Page:United States Statutes at Large Volume 104 Part 2.djvu/569

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PUBLIC LAW 101-508—NOV. 5, 1990 104 STAT. 1388-161 (B) By not later than December 31, 1991, the Secretary and the Comptroller General shall report to the Committee on Finance of the Senate, the Committee on Energy and Commerce of the House of Representatives, and the Committees on Aging of the Senate and the House of Representatives on the results of the study conducted under subparagraph (A) and shall make recommendations with respect to which procedures are appropriate or inappropriate to be utilized by State plans for medical assistance. (4) STUDY ON REIMBURSEMENT RATES TO PHARMACISTS.— (A) The Secretary shall conduct a study on (i) the adequacy of current reimbursement rates to pharmacists under each State medical assistance programs conducted under title XIX of the Social Security Act; and (ii) the extent to which reimbursement rates under such programs have an effect on beneficiary access to medications covered and pharmacy services under such programs. , (B) By not later than December 31, 1991, the Secretary shall report to the Committee on Finance of the Senate, the Committee on Energy and Commerce of the House of Representatives, and the Committees on Aging of the Senate and the House of Representatives on the results of the study conducted under subparagraph (A). (5) STUDY OF PAYMENTS FOR VACCINES. —The Secretary of Health and Human Services shall undertake a study of the relationship between State medical assistance plans and Federal and State acquisition and reimbursement policies for vaccines and the accessibility of vaccinations and immunization to children provided under this title. The Secretary shall report to the Congress on the Study not later than one year after the date of the enactment of this Act. (6) STUDY ON APPLICATION OF DISCOUNTING OF DRUGS UNDER MEDICARE. —The Comptroller General shall conduct a study examining methods to encourage providers of items and services under title XVIII of the Social Security Act to negotiate discounts with suppliers of prescription drugs to such providers. The Comptroller General shall submit to Congress a report on such study no later than 1 year after the date of enactment of this subsection. SEC. 4402. REQUIRING MEDICAID PAYMENT OF PREMIUMS AND COST- SHARING FOR ENROLLMENT UNDER GROUP HEALTH PLANS WHERE COST-EFFECTIVE. (a) IN GENERAL.— Title XIX (42 U.S.C. 1396 et seq.) is amended— (1) in section 1902(a)(25) (42 U.S.C 1396a(a)(25))— (A) by striking "and" at the end of subparagraph (E), (B) by adding "and" at the end of subparagraph (F), and (C) by adding at the end the following new subparagraph: "(G) that the State plan shall meet the requirements of section 1906 (relating to enrollment of individuals under group health plans in certain cases);"; and (2) by inserting after section 1905 the following new section: "ENROLLMENT OF INDIVIDUALS UNDER GROUP HEALTH PLANS "SEC. 1906. (a) For purposes of section 1902(a)(25)(G) and subject to 42 USC 1396e. subsection (d), each State plan—