II 116th CONGRESS 1st Session S. 1861 IN THE SENATE OF THE UNITED STATES June 13, 2019 Mr. Cardin (for himself and Mr. Cornyn ) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To provide for the treatment of a pharmacy counter refusal as a coverage determination under Medicare part D.

1. Short title This Act may be cited as the Streamlining Part D Appeals Process Act . 2. Providing for the treatment of a pharmacy counter refusal as a coverage determination under Medicare part D Section 1860D–4(g) of the Social Security Act ( 42 U.S.C. 1395w–104(g) ) is amended by adding at the end the following new paragraph: (3) Treatment of pharmacy counter refusal as coverage determination For plan years beginning on or after January 1, 2020, the refusal by a pharmacy to fill a prescription for a covered part D drug under a prescription drug plan shall be treated as a coverage determination subject to reconsideration and appeal pursuant to this subsection and subsection (h). .