIES & POLICY POSITIONS
The Iowa Pharmacy Association’s Legislative Committee and Board of Trustees
have established the following legislative priorities for calendar year 2013.
STATE LEGISLATIVE PRIORITIES
█ PHARMACIST IMMUNIZATION AUTHORITY
IPA supports expanding pharmacists’ immunization authority for adult, adolescent, and limited childhood
Pharmacists are trained to administer immunizations and have been doing so routinely since 1999 when the
boards of pharmacy and medicine adopted adult immunization rules. Though regulatory attempts to expand
pharmacist administered immunizations have been unsuccessful, IPA believes there is an opportunity to
positively impact public health efforts in Iowa by legislatively expanding pharmacists’ authority.
█ PBM AUDIT REFORM
IPA supports PBM audit reform to minimize pharmacy audit recoupments not related to fraud, waste, and
abuse, but rather clerical or record keeping errors. To eliminate predatory PBM audit practices, a bona fide
appeal process should be in place.
Pharmacy Benefit Managers (PBMs) have been increasingly auditing pharmacy and recouping payments on paid
claims that are legitimately prescribed and dispensed for the correct medication to the correct patient. These
predatory auditing practices diminish the opportunity for pharmacists to provide patient care.
█ IOWA’S MEDICAID PROGRAM
To ensure successful implementation of the new AAC (average acquisition cost) reimbursement methodology,
IPA supports maintaining an adequate level of reimbursement for medications dispensed to state Medicaid
recipients along with appropriate fees for dispensing. During the conversion from AWP (average wholesale
price) to AAC in 2013, the impact should be budget neutral to pharmacies in the aggregate.
IPA supports annual increases in the pharmacy dispensing fee during years when a Cost-of-Dispensing (COD) is
not completed by pharmacy providers.
IPA supports improved opportunities for Iowa pharmacists to provide MTM services to Iowa Medicaid
beneficiaries as a tool to save overall healthcare expenditures by optimizing medication use.
Pharmacists in Iowa provide critical health services to Iowans throughout the state. The profession has risen to
protect those patients who are often at-risk by providing high quality, cost-effective care to those who benefit
from the Iowa Medicaid program. To maintain access to pharmaceuticals and these services, adequate funding
for the continuation and expansion of professional pharmacist services is needed.
STATE LEGISLATIVE POLICY POSITIONS
█ MEDICATION THERAPY MANAGEMENT
IPA supports initiatives to expand coverage of pharmacist delivered Medication Therapy Management (MTM)
services, including but not limited to the State of Iowa Medicaid program.
IPA will provide legislative support if opportunities to introduce or expand MTM services arise within the Iowa
legislature, health insurance industry, and Iowa business community. As momentum gains for improving
medication use and reducing overall healthcare costs, efforts to expand coverage of MTM services that focus on
patient care and positive outcomes will be continually assessed.
█ DRUG PRODUCT SELECTION
As part of the statewide task force on epilepsy treatment and education, IPA agrees to legislative language that
a) provides authority to the Board of Pharmacy for oversight of non-resident pharmacies related to the drug
product selection law, b) prohibits drug product selection for generic medications when a specific
manufacturer’s product is prescribed and the diagnosis of epilepsy is written on the prescription, and c) requires
third party payers to cover the cost difference.
Following the creation of a task force in 2010 comprised of pharmacists, physicians, and patient advocates to
provide educational information and to assess the impact on people with epilepsy of generically equivalent drug
product selection of antiepileptic drugs for the treatment of seizures, this task force is required to report its
findings to the Iowa legislature in 2013.
█ PRESCRIPTION MONITORING PROGRAM
IPA supports continued operation of the state Prescription Monitoring Program (PMP) as a tool for healthcare
IPA supports the expansion of the PMP to be interoperable with other states. IPA supports legislation that
states entering into an agreement with the state of Iowa are subject to Iowa laws.
Iowa’s Prescription Monitoring Program (PMP) has been operational since March 2009. Experience, data, and
comments received during this time supports continuation of the PMP and the authorization and identification of
delegated users. The Board of Pharmacy is introducing legislation to expand operation of the program to allow
for information to be updated in “real-time” and shared with Iowa’s border states.
█ UNIVERSITY OF IOWA COLLEGE OF PHARMACY BUILDING CAMPAIGN
IPA supports legislative appropriations to the University of Iowa College of Pharmacy to improve and enhance
the educational facilities where student pharmacists receive their training.
The University of Iowa’s College of Pharmacy is a critical part of the state’s health care system. With 441
professional students, 85 graduate students, 84 faculty, and 4,554 living alumni of the college, the impact is
strong. The capital campaign will seek to fundraise $25 million, with $65 million requested from the state in