Section 42-66.2-1. – Short title.

§ 42-66.2-1. Short title. This chapter shall be known and cited as the “Pharmaceutical Assistance to the Elderly Act”. History of Section.P.L. 1985, ch. 343, § 1; P.L. 1987, ch. 429, § 2; P.L. 1987, ch. 519, § 1.

Section 42-66.2-10. – Pharmaceutical manufacturer drug rebates.

§ 42-66.2-10. Pharmaceutical manufacturer drug rebates. (a) The director shall enter into prescription drug rebate agreements with individual pharmaceutical manufacturers under which the department shall receive a rebate from the pharmaceutical manufacturer equal to the basic rebate supplied by the manufacturer under 42 U.S.C. § 1396a for every eligible prescription drug dispensed under the program. […]

Section 42-66.2-11. – Repealed.

§ 42-66.2-11. Repealed.

Section 42-66.2-2. – Program established.

§ 42-66.2-2. Program established. There is established a program for pharmaceutical assistance to the elderly. The intent of the program is to be the payer of last resort and is limited to eligible persons and eligible drugs. History of Section.P.L. 1985, ch. 343, § 1; P.L. 1987, ch. 429, § 2; P.L. 1987, ch. 519, […]

Section 42-66.2-3. – Definitions.

§ 42-66.2-3. Definitions. As used in this chapter, unless the context requires otherwise: (1) “Consumer” means any full-time resident of the state who fulfills the eligibility requirements set forth in § 42-66.2-5. Residence for purposes of this chapter shall be in accordance with the definitions and evidence standards set forth in § 17-1-3.1. (2) “Contractor” […]

Section 42-66.2-4. – Amount of payment.

§ 42-66.2-4. Amount of payment. (a) The state shall reimburse the consumer up to the percentage rate of the maximum allowable amount per prescription as set forth in § 42-66.2-5 as of the date of purchase of the drug, in accordance with the income eligibility and co-payment shares set forth in § 42-66.2-5. The rebates […]

Section 42-66.2-4.1. – Catastrophic illness coverage.

§ 42-66.2-4.1. Catastrophic illness coverage. The state shall pay one hundred percent (100%) of the prescription drug costs for eligible drugs as defined in § 42-66.2-3(5) for any consumer, as defined in § 42-66.2-3(1), who is eligible to receive pharmaceutical drug coverage benefits under § 42-66.2-5(a)(1)(i) or (a)(2)(i) and who has expended at least one […]

Section 42-66.2-5. – Persons eligible.

§ 42-66.2-5. Persons eligible. (a) Persons eligible for assistance under the provisions of this chapter include any resident of the state who is at least sixty-five (65) years of age or at least fifty-five (55) years of age and receiving social security disability benefits. State and consumer co-payment shares for these persons shall be determined […]

Section 42-66.2-6. – Responsibilities of office of healthy aging.

§ 42-66.2-6. Responsibilities of office of healthy aging. (a) Determination of eligibility. The department shall adopt regulations relating to the determination of eligibility of prospective consumers and the determination and elimination of program abuse. The department has the power to declare ineligible any consumer who abuses or misuses the established prescription plan. The department has […]

Section 42-66.2-7. – Contract.

§ 42-66.2-7. Contract. (a) The director is authorized to enter into a contract with the contractor for the effective administrative support of this program. (b) A competitive bid and contract award shall occur in accordance with the state Medicaid authority’s competitive bid process and cycle. History of Section.P.L. 1985, ch. 343, § 1; P.L. 1987, […]

Section 42-66.2-8. – Penalties.

§ 42-66.2-8. Penalties. (a) Criminal penalties. Any person who submits a false or fraudulent claim under this chapter, or who aids or abets another in the submission of a false or fraudulent claim, or who is eligible under a private, state, or federal program for prescription assistance and who claims or receives duplicative benefits hereunder […]

Section 42-66.2-9. – Annual report.

§ 42-66.2-9. Annual report. (a) The director shall submit an annual report to the governor, the budget officer, the chairperson of the house finance committee, the chairperson of the senate finance committee, and the chairperson of the board of pharmacy as established by § 5-19.1-4. The report shall contain the number of consumers eligible for […]